For Any Residual Undereye Hollowness Can A Mini-Implant Br Added To The Existing IOM Implants?

Q: Dr. Eppley, would it be possible to add such a ‘mini’ implant to my under-eye area to address the hollowness? Right now honestly, the under-eyes are the one aspect of my face I find to be considerably deficient aesthetically even after IOM implants/fat transfers (i.e. the chin is not that bad all things considered). Fat transfers always leave a bit of hollowness after months.later so I was wondering if some smaller implants stacked on top of the existing IOMs could help with this in the same fashion as you discussed for the chin?

A:The residual undereye hollowing lies above the bone/implant level in the soft tissue area between the augmentation and the lashline of the lower lid which is what I believe to which you are referring. This is not an area in which hard structural augmentation is effective without causing potential lower eyelid mobility issues.. It requires soft tissue augmentation which is why you see fat injections some commonly used (abeit usually not effective) The alternative and more effective soft tissue augmentation methods include laying in a leager thicker Alloderm sheet or a thin dermal-fat graft across the entire lower eyelid.

Dr. Barry Eppley

World-Renowned Plastic Surgeon