How Can I Correct My Undereye Hollowing Which Still Exists After Getting Chee Implants?

Q: Dr. Eppley, My goal would be to fill in my undereye to a natural degree after getting cheek implants.? My eyes are very hollow so I happy with my cheeks that I have now have volume there. My surgeon said that the cheek went up to my under eyes and should fill it, which was the main reason I did it, but I’m still hollow. My surgeon said he could fill it in other ways at three months post op, but I tried filler years ago and it didn’t do much to fix the hollowness.

A: Thank you for sending your pictures. It is important to realize that with the use of standard cheek implants they are not going to provide any infraorbital or under eye augmentation. In the patient who has under eye hollowing who gets cheek implants  it is going to magnify the existing under eye hollowing by virtue of augmentation around and below it leaving the under eye hollowing behind so to speak. Infraorbital augmentation can certainly be done with indwelling cheek implants in place. This requires a custom infraorbital implant design to both augment the infraorbital area as well as to blend over and merge with the existing cheek implants which will be seen in a 3-D CT scan which is necessary for the implant designs.

Dr. Barry Eppley

World-Renowned Plastic Surgeon