45 - What is the best procedure to address under eye wrinkles and volume loss in cheeks? (Photos)

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for a lower bleph procedure with fat transfer as that procedure will remove excess skin laxity causing wrinkles and add volume to your cheeks. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

Since the upper mid-cheek region is a major structural support for the under-eyes, when there is volume deficit there, the under-eyes can appear to have bags and wrinkles. I just treated a patient yesterday with exactly the same issue. Properly injected in the right area, a robust HA volumizing filler can both address the volume deficit in the cheek (to create a more ideal, oval, heart-shaped face and Ogee Curve), and secondarily improve the under-eyes. In expert hands, the procedure takes about ten minutes and the results are immediate with little to no significant post-treatment downtime.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector expert. Hope this helps and saves you time, money and needless frustration and disappointment.

If wrinkles are your primary concern, then you may want to consider a CO2 Fractional Laser treatment followed by filler in the tear troughs.