How Can I Fix My Bulging Eyes?

Q: Dr. Eppley, My biggest insecurity is my bulging and asymmetrical eyes and excessively round face shape, and right now I am looking for professional opinions from different experts to decide what procedures will be the most optimal for me.

A:Thank you for sending your pictures. You have a negative orbital vector which is why your eyes appear protruding and the lower eyelids are rounded and sag due to lack of bony support. Infraorbitral-malar implants are needed  to create a brownie reconstruction/ augmentation. The key is that the implant must saddle the rim to allow for needed vertical augmentation. The material of choice, PEEK versus silicone, is not really important. The fact that it is custom-made to saddle the rim is. The placement of this implant must be coupled with spacer grafts to the lower eyelids to provide support and elevation.

Dr. Barry Eppley

Plastic Surgeon