Advice regarding nasolabi folds and tear troughs

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Amygdala_

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Is this a skin/soft tissue/collagen issue or is the issue more deep rooted e.g recession of maxilla or canine fossa, etc. Im more so wondering what the root cause is so if anyone has expertise that would be great.

Got the worst photos I could find that showcase it.

Any solutions like orthodontic appliances, surgeries, fat removals or soft maxes are appreciated.

I’m 16-18% bf
 

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