28/f. Fillers vs fat vs implants to correct cheek/infraorbital skeletal deficiencies caused by maxillary hypoplasia?

Question

Would rather not show photos, sorry. I had malar fat grafting done a month ago but it's basically all gone, though I loved the results while they lasted. My infraorbital region is very recessed from an underdeveloped maxilla and I have yellowish-brown discoloration around my eyes. I've heard that with age, malar silastic implants can look unnatural. do infraorbital implants have this same affect? would getting a smaller one help? whats the rate of removal/infection? does it change the eye shape?

Mehryar (Ray) Taban, MD, FACS · Answer

I need to examine you to better help you but lower orbital rim silicone implant may be an option. Other options are also available.

Douglas K. Henstrom, MD · Answer

Michelle,
These are great questions and you are doing the right thing by educating yourself in regards to the different options available, as well as the pros and cons of each.  For these questions, as they pertain specifically to you, you really need a consultation and personal evaluation to determine what would be the best course forward for you.  How you age, and how the face is expected to change with your aging process may have a lot to do with some of those questions you asked.  Seek out a board certified surgeon who can offer you these options and tailor a treatment plan specific to your needs.
Hope this helps.
Dr. Doug Henstrom

Toby Mayer, MD · Answer

Silicone cheek implants versus fillers?  with cheek implants you get a permanent correction that's the problem and they will look natural as long as they are not made too large even with aging. See a very experienced surgeon who does natural looking cheeks.

Jason Emer, MD · Answer

This needs an in-person evaluation. Cheek volume and contour can be improved with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. This would let you try on the look before committing to a permanent alternative like fat or implants. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear MIchell Vasquez,it is hard to tell without an examination. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery  Member, Am. Society of Plastic Surgery

William Portuese, MD · Answer

In our practice, we did not perform fat injections to the face for a variety of reasons.   Cheek implants are usually placed for patients with a bony deficiency in the maxilla.  This offers a permanent augmentation, while fillers performed in the office setting offered temporary augmentation.  The size and shape of the cheek implants as best  determined at the time of  the consultation and examination.  For many examples of cheek implants, please see the link and the video below

28/f. Fillers vs fat vs implants to correct cheek/infraorbital skeletal deficiencies caused by maxillary hypoplasia?

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