Skin atrophy from steroid cream on cheek reversible? I have sagging cheeks. (photo)

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

In certain cases, fillers are used to help with fat atrophy related to steroid injections usually for prior cystic acne. Honestly, based on the photo you have provided, I do not see any evidence of fat atrophy. Cheek fillers can be used to lift the face and address facial volume loss. I think the best thing to do is schedule an in person consultation with a local aesthetic physician to discuss your concerns and to come up with an appropriate treatment plan.