Flat cheeks and hollow under eyes - am I candiate for malar implants or combined infraorbital malar implants? (photos)

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....

Based on your photos, it appears that you have mild form of malar hypoplasia (small cheek bones). This condition is best corrected with silicon cheek implants. They are placed throught an incision inside upper lip vestibulum. Lower, transconjuctival blepharoplasty, to address tear trough...