Can My PEEK Infraorbital Rim Implants Be Modified In Place Without Removing Them?

Q: Dr. Eppley, I had PEEK infraorbital implants placed last year, however there seem to be a step off on my right sided lateral orbital rim that is noticeable in some lighting. How possible is it to burr it down in place? I am quite scarred up in the inner corner of my lower eyelid so I was wondering if it could be shaved down in a way that would avoid messing with the pre-existing scar (e.g. going in though the upper eyelid or somewhere else).

A: The PEEK implant is not modifiable in situ. It is a very rigid material that has to be explanted to be burred and even then it can be changed very little.

Dr. Barry Eppley

World-Renowned Plastic Surgeon