Can A Custom Infraorbital-Malar Implant Be Design To Avoid Adding Lateral Cheek Width?

Q: Dr. Eppley, I’m thinking of getting implants to fix my under eye circles and to create hollow cheeks with an ogee curve. Would this be achievable with cheeks and infraorbital implants, also would the result looks natural if I didn’t add lateral width as my eyes are already too close together and wouldn’t want to amplify this. I’ve noticed u have gone considerately higher up with the infraorbital. Is this the way to fix the under eyes and does it touch the eyeballs? I’ve included an original and a morph of whats I’d want to achieve with u. Thanks you

A: Thank you for your inquiry and sending your pictures. Your have correctly surmised that vertically augmenting the infrarorbital regions and the anterior cheek area would be the only assured and effective way to simultaneously treat under eye hollows and create more shape to the anterior cheeks for an Ogee curve effect. Like all custom implants, they are designed to what the patient’s aesthetic goals are and aren’t. (in your case avoiding lateral cheek width) How much the infraorbital rims are raised superiorly is open to debate but they never go up as high as the lower eyelid lash line. (which most likely is what you are referring to when you use the term ‘eyeball’.)

Dr. Barry Eppley

Indianapolis, Indiana