Please help me! I’m 43 and lines in my cheeks have just appeared especially when I smile. Really upsetting me (Photo)

These are very fine superficial smile lines.
Combination treatment of cosmeceuticals and a peel would be a good start.

With the lines starting to show up, a medium TCA peel is going to be your best friend. Get those creases peeled off today.

Hello there. Your issues are due to a combination of volume loss and skin laxity which can easily be addressed with dermal fillers and laser skin tightening. Dermal fillers alone may address the issue. 

Hello Rozi,
There are many modalities of treating the fine lines you describe, ranging from a laser like Affirm to fine molecular filler, or PRP's. Coincidentally these are the procedures I am very fond of. Please feel free to review the photos provided in my portfolio. I suggest a consultation with your provider to decide what would work best for you.

Best,

Oxana Popescu MD

There are a number of options to help with facial lines. Liquid
Facelift uses advanced techniques to gently lift, soften lines, and contour
facial features without surgery and little downtime. Fillers such as Juvederm,
Volbella, Voluma, Radiesse, Sculptra, and even your own fat can lift your skin
and recontour your face restoring a more youthful appearance. Lips that thin
with aging can be made plumper and more kissable, and fine lines around the
lips be reduced. Topical creams and non-ablative laser
treatments can also help rejuvenate your skin and help improve  fine
lines.
Thermage is a non-invasive (no incision!) treatment that can
tighten skin, renew facial contours, and stimulate your body to make healthier
collagen—the building block that provides structure to your skin. The procedure
uses radiofrequency technology called ThermaCool that has been clinically
proven to tighten and gently lift skin to smooth out wrinkles and renew facial
contours. Fast and easy, Thermage requires no downtime from normal activities.
However, Thermage can have variable results if not performed by an experienced
doctor. It's important, of course, to make sure
you see a board certified plastic surgeon because results can be variable
depending on who is performing the procedure.  

These lines below your cheeks can be difficult and somewhat expensive to treat as they usually require a combination of different treatments. Microneedling, laser and dermal fillers such as Refyne and Sculptra can all help. Make sure you see and expert for this.

Thanks for your question and photos. The reason the lines are appearing is largely because you will have lost some volume in the cheeks in the area above where the lines appear. Treating this with filler will usually result in a good improvement - you can test this yourself by observing the lines with a normal smile, and then do the same while lifting the cheeks up and backwards with 2 fingers, one on the cheekbone and one just below. I suspect you will see the lines are much softer when you have lifted the skin.
With fillers you may not get a complete result but you will have support in the right places to improve the situation and to act as a preventative as well. If the fillers are done well the effect will appear natural, and nobody will know that you have had any treatment.
Depending on the outcome with filler treatment you may then want to consider treatment to improve the skin quality - there are quite a number of options for this that your physician can discuss with you.
Best of luck with this.

Based on your photos it's time you found yourself a good aesthetic practitioner to introduce you to all modern aesthetic medicine has to offer. Unfortunately the age creeps up on us and changes sometimes occur rather quickly. There are many factors that contribute to it, and a good practitioner should be able to lay down a comprehensive plan for you to address your concerns on multiple levels and thus most efficiently. In my practice we don't treat a condition (wrinkles, skin spots, unsightly smile, etc), but we treat a patient. And remember that it's never too early to preserve that beautiful gift of youth and health.
As far as your lines are concerned and looking on your photos you can benefit immensely from a combination of PRP injections followed by laser resurfacing and radiofrequency tightening. I would also advocate a more global approach by addressing appearing marionette lines, tear troughs around your eyes and somewhat sunken in temples. Keep up a good work taking care of your skin and good luck to you!! Dr. Daniyar

Thank you for your question and pictures. Those lines are best treated with a combination of micro-needling / radio-frequency treatments with platelet-rich plasma, laser resurfacing and dermal fillers. I recommend seeing an expert in your area for an in-person evaluation and treatment plan. All the best, Dr. Michon

I would take a multimodal approach to your problem.  First, good cosmeceutical skin care and good diet. Second, exfoliation with peels, lasers, or radiofrequency devices to stimulate collagen growth and drive the production of new skin.  Finally, hyaluronic acid fillers like Refyne or Defyne to fill the lines in this dynamic area.  Chose an expert cosmetic dermatologist who can offer a variety of procedures to keep you looking great for years to come.