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Lack of mass in my midface region - How to tell if I need fat grafting or custom implants? (Photos)

debe007788Aug 15, 2025
Hello, I noticed a lack of mass in my midface region, specifically under my eyes and in the malar region. Some clinics adviced me to do fat grafting while other to do custom implants. I believe I have a negative orbital vector but i am not sure. I would like to have fuller and more projected cheek bones because from the side they look really flat. I am 22 right now and I have decent skin so i dont know if fat grafting alone is enough or is it better to support the bone. I am healthy and fit and I recover quickly. Thank you for your time and services

Answers (1)

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Artur Fahradyan, MD profile photo
Dr. Artur Fahradyan, MD
Board Certified Plastic Surgeon
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Answered on Nov 10, 2025
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Zoran Potparic, MD

The only problem I can see on these photos is cheek/malar hyperplasia, small cheek bones. Augmentation with implants would be the way to go. It would be difficult to comment on other issues without in person evaluation. Good luck.

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Earl Stephenson, Jr., MD, DDS, MBA

Dear Drealme1, To achieve a more defined, sculpted face, consider these permanent surgical enhancements: 1. Sliding Genioplasty – Stronger, more balanced chin 2. Jawline Contouring or Jaw Angle Implants – Sharpen and define lower face/jaw 3. Malar or Submalar Implants – Enhance cheek...

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Earl Stephenson, Jr., MD, DDS, MBA

Dear Nice, Thank you so much for sharing your journey—it’s completely understandable to feel frustrated after such a big transformation. At just six months post-op, you’re still in the thick of healing, especially after orthognathic surgery. Swelling, tissue remodeling, and bone settling can a...

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