Can Zygomatic Arch Implants Be Placed Through The Lower Eyelid After A Lateral Canthoplasty?

Q: Dr. Eppley, A person who has already had a canthoplasty (almond eyes surgery) or an infraorbital implant can have a zygomatic arch implant placed without damaging the prior canthoplasty or orbital implant? 

A: The best method for placement of a zygomatic arch implant is through the lower eyelid where direct linear access to the arch can be done. This is the most assured method of getting them into ideal position and with good symmetry between the two sides. Would that disrupt the prior work…probably not. But if those areas can be avoided that is the 100% assured way that it would not. That leaves the intraoral route to do so…the most difficult way to place any implant design that has a long zygomatic arch component.

Dr. Barry Eppley

Indianapolis, Indiana