Why Did Custom Infraorbital Implants Not Make My Eyes Notcieably Less Hollow?

Q: Dr. Eppley, I had custom infraorbital implants placed earlier this year and it did not make my undereyes look a lot less hollow. Why is this? I have good lower eyelid position with no sclera show. Is this because I have no fat pads under my eyes and need a fat transfer, or because I need a different implant?

A:When you have had a custom implant placed in which there is a postoperative disappointment in the outcome, in your case not enough augmentation results, the question is whether the implant design was ultimately an adequate for your needs or whether your understanding of what could be accomplished was too optimistic. Without seeing your implant design file and looking out before and after pictures I cannot provide any insight into explaining your current result as well as how you might improve it.

Dr. Barry Eppley

World-Renowned Plastic Surgeon