Am I A Good Candidate For An Infraorbital-Malar Implant?

Q: Dr. Eppley,  I am a 33 year old female year old who about two or three years ago,I noticed that I started having a lot of facial pain and that my eye was sinking in on the right side of my face. My cheekbones on that side flattened as well. I have been trying to manage this with fillers but believe that I may have a mild case of Parry Romberg syndrome. I don’t have significant tissue loss but it’s enough that it is noticeable and I plan to see a neurologist and try to get some scans. In either case I feel I could be a candidate for an orbital rim implant. Am I a good candidate for this surgery?

A: With the spontaneous change in infraorbital-malar fullness it is reasonable to suspect PRS as a possibility. If the problem is active/progressive fat injections would be the appropriate as a temporizing effect. If the contour change has stabilized then an implant would be an acceptable approach.

Usually in these cases a custom implant is the preferred approach. At the least a 3D CT scan is needed to determine the extent of the bony infraorbital-malar asymmetry.

Dr. Barry Eppley

World-Renowned Plastic Surgeon