Lateral Orbital Rim Augmentation

Q: Dr. Eppley, I am interested in getting permanent augmentation to my lateral orbital rims. My lateral orbital rims are virtually invisible, and this gives me eyes a very retrusive look from the sides. I’m aware that augmentation with implants in this area is rarely ever done, however I have seen lateral orbital rim implants offered online. If this is currently in achievable, do you think this sort of custom lateral orbital rim augmentation has a role in the future with 3D printing of facial implants?

A: There is nothing unique or unusual about augmenting the lateral orbital rims or lateral orbital rim augmentation. It is like augmenting any other orbital rim area. It is only unique because it it is very rarely requested and there is no really effective standard shaped implant available to do it. As a result there is no question that the only way to do it well is with the use of 3D custom implant designing. The fit over the lateral orbital rim must be precise and how it blends into the upper and lower orbital rims is key for a successful aesthetic outcome. Failure to do so can result in both visible and palpable implant step off edges.

Dr. Barry Eppley

Indianapolis, Indiana