Will Custom Infraorbital-Malar Implants Provide A Permanent Solution To My Undereye Hollows?

Q: Dr. Eppley, I have always had a hereditary lack of volume under my eyes. My eyes have thin, purplish hued skin under them that lacks fat and creates significant dark circles. I am quite frankly tired of looking tired and believe having the appearance of raised cheekbones and a fuller midface will greatly enhance my appearance and, in turn, self confidence. I have considered fillers as they are cheaper but their impermanence makes me consider more drastic, longer lasting measures.

A: Thank you for your inquiry and sending your pictures. I do agree that skeletal augmentation with custom infraorbital-malar implants would be of great benefit to your midface/periorbital appearance. Done through lower blepharoplasty incisions this would also allow for a little extra lower eyelid skin to be removed. Your lower eyelid skin is severely hyperpigmented and skeletal augmentation alone will not solve that completely. There will still be a need for some postoperative skin treatments to lessen that degree of pigmentation.

Dr. Barry Eppley

Indianapolis, Indiana