Can My Medpor Implants Be Removed?

Q: Dr. Eppley, I had Medpor infraorbital implants placed back in 2024 to correct my negative vector, and the outcome is poor. The scar tissue around the implant has created visible deformities under my eyes, is slightly pulling my lower lids down, and causes a constant feeling of tightness and discomfort. Several oculoplastic surgeons have assessed my situation and none recommend removal at this time, however the appearance and sensation are causing me a great deal of distress. What would you recommend? Thank you.

A: I think it is clear that these infraorbital implants you have in  are better out than in, regardlrss of what any surgeons have said. They likely did not recimmend remnovals because they are either inexperienced with removing Medpor implants or didn’t know what to do once thet are out.

The latter concern is the key one. The question is not whether they can be removed…as they can…but what are going to do in their place. This is very relevant for two reasons:

1) There is a reason you and them initially placed (negative orbital vector), and

2) The soft tissue around the lower orbits and cheek is going to be worsened than before they were placed. (lower lid retraction)

Thus there has to be a concomitant plan for replacement. Whether this is custom infraorbital-malar implants , dermal-fat grafts etc remains to be determined.

Dr. Barry Eppley

Plastic Surgeon