Can Infraorbital Rim Implants Help Raise Up The Lower Eyelid By A Small Amount?

Q: Dr. Eppley, I am a male interested in having several procedures, preferably done in one session if possible.

I am wondering if it would be possible to have the hairline lowering and custom brow ridge implants be done through the same incision along the hairline to minimize scarring?

With the infraorbital implants I am looking to correct my negative orbital vector, but am also hoping that the saddle will provide support decreasing the vertical measurment of my eyes slightly. Would this be possible?

One concern is the fact that I previously had lower eyelid retraction surgery (midface lift) through the inside of the lower eyelids. Could the placing midface implants through the same incision site wreck my previous eye work?

Thank you.

A: Thank you for your inquiry and asking all very good questions to which I can provide the following answers:

1) A hairline or pretrichial provide excellent access for the placement of a brow bone implant.

2) An infraorbital implant that increases its vertical height (which by definition means it saddles the rim) can create some lower lid leveling/elevation as there is a relationship between lid-infraorbital rim levels. The key is that it just be a vertical infraorbital rim implant style.

3) While I don’t know what type of midface lift you had and where the vectors of support are, the elevation along the infraorbital rim does not extend into the cheek area. So I don’t envision, based on what I know now, that it would disrupt a prior midface lift.

Dr. Barry Eppley