Infraorbital rim implants

[ramierifag]

@RealSurgerymax did you ever have a case where infraorbital malar implants dragged down lower eyelids (maybe tightened due to a previous canthoplasty/pexy) instead of lifting them up?

 

[looky30]

Is that your problem?

 

[RealSurgerymax]

@RealSurgerymax did you ever have a case where infraorbital malar implants dragged down lower eyelids (maybe tightened due to a previous canthoplasty/pexy) instead of lifting them up?

No although it is possible if you don’t follow some principles.
Never happened to one of my cases. Although eventually it might

 

[Pakicel]

No although it is possible if you don’t follow some principles.
Never happened to one of my cases. Although eventually it might

What are your thoughts on getting a second wedge genio for vertical height if you already have gotten one? I know this will make the step off worse but can’t you get fat grafting or filler afterwards to fix that?

 

[RealSurgerymax]

What are your thoughts on getting a second wedge genio for vertical height if you already have gotten one? I know this will make the step off worse but can’t you get fat grafting or filler afterwards to fix that?

Need to see scans and pics. It might not make step off worse and you can bone graft. There are many planning strategies to balance result and risk

 

[moze]

No although it is possible if you don’t follow some principles.
Never happened to one of my cases. Although eventually it might

Whats your opinion on facegenics? And their upcoming protraction?do you think it can do more than 3-4mm protraction?

 

[Pakicel]

Need to see scans and pics. It might not make step off worse and you can bone graft. There are many planning strategies to balance result and risk

What about getting a custom implant instead?

 

[RealSurgerymax]

What about getting a custom implant instead?

Implant is usually not good for vertical length.
Need to evaluate you to say any more.

 

[Deleted member 56968]

Implant is usually not good for vertical length.
Need to evaluate you to say any more.

if i need a referral from a doctor to get a ct scan what do i tell them? i doubt they will give me one if i say i want jaw implants

 

[RealSurgerymax]

if i need a referral from a doctor to get a ct scan what do i tell them? i doubt they will give me one if i say i want jaw implants

My service can provide rx for scan

 

[Deleted member 56968]

My service can provide rx for scan

but is it possible to send u a ct scan i got from a private hospital?

 

[Pakicel]

Implant is usually not good for vertical length.
Need to evaluate you to say any more.

Why though? Can’t the implant be designed to add vertical height? Eppley does it all the time.

 

[ramierifag]

No although it is possible if you don’t follow some principles.
Never happened to one of my cases. Although eventually it might

What principles are you referring to? What can cause it? @RealSurgerymax