Testimonials

Infraorbital Rim Implants

 

Infraorbital rim implants were designed by Dr. Yaremchuk to treat patients with deficient midfaces and resultant prominent eyes.


In most people, the relationship between the ocular globes and the cheek tissues is such that on lateral view, the cheek projects beyond the eye. This relationship, due primarily to the development of the facial bones beneath the cheek tissues, has been termed a 'positive vector'.

When the midfacial bones are lees fully developed, the eyes look prominent. On lateral view, the eye projects beyond the cheek. This relationship has been termed a 'negative vector'. Patients with negative vector skeletal morphology have less support for their cheek and lower eyelids. With aging, gravity causes their cheek and lower lid to descend prematurely, compared to patients with more prominent midfacial skeleton. Furthermore, these patients are predisposed to having further lower lid descent with scleral show, round eyes (and 'dry eyes') after conventional lower bleparoplasty.

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Illustrations by Kip Carter, MS CMI.

Dr. Yaremchuk has designed an implant to correct this problem. Implant augmentation of the infraorbital rim (the bone behind the lower eyelid) increases the projection of this area "reversing the negative vector" (this is different than a cheek implant).

By improving the underlying skeletal support with an infraorbital rim implant, lifting the midface soft tissues, and tightening the lateral corner of the eye (lateral cantopexy), the ''round eye' appearance of patient with midface hypoplasia (negative vector) – can be corrected.

To see why augmentation of the infraorbital rim can have a rejuvenating effect on the periorbital and midface structures, click here.

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This patient had a previous blepharoplasty. She was displeased with the amount of white showing between her iris and lower lid as well as the downward tilt of the corner of her eyes. She was predisposed to having this problem because of the lack of bone support beneath her eye. Dr. Yaremchuk improved here eye shape and upper facial contour with-a midface lift, augmentation of the infraorbital rim with a porous implant and lateral canthopexy.

 

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This patient was displeased with a "round eye" appearance and symptoms of dryness after lower eyelid surgery. The dropping of his lower lid was due to excessive removal of eyelid tissue during his surgery, and to a deficiency of bone support behind his lower lid. Dr. Yaremchuk restored his eye shape and improved his facial contour by elevating his lower lid and tightening it with a midface lift and lateral canthopexy, respectively. Dr.Yaremchuk provided support to the lower lid and improved the patient's cheek contour by placing an infraorbital rim implant on the bone behind the lower eyelid.

 

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This patient had undergone multiple procedures to correct lower lid malposition after previous bleparoplasty. These previous operations included multiple canthopexies and skin grafts. The patient was also displeased with the appearance of her brow and upper lids after upper lid blepharoplasty and endoscopic brow lift. The previous attempts at lower lid repositioning was, in large part, due to the inadequate skeletal support provided by her retrusive midface skeleton. Dr.Yaremchuk provided skeletal support with an infraorbital rim implant, then elevated the midface with a subperiosteal midface lift, and repositioned the lateral canthus with a lateral canthopexy. He further improved the periorbital appearance by repositioning the over elevated brows.

 

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This patient underwent infraorbital rim augmentation and subperiosteal midface lift to improve his periorbital appearance. He had not had any previous surgery.

 

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This patient underwent infraorbital rim augmentation and subperiosteal midface lift to improve her periorbital appearance.

 

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This patient underwent infraorbital rim augmentation and subperiosteal midface lift to improve her periorbital appearance.