Zygomatic Arch Implant

Q: Dr. Eppley, I have some questions about cheek and orbital implants.

1. What is the difference between an extended zygomatic arch implant and a cheekbone implant?
2. Besides brow ridge implants is there anything that can your eyes more deepset
3. Do lateral orbital rim implants make your eyes more deepset/what is the aesthetic Benefit of strong lateral orbital rims?
4. Are there only 3 main parts of the orbital rims that can be augmented? Supraorbital/infraorbital/lateral rims.

A: In answer to your facial implant questions:

1) An extended zygomatic arch implant is a special type of cheek implant which covers the arch posteriorly almost back to the ear. It is not a standard type of cheek implant. It can be part of a more anterior cheek implant or zygomatic arch implants can be done as a stand alone procedure without augmenting the cheek. A zygomatic arch implant creates a widening effect of the midface back to in front of the ears. 

2), 3) and 4) Deep set eyes come from augmenting the superior, lateral and inferior orbital rims.This makes the bone around the eye more protrusive thus making the eye look deeper set. Whether one of these three area or all of these areas need to be augmented to have that effect must be determined on an individual patient basis.

Dr. Barry Eppley
Indianapolis, Indiana