Dear Doctor Seckel, I will be getting GA for malar implants in a few weeks, but am a bit concerned about placement. My Plastic Surgeon typically places them through the eyes, the blepharoplasty incision and I did a lot of research, consulted with docs who do lower blepharoplasty and who say they no longer do transcutaneous incisions because they are too risky. So I asked my Plastic Surgeon to do it intraorally. He says he can, but as long as I understand “his concerns about positioning and am willing to accept that”…He has done quite a few maxillary fractures surgeries, so I feel he can do it easily without directly looking at the orbital rim. But I need your opinion on what could go wrong, in terms of positioning? Am I being unwise to push my Plastic Surgeon out of his comfort zone?Thank you so very much,It is amazing you take the time to answer people’s concerns, it is an amazing site and I am sure I speak for everyone else when I say I am most grateful to your kindness and recommendations. Sincerely,Fiona M., CO
Thursday, July 13th, 2006completely agree with your decision to avoid an eyelid or external blepharoplasty incision when having cheek implants