Profile photos would have been extremely helpful. However, from the frontal views provided, there appears to a be volume deficit in the upper outer cheeks and some flattening of the cheeks in the region below the eyes. The use of a robust HA volumizing filler, such as Voluma XC or a robust HA lifting filler, such as Restylane Lyft in these regions would help to create the more ideal, heart-shaped feminine face shape and likely improve the under eye regions, as well, by providing the necessary additional support to this area. Without the profile view, it is difficult to be sure, but the pronounced dark shadowing under your lower lips (the so-called mental crease) and the chin itself suggest volume deficit here, as well, which very likely contributes to a lack of harmony in the projections of hose, lips, and chin. If this is so, the use of a robust HA fillers would improve this, as well. I gave up using fat injections a long time ago, since much of the injected fat, despite the promises of being permanent, when separated from its original blood supply does not survive. What's more, that which does survive in the new location retains the properties of the region from which it was taken (thighs, hips, abdomen)--meaning that with aging when the donor area develops a midriff bulge, the fat injected in the face can, as well. Not a happy situation, nor one that can be easily remedied. For that reason, I prefer the HA fillers, which can give relatively long-lasting durable results without those kinds of concerns. What's more, HA fillers can be relatively easily dissolved should the need arise, something that cannot be done with fat. Finally, in seeking treatment of physicians these days. Although the vast majority of nonsurgical rejuvenation techniques, like chemical peels, Botox, and fillers were developed and innovated by cosmetic dermatologists, they have been freely shared with other core aesthetic physicians, such as plastic surgeons, facial plastic surgeons, ophthalmic and ENT plastic surgeons, etc. So, these days, you just need to be sure that you are seeking consultation with an experienced, board certified cosmetic physician in any of these core specialties. Best of luck.
