Is a lower blepharoplasty with fat repositioning the wrong procedure on a patient with a Negative Vector Orbit? (photo)

This depends on your goals for the surgery, your orbital measurements, and the amount of fat in your lower lids. The other option would be cheek/tear trough implants and a midface lift. Best to see an expert in your area.

Fat positioning can often actually help improve cheek volume in patients with a negative vector as the fat from around the eye is draped over the recessed cheek bones. This may not be enough to fully compensate for a negative vector and fat grafting or filler may be a nice adjunctive procedure.
Be well,
Christopher Lo, M&D