Is fat transfer enough, or would you recommend implants? (Cheeks)

Fat is readily available and there is an endless supply so correcting to full correction is always possible unlike with expensive and temporary fillers. It works well to augment the facial skeleton. Cheek implants do erode the bone and can look unnatural over time.

Based on these, very limited photos, it appears that cheek augmentation with implants would be a very good option in your case. In person consultation with a board certified plastic surgeon, an expert in. facial implants, is recommended. Good luck.

It depends on your goals. Fat transfer will provide a very significant improvement but if you are looking for a very dramatic result cheek implants would be the way to go.

I would advise you to go to a board certified plastic surgeon who has a good eye for the best results.

Best of luck !