Will a cheek augmentation fix my negative orbital vector AND my droopy eyelids? (Photos)

Your photos are confusing? Do they all belong to the same person? Correction of volume around orbit (cheek, periorbital area) can be achieved with cheek implants and fat grafting, depending of the volume. Correction of the lateral canthus position can be achieved with various techniques (canthopexy, canthoplasty). In person evaluation with an experienced board certified plastic surgeon  with good reputation in facial or craniofacial surgery would help to clarify your goals and options. Good luck.

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Implants are a wonderful option for improving cheek volume and providing structure.  I recommend cheek implants for patients that have a bone deficiency or seeking permanent options for cheek augmentation.  This is the only option that will create a permanent result and will be cost effective overtime.  With all surgery, there are risks involved, but with a qualified surgeon you have a great chance of having a wonderful outcome. I hope this helps!