Must Infraorbital-Malar Implants Always Be Custom or Can Standard Implants Be Used?

Q: Dr. Eppley, I have inherited weak cheekbones from my father that have resulted in both under eye circles from the lack of cheek support and an overall very flat profile. It makes me look tired and even ill, but no weight gain can impact that area of my face. I would much rather have full, feminine cheeks with a visible curve. 

1. Is this possible to achieve through standard implants or are custom ones necessary? Can you place tear trough implants and combined submalar shell implants at the same time?

A: It is never a question of whether a custom infraorbital-malar implant design is the superior approach for the complex topograpy of the eye-cheek area…because it always is. You only choose the old style approach of combining standard tear trough and cheek implants for pure economics reasons with the understanding that an inferior aesthetic outcome is better than none at all.

Dr. Barry Eppley

Indianapolis, Indiana