Obviously unique on a case-by-case basis, but would the visual revoltingness of very recessed infra orbitals and low set cheek bones be somewhat solved by a generous under eye fat graft (especially in terms of reducing hollowness from a front profile picture) ? Or at that point would it just be better to bite the bullet and pay for full infras + fat grafting? (Slightly less recessed, and deeper set than the generic image below)
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fat alone can soften the problem, but it can’t truly solve recessed infra-orbitals and low-set cheekbones. It changes the lighting, not the architecture.

Very recessed infra-orbitals are primarily a bony deficit—the infraorbital rim sits posterior relative to the globe. Low-set cheekbones compound this by failing to provide anterior and lateral support to the lower lid. What you perceive as “revolting hollowness” in front-facing photos is mostly a shadow geometry problem: light falls into a concavity created by bone position, not missing fat alone.
If your primary concern is front-facing photos and casual impressions, fat grafting alone can be a rational, lower-commitment move. It’s camouflage, but good camouflage.
If your concern is true skeletal harmony across angles, especially in motion, then yes—infraorbital rim augmentation (implants or custom) plus conservative fat grafting is the structurally correct solution.
Give solution pls x