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Would I benefit from an infraorbital rim implant? (Photos)

nienelApr 8, 2022
I have had a canthoplasty, brow lift and fat graft to the upper lid. I plan to get another fat graft as a touch up treatment but I am still unsatisfied with my lower eye shape. I don’t like that my eyes are still round and the lower lid seems unsupported. I want my eyes to be narrower and less round. Do I have bone deficiency? Do I need an infraorbital rim implant? Or do I need other procedures, like a temporal lift? Thank you.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Apr 10, 2022
Answer
1 person found this helpful

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Barry L. Eppley, MD, DMD

A variety of implant materials can be used to build back the tail of the brow bone through the upper eyelid incisions. Hydroxyapatite bone cements, ePTFE sheeting, standard and custom orbital rim implants are all options that can work.

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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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