Can I Get A Hollow Look With Zygomatic Arch Implants?

Q: Dr. Eppley, First off, thank you for all your posts and answers which have put out for free on the web. I have found them to be an invaluable source of information. 

I am a 25-year-old male looking for some advice. I am grateful to have been blessed with a decent facial bone structure but I am looking to take things to the next level aesthetically. While my jaw is quite strong and wide, I feel I have a relatively flat mid-face. I would like to augment and strengthen this feature, particularly my zygomatic arches, for that hollow, chiseled male model look you have written about so extensively. As I understand it, this would also serve as a preventative measure against mid-face sagging as I age, while also providing under-eye support. 

What do you think of this plan? And if possible, could you also provide a rough estimate of the anterior and lateral projection that would suit my particular case?

In addition, to achieve a significant outcome in my case, would fillers be sufficient? Or would I need to go with customized silicone cheek implants? Finally, would you recommend any augmentation to the lower third, such as the chin to balance everything out?

Thank you for time. 

A: Thank you for your inquiry. In answer to your questions:

1) In looking at your pictures, you do have a lean/thin face which is always the most favorable to create definition from any form of facial implant augmentation…which is particularly important in trying to achieve the type of midface look you have described.

2) I can not provide numerical estimates for infraorbital-malar implies just based on pictures and an email response.

3) You can certainly try fillers but they an not create the same effect. Fillers are like injecting jello which is adequate to create indistinct volume but is not the same as putting a firmer material that pushes off of the bone. The latter can create an angular skeletal look was opposed to the former which creates an indistinct mass effect.

4) I could see the benefits of chin augmentation in the spirit of some additional facial masculinization effect.

Dr. Barry Eppley

Indianapolis, Indiana

Dr. Barry L. Eppley
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Board Certified Plastic Surgeon