Do I have wide cheekbones or do my zygoma bones just look wide because my temple area seems narrow? (photos)

I appreciate your concerns, however physical examination would be needed to provide a more detailed answer because of your beard and areas of concern. Generally speaking I would not recommend zygoma reduction in your case and other options do exist. Combination of mini facelift with fat transfer to your nasal labial folds with buccal fat pad repositioning may be an option. Consult with a board-certified plastic surgeon in our area to explore the best options for you. Good luck.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Yes, the temple are hollow and the cheeks are saggy as well. There are a lot of options. Fillers are the easiest. You can also get cheek and temple implants. Midfacelift will not achieve it.
Regards
Dr. J