Weak infraorbital rim - Should I get infra-orbital implants or would filler in that area help? (Photos)

Question

I'm a 30-year-old male. Previously had a double jaw surgery 10 years ago - since then my zygomatic projection increased but by comparison my infra-orbitals are/or appear recessed. As a result my under eye area often appears sunken. I also have some minor loose skin on my face from weight loss in my teens (I think - the loose skin became more pronounced post jaw op). I'm okay with having some smile lines - but would love to improve the projection of my infra-orbital area. Hoping to avoid anything too invasive if possible but open to suggestions. Should I get infra-orbital implants or would filler in that area help? or are there other options? Thanks

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your details and photo. From what you’ve described and based on the image, it seems your under-eye area appears recessed primarily due to the relative lack of projection in the infraorbital rim, which can be accentuated after jaw surgery and natural facial changes over time.

Here’s a breakdown of your options:

Dermal Fillers:

Pros: Non-surgical, quick recovery, adjustable, and temporary (usually 12–24 months depending on the filler type).

Effect: Can restore volume under the eyes and improve the appearance of sunken areas, smoothing the transition from the lower eyelid to the cheek.

Considerations: Careful placement is crucial to avoid puffiness or unevenness. Results are subtle to moderate, and for deeper structural deficiencies, fillers may not fully correct the contour.

Infraorbital Implants:

Pros: Provides a permanent, more structural correction for under-eye hollowing and can better balance the midface projection.

Effect: Can restore a more defined infraorbital rim and improve under-eye appearance long-term.

Considerations: This is surgical, requires anesthesia, has longer recovery, and carries typical surgical risks like infection or asymmetry.

Other Options:

Fat Grafting: Uses your own fat to restore volume. More natural and long-lasting than filler but still less invasive than implants. Some resorption over time is expected.

Skin Quality Treatments: Since you also mentioned some minor loose skin, treatments like radiofrequency, microneedling, or laser resurfacing can improve texture and mild laxity, complementing volume restoration.

Summary:
If your goal is subtle improvement with minimal downtime, fillers are an excellent first step. They can give a noticeable lift and can be repeated as needed. If you’re looking for permanent structural enhancement, especially if the recession is significant, infraorbital implants or fat grafting might be the better long-term solution. Often, a combination approach—volume restoration plus skin tightening—provides the most natural and harmonious result.

Given your history of jaw surgery and midface changes, careful assessment with imaging or 3D evaluation can help decide whether fillers alone will be enough or if an implant would give a better contour.

You’re not alone, this is a very common concern for patients who’ve had jaw surgery or natural aging changes, and there are safe, effective options to restore a youthful balance to the midface.

Weak infraorbital rim - Should I get infra-orbital implants or would filler in that area help? (Photos)

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