You certainly need fat to harvest and transfer. If you do not have much fat it will not make much of a difference. Without pictures or an examination I can not tell you. I would recommend having a consultation to learn more about the procedure and if you are a good candidate by having a consultation by someone who has allot of experience with the procedure and is a Board Certified Plastic Surgeon By The American Board of Plastic Surgery. Check out the attached video if you have a similar appearance.