Would Custom Infraorbital Malar Implants Be A Good Choice For Me?
Q: Dr. Eppley, I have had infraorbital implants and lower eyelid spacer grafts with canthopexy of which I am very satisfied as they have made a great improvement. I wonder now of custom infraorbitalmalar implants might provide even further facial improvement. I really don’t want to one up my lower eyelid incisions again since I have had such a good result. What are your thoughts on this potential procedure? I know it create a more compact orbit bit what are the other benefits?
A: As a general statement what I would tell any patient who has undergone an aesthetic procedure which has made a good improvement…be very cautious in trying to take a good result and make it a great one. The reward:risk ratio changes and just because you have had a uncomplicated experience the first time is no assurance it will be so the next time.
That being said it would be fair to say beyond a somewhat more compact orbit it provides an extended high cheek look as well. Based on your one limited side view picture I would not be an advocate of this procedure in your case because of the risk vs reward benefit.
Dr. Barry Eppley
Indianapolis, Indiana

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