It is not uncommon that patients will seek more than one custom facial implant to suit their facial reshaping needs. This creates a near unlimited potential for ways to structurally change one’s face. It is best to think of the face as having three levels or horizontal lines of facial augmentation. Level 1 is the jawline, level 2 is the midface (infraorbital -malar-maxillary) and level 3 is the brow bones-forehead area. This is a good way to think about it as that is also how most custom implants are designed…to have a horizontal level of augmentation across the facial bony prominences.
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.
Eppley Plastic Surgery
12188-A North Meridian St.
Carmel, IN 46032