Would orbital rim implants be a good solution?

Question

Doctors, recently in my 30s discovered the needs for some filler in my tear troughs however I don't want to go down this path forever and want something permanent. In saying that, my orbital rims, tear troughs and outer rims on the side of the eyes are deficient. would an implant like the image shown be sufficient or does one have to go the custom route?

Mehryar (Ray) Taban, MD, FACS · Answer

Need more detailed evaluation in consultation to determine if you are good candidate for infraorbital rim silicone implant. If deemed appropriate, the technique of insertion is critical to achieving safe and effective results. See an expert.

Sean Alemi, MD · Answer

Hi, it is difficult to say without seeing what your eyes look like in person, but orbital implants are not a common method of rejuvenating or volumizing the orbital rim & tear trough region. I would urge you to consider options that don't involve placing a foreign body implant. More commonly for patients who have volume loss in the tear trough and are frustrated by needing fillers, I either recommend fat grafting or a lower eyelid blepharoplasty with fat transposition. Both techniques utilize your body's own fat to act as a "filler" to add volume back to the area in the tear trough where you've lost it. I'd suggest that you seek in person or online consultation with a plastic surgeon who can better assess your needs and come up with a good treatment strategy. Good luck!

Barry L. Eppley, MD, DMD · Answer

As a general rule it is rarely a good idea to use standard implants around the eyes as most people's anatomy does not have a skeletal model's shape or is symmetric in bone shape. Given the highly visible exposure of the eyes and their thin soft tissue cover, any implant asymmetry or edge visibility will become apparent. Implants that are custom designed for the patient's anatomy and have feather edges as it blends into the bone always has the greatest chance to produce the best infraorbital hollow augmentation results.

Would orbital rim implants be a good solution?

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