Do orbital rim implants usually make scleral show worse?

Infraorbital rim implant should not change the lower eyelid position but technique is critical. It is important to have detailed discussion with your surgeon.

Like any implant placement through the lower eyelids management of lip position is an important part of it. At the least a protective lateral canthopexy is needed. But if the goal is to eliminate the scleral show a lateral canthoplasty with spacer grafts are needed.