What can be done about mid face/inner cheek area weirdly bunching up on smiling? (Photo)

Thank you for your question and for providing photos. Since the grooves you’re referring to appear to be caused by a lack of volume, dermal filler can be used to smooth these lines and volumize the shallow contours while improving your cheek definition. These hyaluronic acid formulas can fill in hollow areas to provide a smooth, supple, and youthful result. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to discuss your concern with you and determine what treatment option may be best for you.

Bulging pad which caused by muscle movement when people smile or talk cannot be removed, however by facial liposuction, we can reduce the volume of bulging look.Plastic surgery plans are decided with standard of no facial expression condition, so improving facial expression issue requires face to face consultation.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.