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
North Meridian Medical Building
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12188-A North Meridian St.
Suite 310
Carmel, IN 46032
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