Should Circumferential Periorbital Augmentation (Brow Bone and Infraorbital-Malar Implants) Be Done At The Same Time?

Q: Dr. Eppley, Im interested in a rough estimate for infraorbital malar implants AND lateral and supraorbital rim projection to give the appearance of upper midface and masculine dimorphic forward growth with minimal upper eyelid exposure. 

Would you advise these put together? would the result look too artificial? Ill be fixing the forward growth in the lower third so I would assume it would look harmonious enough in time.

A: As long as both combined periorbital implants (brow bone + inferolateral rim-malar implants) don’t have excessive thicknesses, they should not look unnatural. When periorbital augmentation is performed it is easy to forget the powerful effect of such bony surface area coverage that wraps around the eyes.

Whether one does one or both at the same time depends on several factors, most prominently the prolonged appearance recovery that it takes. (4 to 6 weeks)

Dr. Barry Eppley

Indianapolis, Indiana