Custom Orbital Rim Implants

Q: Dr. Eppley, I am interested in custom orbital rim implants. What is the amount of depth, in mm, that you would consider going for the orbital area as this area, in my opinion, would need more than a few mm? Also if it is a combined orbital rim-submalar this can also include the paranasal area too? I have seen on your blog the custom midface implant  and they look great.

Please would you have your secretary send me prices for custom orbital rim only and also for the combined orbital rim-submalar-paranasal implant.

Many thanks,

A: With a custom implant design you can make it cover whatever areas the patient wants or even the entire midface as you have seen in other patient implant design examples.

For the orbital rim area its thickness would vary based on where on the rim it lies. But as a general rule it is thinnest in the tear trough (2-3mms) and thickens as it goes out into the cheek region. (5-6mms)

The actual implant cost of a custom facial implant is the same no matter how it is designed to the surface are it covers. Where the cost varies is in the time it takes to surgically placed. I will have my assistant Camille pass along the cost of the two different options to you tomorrow.

Dr. Barry Eppley

Indianapolis, Indiana