Can A Brow Bone Implant Create Upper Eyelid Hooding?

Q: Dr. Eppley, I was wondering how much of an impact that a supraorbital implant can have on the “hooding” of the upper eyelid, and if it can be done sparingly. I was also curious if this can be done in conjunction with a fat graft?

A:I believe your fundamental question is whether a brow bone implant can create enough fullness in the upper eyelid that upper lid fat grafting would not be necessary.  And if it can’t can upper lid fat grafting  be done at the same time as a brow bone implant?

The answer to the first question depends on your existing upper eyelid shape or depth of your supratarsal sulcus. That would be impossible to answer without seeing some actual pictures of your eye-brow  bone area. The second question is more straightforward to answer in that injection fat grafting to the upper eyelids can certainly be done at the same time as a brow bone implant.

Dr. Barry Eppley

World-Renowned Plastic Surgeon

Q: Dr. Eppley, As you can see, I have fat deposits along the sides of my mouth.  I have been reading online that these are called perioral mounds. I have also read that they can be removed with micro liposuction. If this can be done to fix the problem that would be great. If not, I would like to know what needs to be done to fix this.

A:You can’t just have perioral liposuction as that will not be effective. Perioral liposuction works well in young people with taut skin. But in the older patient with age-related changes with loose skin and jowling a lower facelift is needed to properly address the problem. In short in the young patient you can spot treat the problem but the older patient the issue is more global and thus requires a far different approach.

Dr. Barry Eppley

World-Renowned Plastic Surgeon