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Deep Hollows Under Eyes and Large Malar Fat Pads - Advice?

Lansing
I am having a very difficult time determining what I need done. I have deep hollows under my eyes, and I also have huge malar fat pads that stick out when I smile. These create lines across my upper cheek. Even when I don't smile they form a droopy strip of fat going from the nose to the jowl. My lips are also downturned at the corners when I smile. I seem to have big lip muscles at the corners of my upper lip. It makes smiling uncomfortable and odd looking. Thanks for any advice you can give.

Answers (4)

From board-certified doctors and trusted medical professionals
David Shafer, MD, FACS profile photo
Dr. David Shafer, MD, FACS
Board Certified Plastic Surgeon
4.9 | 134 Reviews
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Aaron Stone, MD profile photo
Dr. Aaron Stone, MD
Board Certified Plastic Surgeon
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Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
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Dr. Robin T.W. Yuan, MD
Board Certified Plastic Surgeon
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