In patients with mixed malar bags (structural and edematous), can a deep plane facelift be sufficient without fat grafting?

Hello, I am considering a deep plane face and neck lift, with a possible malar/cheek fat grafting, and I would like to seek opinions from several surgeons before making my final decision. I am 44 years old and have had malar bags since my early thirties. They are well defined but fluctuate in severity (more pronounced in the morning, with fatigue or alcohol), suggesting a mixed structural and edematous component. These malar bags also appear to be hereditary, as my mother presents the same anatomical feature. I do not have significant skin laxity, but rather a descent of the midface with early jowling. A deep plane facelift combined with a deep neck lift has been suggested as a structural solution. However, I have concerns regarding the indication for malar/cheek fat grafting. Given my tendency toward edema, I am concerned that adding malar volume could accentuate or make the malar bags more visible, either temporarily or long term. My questions are: • In patients with mixed malar bags (structural and edematous), can a deep plane facelift alone be sufficient without fat grafting? • Is malar/cheek fat grafting truly necessary in this type of case, or can it be reasonably avoided or deferred? • What clinical criteria guide your decision to add (or not add) malar volume in such patients? I am seeking a natural and stable result, without worsening malar bags or creating periorbital hollowing. Thank you very much for your insights.