Treatment for prominent eyes and weak cheekbones? (photos)

Question

Hi, I have prominent eyes that I am not really fond of and heard that cheek implants could be beneficial. What kind of cheek implants or filler would you recommend and could orbital decompression be beneficial for me?

Mehryar (Ray) Taban, MD, FACS · Answer

You have negative canthal tilt with lower eyelid retraction and flat maxilla with prominent eyes. In order to achieve more positive canthal tilt eye shape, the lower eyelids needs to be elevated along with canthoplasty, but not canthoplasty alone. Implants are not absolutely necessary. Orbital decompression may be another option. See expert oculoplastic orbital surgeon.

Jason Emer, MD · Answer

Cheekbones can be improved with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Fat or implants are alternatives. Cost will vary. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Both implants and fillers in the cheeks can create good results for patients. Both can build up the cheeks and create symmetry. You must balance the pros and cons of each procedure and do what you feel is the best decision for you.
Fillers:
Pros: No downtime Reversible Quick
Cons: Temporary More expensive in long run
Implants Pros: Permanent Great for patients with poor bone structure Less expensive overtime
Negative: Risks associated with surgery Possible infection Downtime
Hope this helps.

Barry L. Eppley, MD, DMD · Answer

Standard cheek implants are not going to be effective as they do include the full scope of your facial skeletal deficiency, the infraorbital-malar bone complex. You have a negative orbital vector which is classic for this type of facial skeletal deficiency. A custom infraorbital-malar implant augmentation is needed combined with a lateral canthoplasty to change the tilt of your outer eye corner.

Sean Freeman, MD · Answer

cadbyry, you really need to see a plastic surgery specialist that does "only faces" and get an evaluation. Make sure you like his/her's photos on their web site. Be wary of changing too much at once, expecially at your age. See the video and good luck!

Treatment for prominent eyes and weak cheekbones? (photos)

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Answers (5)

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