CHEEK IMPLANTS

The area you point to in the edit, just below the lower eyelid and at the front of the upper cheek, is usually described as the infraorbital rim and anterior malar region, as opposed to the outer cheekbone. Standard malar implants tend to add width and lateral prominence, whereas infraorbital rim or combined infraorbital-malar implants, often custom-made from a CT scan, target forward projection under the eye. In a young male face, too much width can soften or feminize the look, so placement...

Both can contribute, and photos rarely decide which. A recessed upper jaw, flat cheekbones or a short chin remove part of the scaffold that supports the soft tissue of the lower face, so the mouth can look heavier at rest. Separately, a strong depressor muscle at the corners and the natural shape of the lip can turn the corners down regardless of the bone underneath. A proper evaluation usually includes frontal and profile analysis, the bite, and a CT scan if the skeleton is suspected....

You are not out of options. Porous polyethylene implants allow tissue to grow into them, so removal is more of a careful dissection than simply lifting an implant out, and it is sometimes done in pieces through the original approach. Even so, exchanging older malar implants for a custom infraorbital-malar design is a recognized revision. With a true negative vector and scleral show, the details that matter most are lower lid support and the position of the new implant relative to the orbital...