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Orbital rim implants to augment eyebrow/upper eyelid area?

janedough123Apr 8, 2022
I'm a woman & years ago had orbital bone shaving done (unfortunately). The incision was made in my upper eyelids and the tail ends of my upper orbital rims were shaved, as well as fat removed. Now my upper eyelids/brow have a strange "deflated" look, as well as scars. What types of implants or materials could replace the bone that was shaved? I consulted a surgeon for fat grafting, but was told that it could be lumpy and make the area look worse. Thank you

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Nov 13, 2023
Answer
1 person found this helpful

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Alon Kahana, MD, PhD

Your eyelid contour seems normal and appropriate. You have some deepening of the nasojugal fold. Overall your eyelids look appropriate.

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Robert T. Buchanan, MD (retired)

Your problem is the same in females, a volume deficit below the orbital ligament that is probably due to a low attachment of the muscle medially. Treatment is use of a heavy filler like Juvederm Voluma deep on the bone to elevate the superficial tissues and erase the depression. make sure you...

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My recommendation would be to start with using a silicone scar gel twice a day to that area. In the future, injections to the scar might be necessary. Rarely laser or light therapies can help with pigmentary issues related to scaring-- but this is rarely necessary for eyelid skin. These measures...

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