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

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