The problems you have are caused both by volume loss (deep naso-labial fold, sagging cheeks) and surface texture abnormalities (superficial wrinkles
, spots & freckles).
It is therefore prudent to restore both volume and skin texture to achieve optimal result.
This in my opinion would involve use of a filler like juvederm or fat injections for volume restoration; and, LASER
resurfacing for skin texture and superficial wrinkles.
Of course, a good skin care
regime must follow these to help the results last longer.
Dr. Sharad Mishra