Thank you for your pictures and questions. First of all, I would advise you to wait and do nothing. Swelling after fat grafting can take 6 months or more to resolve completely. If you think you are over-filled now, in a few months, you might think things are perfect. Be patient and follow with...
Fat transfer to the face can be done relatively pain-free with local anesthetic, however, if you are very concerned, you may be able to benefit from intravenous sedation. I would recommend speaking with your surgeon about your concerns.
It is not possible to predict the results this will give you. Facial volume can be improved with fat transfer. Keep in mind, fat transfer technique is important for successful fat transfer. I recommend water-assisted fat harvesting which gives pure fat to transfer and combine with ...