Can An Infraorbital Rim Implant Be Placed Without Disturbing Cheek Implants?

Q: Dr. Eppley, I like how I look from the front mostly (except for my bent nose), and from the left angle. But absolutely hate how I look from the right angle. Part of this is due to bad nose asymmetry. However, a large part of it also seems to be due to how my face is from the right structurally. I was wondering if I could get an infraorbital implant or something like that to maybe fix this issue? I had cheek implants along with other facial surgeries last year. And I actually like the results the cheek implants give from the front and left side and would really not like to remove them or change them if possible (but i’d definitely be fine adding to the under eye area or adding on the implants if that would fix the issue). Would it be possible to have this bad asymmetry/ugliness from the right fixed without altering my current cheek implants too much? Help would really be appreciated as fixing this issue is extremely important to me especially given how my cheek implants (although helpful overall) did not change this particular problem at all. I would also like to buy a lip lift along with whatever can fix this issue, depending on the price of the main treatment. Attached please find my photos. 

A: Thank you for your inquiry and sending your pictures. Between your description of concerns and your pictures it appears that  the issue is a right infraorbital deficiency. Short of a custom imply approach, the use of standard infraorbital implants may suffice. If placed through a lower eyelid transconjunctival incision the right cheek implant can be completely avoided. This can certainly be combined with a subnasal lip lift.

Dr. Barry Eppley

Indianapolis, Indiana