Is face permanently swollen?

Solid silicone tear trough implant is a better option.  It is smooth and nonreactive. It can be removed easier in future if there is ever a problem. 

Without a series of photos and detailed clinical evaluation it would not be possible to give your good advice. For such a complex problem you should seek a second and third opinion consultations by a board certified plastic surgeons in your area before making any decisions. Good luck.

So you are likely swollen and unable to discern at this point if the fracture will affect your appearance or not. Obtain a copy of your CT scan and seek a second opinion ASAP, IF the other surgeon feels you could/would benefit from reduction of the fracture then it could still be performed...

In general, all areas of the body with significant fat content will be affected with severe fat loss, including face and cheeks. However, pattern of weight loss around the body is individual and you may see some people with more visible fat loss in the face then other body areas or vice versa.

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...