What type of treatment is best to get rid of these wrinkles that extend diagonally from lower eye to upper cheek?

Hi Hannah.  The office that told you the lines were from volume loss made a good assessment.  You are very thin and your face has lost collagen and fatty tissue volume.  Our first choice would be Sculptra to replace this lost volume, but other dermal fillers such as Restylane, Perlane and Radiesse are all viable choices as well.  Laser resurfacing is not going to achieve that which you desire because it cannot replace the kind of volume you have lost and you are correct that Botox works on the crow's feet closer to the sides of the eyes.Check the photos at the link below for a similar situation.  

Thank you for the question. The upper cheek area requires a thoughtful approach and I think you are on the right track. Botox can be used for the crow's feet, just lateral to the corner of the eye. For lines that extend further down the cheek, Botox injections can cause unwanted complications. This is where the muscles that control the smile are located, and Botox here can cause an uneven smile or change your mouth movements. For lines in the upper cheek, volume can be very helpful. This can be achieved with traditional fillers, like Juvederm, deeper and longer lasting fillers, like Voluma or Radiesse, or through Sculptra treatment.

Agree that botulinum toxin injection is not a good idea for the lines you are referring to in the lateral cheek area (from smiling).  Dermal filler injection though may be useful.

Typically these larger lines are due to hypertrophy of the musculature underneith as well as some volume loss in the cheeks/temples.  Botox or neuromodulation is a good start but typically will not help the larger lines around the eyes as these are influenced by large muscles that are deeper.  Laser resurfacing and/or radiofrequency or ultrasound devices can help tighten and soften and smoothen the skin.  Filler injection into the mid and lateral cheeks can help lift and superficial injection can help soften the individual.  Overtime, continued neuromodulation treatment will help the muscles around the eyes atrophy and become less prominent and stop any "movement" lines.  Eye creams will not help these larger lines.  Please see a cosmetic dermatologist or plastic surgeon with expertise in filler injection, laser surgery, and eyelid rejuvenation.  I wish you the best of luck, Dr. Emer.

The temporary solution would be judicious injection of the fillers. A more lasting and gratifying result can be attained from injection of your own fat, with or without lower eyelid tightening and fat reposition, which contains stem cells and would improve the elasticity of your lower eyelids.

Thank you for your question and for sharing your photographs hannah12345. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.
It is difficult to make an assessment without a formal exam in the office where I can view the skin in multiple angles and observe wrinkles formed with facial expression. However, I hope the information provided here is useful.The pivotal studies used 24 units of Botox (12 units per side) to address the crow’s feet. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary. 
If I had a patient who looked like the person in these photographs I would say she may be a good candidate for a Botox treatment in the crow's feet as well as fillers such as Voluma to volumize the cheeks.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!

Botox works extremely well for the "crow's feet" which are the wrinkles on the sides of your eyes.  However, they do not work well for the lines that you are describing. That area is the mid-face hollow and would require Voluma or Sculptra to replace the lost volume.  Please consult a board certified dermatologist with a lot of experience with Botox and fillers for the best results.

Try Botox  before any other treatment.Is easy and fast.resufacing and other  kind of procedures can help

Lines around the eyes are caused by muscle contraction of the muscles circling the eyes. If these are fairly new wrinkles, Botox is often sufficient. If the wrinkles have been there for a while, it may take some type of resurfacing including fractional radiofrequency resurfacing and/or laser resurfacing.

Though your pictures are tough to judge because they are taken from far away, it looks like you are concerned about the tear trough area hollowing.  This results from the lack of volume between the skin and bone in this sensitive area of our face.  The lack of volume comes from the gradual bone loss that happens as we age and the decrease and the downward descent of the inferior orbital fat pads. This area is amenable to treatment with careful injections of Restylane filler.  The added support and volume resoration with Restylane frequently results in a more youthful and rested appearance.