Q: Dr. Eppley, I am interested in orbital rim and brow bone implants. I have a sunken eye area and eyes that seem to bulge out with droopy eyelids and bags under the eyes. What combination of procedures would produce the best results based on my overall appearance? I’ve also attached a picture of an actor whom I want similar features to.
A: While orbital and brow bone implants may be what is ultimately needed, that is not the first place to start. I would have fat injections done first to both the brows and the entire infraorbital area first. This would be initially done for three reasons; 1) To try and rid some of the hyperpigmentation of the lower eyelids. This is going to be a chronic skin color disorder which is both common with your ethnicity and may be unimproveable. 2) To improve the quality of the tissues particularly that of the lower eyelids if eventual implant surgery is desired and 3) it is possible that enough fat may be retained that implants may not be needed.
While orbital rim and brow bone implants can help make more deep set eyes when done together, they do require scalp and lower eyelid incisions to place.
Dr. Barry Eppley