Can A Custom Midface Implant Improve What Was ‘Left Behind’ After A LeFort ! Osteotomy?

Q: Dr. Eppley, I am interested in tear trough infraorbital/paranasal implants post orthognathic surgery.  My goals are : a positive orbital vector, elimination of dark circles, mitigate areas “left behind” after subspinal lefort I.

A: Most likely you are referring to infraorbital-paranasal midface implant design to fill in what the LeFort I osteotomy did not accomplish. The area of implant coverage is really determined by what you want to see augmented on the outside. The 3D CT scan is merely the platform on which the implants are designed but they don’t necessarily show the desired external aesthetic effects.

While the infraorbital region can be augmented it would be unlikely that the dark circles will be significantly improved….unless a major component of the dark circles is shadowing.

Dr. Barry Eppley

World Renowned Plastic Surgeon