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Orbital Rim Implants, Sub Periosteal Mid Face Lift and Long Term Complications?

I am in the UK and am seeking to treat sub orbital volume deficiency coupled with weakening of the orbital septum. I understand that I may benefit from upper and lower bleph with arcus marginalis release and fat transpositioning. It has also proposed I would benefit from orbital rim implants with soft tissue suspension. I am concerned about the visibility of implants as my face continues to age, and is it does whether it will expose the implant. The skin surrounding eyes is painfully thin!

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implant long-term orbital wall United Kingdom

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8 Doctor Answers | Asked by Paul_rushent

Doctor Answers (8)
Community Comments (0)

Facial Implants

Facial implants have pros and cons that need to be discussed with your surgeon. The implants do not age with you and the skin and tissues over the implant will thin over time. Another option is fat grafting which is natural and will age with you.

Fat Grafting in Lower Lids

It is very important to preserve (or restore) soft tissue volume in the lower lid. When I review with eyelid surgery patients some photographs from their twenties, in most cases we find that years ago there was no visible demarcation between lid and cheek, but instead a smooth, gently convex curve extending downward from the lower lid margin. In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Orbital Rim Implants and Midface Lift Complications

Orbital rim implants may be a reasonable option along with midface lift. You will hear varying perspectives on the this issue and this is largely paradigmatic in nature. Some surgeons will avoid implants in favor of more natural substances. I cannot argue in favor of one over the other without pictures and an exam.

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Orbital rim implants are indicted in very specific circumstances.

Unless you have previously been wrecked by lower eyelid surgery, you most likely do not need an orbital rim implant. Instead fillers are now the state of the art for providing this type of volume replacement. It is critical however, to find an injector close to home who can perform this type of service for you.

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Eyelid surgery

Sounds to me like you are going to be over operated upon. I don't like fat injections in the eyes. I've seen some results that are terrible!

Orbital rim implants

I am not a big fan of facial implants ( excpet maybe for chin). Especeially now that we have facial fillers that do such great jobs at improving these areas.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Orbital Rim Implants (Tear-Trough Implants)

Orbital rim implants combined with arcus marginalis release and fat re-positioning is an excellent way to address the hollowing and bags under the eyes. This is a procedure I have done hundreds, perhaps thousands of times. There is no doubt that experience is important for an uneventful recovery. The implants will not become visible as you age. I have been performing these for nearly 10 years on people as young as 20 to as old as 75. The implant does not... more

Avoid orbital rim implants in eyelid surgery.

Hi. Quite high incidence of problems with these implants. I don't use them. Mid facelift safe only when done through the mouth, not through the eyelids.

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