Do Undereye Implants Deteriorate As One Ages?

Q: Dr. Eppley, Do under eye implants last into old age? I noticed on some aging vs youthful faces diagrams that the under eyes can hollow with age. In the diagram I also noticed that the canthal tilt gets lower as support gets worse. I can only imagine aging with a silicone implant whose base starts hollowing and then your eyes slowly become more uncanny/odd looking. The top of the implant won’t hollow but the base will which shouldn’t happen in normal circumstances with bone, where the top of the implant (which should be bone) hollows and reshapes. The brain from what I have been researching into is highly attentive to small millimeter changes. Below I linked the diagram. Dr eppley if this seems to make sense is this a problem down the road that will need revision of your eyes do start looking odd due to the implant sinking?

A: Any undereye or undereye-cheek implant is structurally solid and will never change form so the implant pe se does not change with aging. But the soft tissues around it obviously will. But like implants along the jawline the implant in the undereye area is going to help with protection/retardation of the aging effects as better bone support/structure is always better than less.

Dr. Barry Eppley

World-Renowned Plastic Surgeon