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You do appear to have volume loss of the anterior maxilla creating a negative vector with respect to your cornea. Cheek implants would be beneficial in this situation. This should also help to decrease the deepening nasolabial folds by suspending this tissue.
It is very likely, based onthese photos, that ,alar uagentation with implants would isprove your apperance. In person consultation with a baord certified plastic surgeon with expertise in cheek augmentation, is recommended. Good luck.
It appears that one of the reasons is malar hypoplasia (small cheek bones). Augmentation of the area with small cheek implants, filler or fat grafts,may be the option to improve surrent situation. In person consultation with a board certified plastic surgeon with expertise in this rea would help...
I'd first caution you that the pain may not be related to that implant since it has been in place for so long and your pain is of newer onset. If you can distinctly localize and pinpoint to the pain to that screw, then you may wish to consult with a facial plastic surgeon to remove the screw....
