Can A MIdface Lift Camouflage The Outlines of My Infraorbital-Malar Implants?

Q: Dr. Eppley, Is it possible to tell just based on the photos I sent earlier alongside these pics of my design if the implant can be totally camouflaged with those techniques as well as perhaps with a midface lift? I notice when I simulate one it improves not only my nasolabial folds (which seem to have gotten more pronounced after this implant was installed in addition to the double jaw surgery I had at the same time which included 8 degrees CCW and 2mm impaction) but also improves the step off beneath the implant. The upper portion of the infraorbital contour is still visible though.

 If I opt to have the implant removed, do you think I would experience midface sagging based on the design shape and my anatomy? I am 27yo for reference.

A: A midface lift has zero chance of making any improvement in the visible outlines of these implants. Lifting with your fingers is not replicative of what will happen from a midface lift in a young person with otherwise taut skin.

Camouflaging implant edges comes from volume addition.

The question is not whether you will have tissue sagging after implant removals, as you will, the more pertinent question is how significant it will be and whether the sagging is a better aesthetic problem than that of the implant show.

Dr. Barry Eppley

World-Renowned Plastic Surgeon