Reduce Malar Fat Pads, or Have Cheek Augmentation? (photo)

I really dislike the lower-mid portion of my face, which seems to be getting worse (sagging) as I age. I'm now in my mid-30's. What I dislike is that it protrudes more than my cheekbone area, and this isn't attractive and I think also makes me look older and tired. Are there any opinions from this photo about how to reduce the fullness in this area (malar fat area I think?) Would removal of the fat be better, or would fillers or augmentation on the cheekbones be better?