Solutions for Deepset 'Sunken' Eyes and Flat Cheeks?

These photos are almost non-contributory because the side and oblique views are not really side and oblique. The frontal view it is out of focus and cuts off in the middle of the lower eyelids. You can't really make any recommendations from this set of photos and cannot really see the tear trough. I suspect there is more of a lower jaw issue than a midface issue but cannot know for sure from these photos.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

The best treatment for you is a surgical correction.  Some of your orbital fat can be used to fill in the hollowed out areas.  The muscle can be re-suspended laterally ant some of the malar cheek fat can be resuspended laterally as well.  This would be the best way to  get rid of the hollowness and make the dark circles less noticeable.  The darkness is due to the shadowing caused by the hollowness.

Flat midfacial area or sunken cheeks may be treated via multiple methods.Several cosmetic options are available to improve volume loss in the cheeks or midface. Volume loss is a natural progression seen with facial aging, or present at young age due to inadequate bone structure. Midface volume loss may also be seen earlier with genetic predisposition, medical conditions, severe weight changes, or medications too.

Treatment obviously is to add volume, typically. Injectable fillers with hyaluronic acid, Restylane, or Juvederm may be appropriate. Alternatively, longer acting facial fillers such as Radiesse or Sculptra provide longer-term improvement of the cheeks. All these injections are office procedures.

Other options include fat injections, which have been used for decades for facial rejuvenation. Fat injections have the potential for long-term cheek enhancement. Lastly, cosmetic surgery with a silicone implant or midface lift may be more appropriate in selected patients. Silicone cheek implants are a good option for permanent cheek enhancement.

There isn't one best treatment for facial plastic surgery procedures. Only after a comprehensive evaluation by a plastic surgeon specialist can he/she help determine appropriate options for you for natural cheek enhancement. Best of luck.

Dr. Chaboki