Will Zygomatic Arch Implants Affect Any Eye Reshaping Surgery I May Have?

Q: Dr. Eppley, I’m quite interested in getting custom zygomatic arch implants from you, but I had one major concern. I am currently aiming for two cosmetic surgery procedures: zygomatic augmentation with you and eye reshaping surgery from another surgeon. As you can see, the eye reshaping procedure might require anything from lateral canthoplasty to midface lifting/fat grafting under the lower eyelid. Since the zygoma and eyes seem anatomically close, my main concern was that getting zygomatic arch implants would reverse or affect the eye work I’d have done. Do zygomatic arch implants tend to impact or affect the eye shape or any eye procedures done prior to implantation? In this case, do you think there would be any reversal/affect risk from having the two procedures done? Which order would you recommend I do them in? Thanks so much.

A: I am not aware of any adverse effects of zygomatic arch implants on the lower eyelid. The dissection to place them does not violate the lower eyelid tissues. That being said it is clear that the zygomatic arch implants should be placed first as this will eliminate any potential lower eyelid concerns you may have as to their potential adverse effects.

Dr. Barry Eppley

Indianapolis, Indiana