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Would fat grafting be sufficient for my midface to solve my negative orbital vector? (Photos)

Bright195300Aug 12, 2025
20M. Fat Loss Under Eyes, Negative Orbital Vector, Asymmetry with more recession on the right side, a flat midface and flat cheekbones. Am I a good candidate for Fat Grafting? I do not want fillers but rather something more permanent. I am worried about about bone reabsorption due to implants. Would fat grafting be sufficient for my midface to solve my negative orbital vector? I could live without my cheekbones prominence but fixing underye area , flat midface and getting a positive or atleast a neutral orbital vector is my first priority.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Ajaya Kashyap, MD
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Dr. Ajaya Kashyap, MD
Plastic Surgeon
4.9 | 464 Reviews
Answered on Dec 14, 2025
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Dr. Lexie Wang, MD
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Dr. Lexie Wang, MD
Board Certified Facial Plastic Surgeon, Board Certified Otolaryngologist
5.0 | 21 Reviews
Answered on Sep 4, 2025
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Lexie Wang, MD

What you are seeing is due to volume loss of the cheek/maxilla and descent of tissues. TO address the problem, you need to treat either/both of these. Since yoiu don't want to do filler, your other options are fat grafting for volume vs. a more extreme would be to do cheek implants/maxillary...

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Tim Neavin, MD

Fat and fillers are really used in much different fashions, so it's tough to compare. Fat is used all over the face to restore volume and improve skin (from the stem cells within the fat), and often looks much more natural because you can blend smoothly to different areas of the face. And, it...

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Young Min Im, MD, PHD

You're curious about facial volume restoration!As we age, facial volume naturally decreases, and the skin begins to sag downward. Fat grafting is a procedure that restores volume by using your own fat to fill in hollow areas. This smooths out facial contours and enhances femininity by creating a...

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Samuel Mattine, MBChB, MRCS, FRCS

Thank you for sharing the photos. Unfortunately, we see this too often, where patients are left with significant fat atrophy and deep-seated scarring resulting in skin irregularities and dents after heat treatment. Sadly, facial soft tissue is not as forgiving as other parts of the body. I...

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Tim Neavin, MD

Thank you for the photos. For balance, fat transfer is a great idea, as well as addition of volume to the chin to improve microgenia. Fat injected into the chin is too unpredictable for the amount of addition required to balance the lower third. A buccal lipectomy can certainly help slim the...

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