Orbital Rim implants alternatives?

That is a difficult question to answer without seeing a photo of your eyes and face. You are welcome to email me privately through my website. What you may really need is lower eyelid retraction surgery.

You inquire about the orbital rim implant, which is a solid implant that adds bone replacement volume to the inferior orbital rim. You are right in stating that one effect of the implant is to push the lower eyelid up, which changes the contour of the eye and can change the shape from "more round" to "more elongated."  There re are other options to add volume to this region. Soft tissue fillers are a simple way to add volume to this area and with larger volume injections can have a similar effect. Fat transfer is a step up invasiveness, but has the ability to be more permanent. If if you can find a surgeon locally who is experienced in orbital/facial reconstruction as well as facial aesthetics, then an in person consultation best facilitate these dynamic discussions. Good luck!