Cheek asymmetries and the inadequate primary cheek implant results create the main reasons for the fabrication of custom cheek implants. Implant designs that encompass more of the surrounding areas such as the upper maxilla, zygomatic arch and extensions over onto the lower orbital rim are benefits of a custom cheek implant approach. Bigger cheek implants may be desired but this usually means broader surface area bone coverage and not necessarily thicker than performed styles. The use of the term ‘custom cheek imantf’ is reserved those custom implants that have a significant cheek augmentation and are placed through an intraoral approach.
Custom Infraorbital Malar Implants
The custom infraorbital-malar implant is an evolution from the standard cheek implant. Based on the natural anatomy of the cheekbone (zygomatico-maxillary-orbital complex), it augments the natural shape of the cheek which is also part of the lower eye. It provides extensions along the infraorbital rim anteriorly and the zygomatic arch posteriorly. This provides a more complete midface effect that allows a high cheekbone look while raising the infraorbital rim and making the tail of the cheekbone (zygomatic arch) more prominent. Low positioned infraorbital rims affect the position of the lower eyelid. Raising the infraorbital rim helps raise up the lower eyelid making itmore level which helps eliminate scleral show a rounded lower eyelid appearance.
Custom Orbital Implants
Custom orbital implants are used to augment or correct deficiencies of the orbital rims and orbital floor. Providing precise augmentation to the delicate contours of the orbital rims and infraorbital volume are good indications for a custom implant approach using the patine’s 3D CT scan. Tear troughs and undereye hollows due to infraorbital bone recession are common aesthetic indications for their use. Reconstructive indications are orbital rim asymmetries, infraorbital rim-orbital floor asymmetries due to vertical orbital dystopia and correction of depressed infraorbital rim-floor from from prior orbito-zygomatic (ZMC) fractures.
Eppley Plastic Surgery
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