Age 34, will a cheek lift help the fat pockets around my mouth? (Photos)

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Thank you for your question and for providing photos. You may benefit from a mini facelift to address early signs of aging, such as mild skin laxity and early jowl formation. This procedure can rejuvenate the appearance of the face by tightening the underlying facial muscles and repositioning them as an anchor to support the skin.
If additional volume is still required, this procedure can be combined with an autologous fat transfer. Fat is harvested from the belly or thighs and strategically injected to volumize specific areas of the face, such as the cheek. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concerns and goals and determine the best approach for you.

Sure, expensive, invasive lifting surgery with significant downtime is an option. But, if you are looking for a nonsurgical approach to treating volume deficit (relatively inexpensively and with little to no significant downtime); reshaping and recontouring the cheeks, and improving mid and lower face sagging, then the use of robust HA fillers may just be for you. You would be wise to consult with an experienced, board certified cosmetic dermatologist injector before jumping to surgery. And, make certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.