Will Cheekbone Expansion Osteotomies Fix A Negative Orbital vector?

Q: Dr. Eppley, I wish to pursue cheekbone augmentation. Is it possible to achieve that through a malar osteotomy rather than implants, or will I require implants? 

A: The first step in any form of facial augmentation, cheek augmentation included, is to determine the dimensions of change desired. While you did not specify what your cheek augmentation goals/dimension were your pictures show a flat infraorbital and anterior cheek area but what appears to be adequate.

A malar osteotomy is a one dimensional operation as it only can create cheek width. A cheek implant has a three dimensional effect which appears to be more suited to your aesthetic needs.

Dr. Barry Eppley

World-Renowned Plastic Surgeon