Help! Lost volume around mouth when smiling! What is the most natural / least complex way to fix this? (Photo)

The changes you describe are very common and seen as we age.As others have mentioned, fillers are an excellent option to address volume loss in this area. Not only are they effective, but they are also safe and modifiable if you are not satisfied with you results: ie, more can be added or they may be dissolved.It would be best to see an experienced injector for an in-person consultation to discuss your options.

Injectable fillers are now done much more frequently than we
do cheek implants. Cheek implants often
do not look natural after many years because as the face changes, they may need
to be removed or replaced. Therefore,
many people get injectable fillers.  Adding volume to the cheeks can be very
aesthetically pleasing if done by an expert who also takes into account facial
balance and your overall bone structure etc. I often prefer Sculptra and Radiesse but also think Voluma is an
excellent product to shape and improve the cheek area. Sculptra can last several years but usually a
yearly maintenance treatment is recommended to keep the results looking good as
you continue to age. Voluma has been
shown to last 2 years or longer but in my experience, again, maintaining the
treatment yearly with a little product as needed works best and keeps you from
losing the effect. Make sure to seek out
an injection specialist with extensive experience with these products.I hope that helps.Best of luck!