Is it possible to have this sagging issue from having top first molar missing 4 years? Or is this another issue? (Photos)

Need help with cheek mouth line from missing top first molar. Is this possible?Hi I have sagging line from above lip to corner and sagging cheek. I think it may be due to my top first molar missing, does this sound right and or what can I do to fix this issue as it really upsets my confidence. may be due

No doctor answers yet