Would I benefit from a fat transfer to the festoon area? (Photo)

Thank you for your question and photo. Restoring volume in this area can be best achieved with either dermal fillers or a facial fat transfer. Either solution can rebuild lost volume and create a smooth transition from the lower eyelid and upper cheek area. Results from hyaluronic acid dermal fillers typically last for over a year, while fat transfer results can last for many years.
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your concerns and goals with you to help you decide on the best treatment option.

Yes, you are an excellent candidate for fat grafting to the under eye area. I, in fact, used to do this quite frequently. However, with the advent of newer fillers like Juvéderm Voluma which last significantly longer (I’ve had it last in that area over five years), I now do more of what you have with that filter. Though fat grafting is said to be permanent, since you are losing volume in the area of concern, that will happen even with the grafted fat and you will need further filing in the future. Make sure you see a true expert in treating this area, especially if you choose fat grafting.