Would Malar Osteotomies Help With Midface Hypoplasia?

Q: Dr. Eppley, I hope you’re well. I have midface hypoplasia and want to correct this. The problem is I believe the recession is too great for just implants. Would getting a malar osteotomy first be ideal? Here is my lateral ceph. Thank you. 

A:Thank you for your inquiry to which I can say:

1) What is your anatomic basis for saying that your midface hypoplasia is too great for implant augmentation? What is reasoning behind make that conclusion? I see nothing in your x-ray that would lead me to believe that is true.

2) Malar osteotomies create lateral width not forward projection.

Dr. Barry Eppley

World Renowned Plastic Surgeon