Flat cheeks and prominent deep nasolabial folds. Am I a candidate for a mid-face lift or fat transfer? (photos)

You have a variety of options, from permanent implants to fillers that last a few months to about a year (your case Voluma would be perfect!), to facial fat transfer. Yes fat transfer is unpredictable, but works quite well and produces very nice results. Fat is taken, usually from around your lower abdomen area, using a small cannula through your bellybutton, then cleaned and reinjected into your face. Its a wonderful procedure with wonderful results and will suit your needs well. Good Luck!

I wouldn't consider a surgical lift for you, but augmenting your cheek volume may get you the look you want.  Fat grafting would be an option, however it's unpredictable how much of the fat will get reabsorbed by your body.  Although you've tried Juvederm Ultra, a newer type of filler called Voluma is available and provides much more robust augmentation.  It's specifically designed for the cheeks and I've been able to achieve nice results with it.Best of luck,Keith Blechman, MD