Midface hypoplasia/fat graft midface (Photo)

Unfortunately, it is impossible to see how much volume change has happened and what is exactly the defficiency. Only on the basis of in person consultation with a board certified plastic surgeon you may get a better idea about options of treatment. Good luck.

Midface hyperplasia is often due to certain facial, a skeletal structure, variations, and age. The area can be augmented, using fillers, grafted, fat, with the use of implants or a mid facelift.
Fat grafting in this area can be unpredictable, inherently, and precise, and potentially unforgiving if patients don’t like the outcome.
Fillers are probably the easiest, most forgiving and most predictable.
I suggest having multiple in person, consultations with local board-certified plastic surgeons in your community. Ask them what their recommendations are, and then ask them to show you sufficient before and after pictures to get a clear understanding of what average results look like in the hands of each provider. Early fat to transfer results can look very impressive but do not in any way represent final results. After pictures for fat transfer should be taken at least six months from the date of the procedure. Never assume fat grafting after pictures are present final results. Always insist on getting confirmation on the timeframe of when pictures were taken in relationship to the date of the procedure.
Continue having consultations until you feel comfortable you found the best provider for your needs.
Best,
Mats Hagstrom, MD