Will An Infraorbital Rim Implant Fix My Scleral Show?

Q: Dr. Eppley, I am looking for infraorbital rim implant and i have beem told you are the best surgeon, i got many questions if you could answer them please, is it permanent?, will it fix my scleral show?, will it make my eye more deep set and almond eyes looking?, thank you for the time given dr. Have a good day!

A: With your negative orbital vector (cornea of the eye sticks out further in profile than the infraorbital rim) you have a true skeletal deficiency which is why your lower eyelids are rounded with scleral show. You are correct in that infraorbital rim implants (ideally custom so they saddle the rim and help push up the lower eyelids) are one important part of the solution but not the only one. Spacer grafts are needed for the lower eyelid to ensure vertical lengthening lid support and lateral canthoplasties to get more of the almond eye look.

Dr. Barry Eppley

World Renowned Plastic Surgeon