Change smile after facial fat transfer?

We typically do not assess facial aesthetics with dynamic expression.We can’t really do surgery based on what the face looks like with contracted muscles either before during or after the procedure. I’m Generally, not a big fan of facial fat transfer because the results are inherently unpredictable and potentially unforgiving if people aren’t happy with the outcome.To me, your result overall looks better than before, so I don’t really see the problem.It’s difficult to assess the dynamic impact, and from a physiological perspective, grafting fat should not change the movement of your zygomaticus muscle.Best,Mats Hagstrom MD