Can Infraorbital-Malar Implants Create A Positive Eye Vector And Correct A Neutral Canthal Tilt?

Q: Dr. Eppley, I’m primarily interested in getting custom infraorbital-malar implants to gain a positive eye vector and positive/neutral canthal tilt. Is this achievable? I really like the androgynous pretty boy aesthetic, so I would want an implant that could provide me with a mildly angular, fuller feminine high cheekbone look. 

My secondary concern, is having a more define jawline. As I mentioned, I really like the androgynous look so I was wondering if I could achieve with implants a more prominent jaw angle from the side, while also decreasing the “square-ness” from the frontal view with a little bit of frontal growth. 

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

1) To achieve the best orbital-midface effect it would take a combination of custom infraorbital-malar implants with lower eyelid reconstruction with spacer grafts and lateral canthoplasty.

2) When it comes to the jawline I believe you are referring to a custom jawline implant design that has a chin component that creates a less square/more round appearance.

Dr. Barry Eppley

Indianapolis, Indiana