Will A Custom Midface Mask Implant Help My Recessed Midface Situation?

Q: Dr. Eppley, My whole midface is kind of recessed which makes my mouth look protruding and my chin look large. Besides I feel my eye socket is too shallow and my eyes look tired. I had rhinoplasty before, the surgeon used cartilage to reshape my nose tip and placed ePtfe implant on my nasal bridge. He also placed 2 small paranasal implants(also eptfe) but they didn’t help much with my condition. I wonder whether midface implant will help with my situation. And if so, how the implant should be designed including the area the implant covered, thickness of the implant and how many pieces of implants are needed etc. I am Asian and usually Asian people prefer round face instead of edge face. I personally don’t like faces that are too round cause they seem lack of bone support. My face is wide and I don’t want to make it wider but I want the apple cheek look. As you can see from the photo my cheek is sort of flat. Thank you for your time and patience and I am looking forward to your reply.

A: Thank you for your inquiry and detailing your midface concerns and objectives. You are referring to the midface mask implant which is most commonly done in Asian patients. It covers the entire midface from the infraorbital rim down to the maxillary alveolus with the objective of pulling the midface forward but not making it any wider. (see attached) It is a one piece implant placed intraorally. Your existing ePTFE implants would be removed and replaced with this broader surface coverage.