Why Do Not More Surgeons Offer Custom Infraorbital-Malar Implants?

Q: Dr. Eppley, Hi, I really like the shape of the Custom Infraorbital-Malar Implants for the High Cheekbone Look, but my main deciding factor when it comes to this surgery is how often it’s performed. It seems to be somewhat experimental at the moment and I just wanted to ask why that is, why aren’t more surgeons doing implants with this shape? (Since not everyone wants the lower cheek fullness that traditional cheek implants give). Also if i could see any before / after pictures / comparisons that would really help me in making the decision in whether this surgery is right for me. Thank you. 

A: I have performed hundreds of custom infraorbital-malar implants which is of particular benefit for men due to the horizontal augmentation line from the undereye area out along the zygomatic arch. Of all the custom facial implants it has the highest success rate and the lowest rate of revision.

Why other surgeons can not see the value of this implant I can no say…except that they probably don’t have a high percent of male patients in their practice in which this implant style fulfills a common aesthetic need.

Getting male patients to agree to show their full face for the world to see their before and afters is very rare. (less than 1%)  Male confidentiality is much greater than womens. Thus what is available online is what patients have permitted.

Dr. Barry Eppley

World-Renowned Plastic Surgeon