Would I Benefit From Midface Implant Augmentation?

Q: Dr. Eppley, I am a mid 20s male looking to get custom cheek/midface implants and maybe brow ridge implant as well. My cheeks/infraorbitals have always been VERY flat and give a tired appearance. My face looks chubby because my buccal area sticks out farther than my cheekbones. I have no ogee curve from 3/4 or rear view. Additionally I have always had nasolabial folds thatI hope can be corrected with paranasal implants. 

I am also considering a custom brow ridge implant to give a more masculine, deep set eyes look. I am 50/50 on whether I want this however because it seems to be an uncommon procedure and may look uncanny on my face.

A:Thank you for your inquiry and sending your picture. Your observations are spot on as you have an overall flatter midface compared to your nose and upper/lower facial thirds. I have done imaging which provides some insight in the areas of midface augmentation. (see attached) Whether this should be done by a custom IOM implant combined with standard paranasal implants or but an overall custom midface mask implant is for discussion. I would also agree that the brow bone augmentation is of more dubious benefit but certainly would have to be in the smaller size range. (see attached imaging of midface aug + brow aug)

Dr. Barry Eppley

Indianapolis, Indiana