Will A Custom MIdface Mask Work For Me?

Q: Dr. Eppley, I am seeking augmentation of my midface to get a more forward grown and masculine looking face, as well as improvement/correction of my eye area. As you can see my midface is quite flat and my eyes are tired-looking, which I think is because of severe upper eye lid exposure. I have 2 questions: 1. Do you think that the midface mask is appropriate for my case, and would it create forward projection, or would you suggest something else? And can the midface mask implant also create the ‘high cheekbone look’ that many male models have? 2. In terms of my eye area, I would like to reduce my upper eyelid exposure and get more ‘striking’ eyes, (maybe you will have heard the expression “hunter eyes”). Would fat grafting or supraorbital implants accomplish this?

A: A midface mask implant approach is reasonable for you although your greatest deficiency is at the infraorbtal-malar level and much less so across the maxilla and paranasal region. As part of its design it can include the cheek area for a high cheekbone augmentation effect.

I am very familiar with the Hunter eye look as I get requests for it all the time. To reduce your upper eyelid exposure you would be best served by brow bone augmentation as opposed to upper eyelid fat grafting. This would be particularly so if the underlying infraorbital-malar area is augmented.

Dr. Barry Eppley

World-Renowned Plastic Surgeon