How likely is lower eyelid retraction after cheek implants/orbital implants are done through lower eyelid?

Because it is necessary to use a lower eyelid incision and cheek tissue dissection to place orbito-malar implants, there is always risk of lower eyelid retraction. Preventative measure include a lateral cantopexy and orbitcularis muscle resuspension. These are two eyelid management techniques that I incorporate into every orbital rim implant procedure.

The problem here is that to elevate and stabilize your eyes you are using a surgical approach that destabilizes the eyes and this is foolish.Cheek implants are a great solution to your problem ,however they should be placed in position from under the upper lip on each side and thereby not weaken the orbital complex. This will add fullness to the peri-orbital rim and also enhance the cheekbones and midface.In my office cheek implants like this are done with simple oral sedation and local anesthesia injections. There is minimal discomfort and the whole operation takes 45 minutes to do both sides nicely. It is no problem to place the implants right at the orbital rim from this approach, it is actually easier.