Cheek implants.
Trying to get rid of horse face.
I really don’t know why people have these procedures. It seems like half the time it makes things worse.
I think you nailed it. When someone has submalar cheek implants in harsh lighting you can almost see the outlines of the implants which is why many who get them smooth the edges with dermal filler.
In the photo you can see that her cheeks don’t look naturally full, rather they look sharp and harsh.