Hi and thank you for your question! The exact approach varies from patient to patient and a consultation is needed. As you suggested, some patients need direct injection under the laugh lines (nasolabial folds) while others see better results with injections in the cheeks and some other see the best results with combination of both. Based on the pictures you posted (although again it is hard to tell and we prefer neutral expression pics for more accurate assessment) you might be a candidate for both injection under the fold as well as the cheeks (possibly plus some filler injection under the eyes). Please consult an experienced cosmetic doctor for best results. I hope it helps and good luck!
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