Would orbital rim implants be the best for me? (photos)

Question

I am 26 and have plenty that I want to work on but the biggest problem for me is my “falling face”. I need to correct to lack of structure and the accompanying unattractive shadows and depressed appearance as well as downward turning outer eye corners plaguing my face. I do not imagine a fat graft will fix this because there is so little structure to graft onto. I am convinced that orbital rim implants are the best corrective action but please share your opinion. I am desperate to fix this.

Lucas Bryant, MD · Answer

Thanks for your question. Based on your photos and description, you may benefit from a sized or custom malar implant. These are placed without any skin incision and can give good results in the right patients. A physical examination would obviously be required by your plastic or facial plastic surgeon to confirm your treatment plan. Warm regards.

Barry L. Eppley, MD, DMD · Answer

You have correctly identified that orbital rim implants are the best approach to your facial concerns. It is a skeletal support issue. Technically these would be orbito-malar implants that are custom made from a 3D CT scan to fit your bones precisely  and provide the bone coverage areas that are uniquely needed for your facial skeletal deficiencies.

Michael J. Yaremchuk, MD (license resigned) · Answer

Thank you for your question and your photos.You are correct in identifying that your cheekbones and mid face are deficient in projection. Two strategies to build up the face are to augment (1) the skeleton with an implant, or (2) the soft tissues with filler, or fat grafting. If there is a skeletal deficiency, facial implants are preferred as they are better suited to provide definition by building up the mid face skeleton for a more "sculpted" look. Therefore, orbital rim or malar (cheek) implants can improve your appearance, depending on your aesthetic goals. I hope you find this useful.

Would orbital rim implants be the best for me? (photos)

Answers (3)

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