How Realistic Is My Infraorbital-Malar Augmentation Imaging?

Q: Dr. Eppley, Hello, I am scheduled for CCW jaw surgery 7 weeks from now. Movements will be approximately 10 mm lower jaw, 5 mm upper, and 5 mm sliding genioplasty. I have also been losing facial fat lately as well I am interested in.custom infraorbital-infraorbital-malar implants and have done some imaging and is what I believe to be an ideal result. The projection is not extreme but it looks more angular and gaunt but also natural. I would like you to tell me how realistic this result is for custom infraorbital malar implants paired with any other treatments such as facial liposuction for someone with my anatomy. The closest results I have seen few online results both aesthetic goals and rough magnitude of change that I am seeking. What are the odds a similar outcome could be achieved in my case to mimic my idealized but sensible outcome?

A:The quality of your facial pictures that you have edited with the eyes covered is poor and I can tell little front them. One of the main reasons you cannot find many results of IOM implants on the Internet as for the very reason you have your eyes covered. The average age range of the patient who gets IOM implants is between 18 and 35 and most are extremely secretive and never want to show their pictures on any public forum. I have done over 500 pairs of IOM implants and I cannot name on one hand anyone that was willing to have their before-and-after pictures shown. If you block the patient eyes you’re essentially blocking much of the effect of IOM augmentation.

That being said it is fair to say that by definition if you’re moving your maxilla/mandible and chin forward as well as losing weight any amount of IOM implant augmentation is definitely going to create a more skeletonized midfacial appearance.

Dr. Barry Eppley