Does Zarrinbal execute Infraorbital rim implants ?

[maverik46]

Hi all,
I have an appointment scheduled with Dr. Zarrinbal for the 23 of June. I contacted him for chin wing procedure, but i wonder if he is a good choise to fix another my other big issue with my eyes. I would need for sure an inferior orbital rim implant, but maybe also lateral.
Moreover I have ptosis, and a little bulging Eyes that would need probably an Orbital decompression, but I know that for this last problems is better an oculoplastic.

[boyo]

I doubt it as he strongly advice against implants. But please let us know when you ask him.

[Bowie]

On another thread someone said that he uses cartilage as an onlay for the maxilla to make it look more forward, so no reason why he can't do that for the infraorbital rim. StupidJaws said that he hates implants but putting cartilage on the maxilla IS an implant so maybe he is just against synthetic materials.

[whatdo]

On another thread someone said that he uses cartilage as an onlay for the maxilla to make it look more forward, so no reason why he can't do that for the infraorbital rim. StupidJaws said that he hates implants but putting cartilage on the maxilla IS an implant so maybe he is just against synthetic materials.

Does anyone have an example of what the results from this look like?

[maverik46]

On another thread someone said that he uses cartilage as an onlay for the maxilla to make it look more forward, so no reason why he can't do that for the infraorbital rim. StupidJaws said that he hates implants but putting cartilage on the maxilla IS an implant so maybe he is just against synthetic materials.

If he use cartilage, would be possible to do orbital decompression after putting cartilage on orbital rim ?

[Bowie]

Does anyone have an example of what the results from this look like?

How it would look depends on the shape he carves but essentially it would look exactly the same as a medpor or silicone orbital rim implant, but it would resorb to an unknown extent.

[whatdo]

How it would look depends on the shape he carves but essentially it would look exactly the same as a medpor or silicone orbital rim implant, but it would resorb to an unknown extent.

Oh sorry, I was referring to the onlay for the maxilla you mentioned. Would it essentially create that "curved" lip look people get after Lefort 1?

[Bowie]

Oh sorry, I was referring to the onlay for the maxilla you mentioned. Would it essentially create that "curved" lip look people get after Lefort 1?

Oh good question, no one knows what that looks like as far as I know.
Last year I thought it would be a good idea to put cartilage on that area so pretty cool to hear Zarrinbal does that.
Actually, thinking about it, couldn't it look strange if the maxilla bone is more forward but the upper teeth are left behind?

[Milli_Meters]

Is it lyophilized though?

[Bowie]

Is it lyophilized though?

lyo cartilage still resorbs

[Milli_Meters]

I knew someone who had it placed under eyes and said no risk of resorbtion.Maybe not adjacent to bone?

[Lefortitude]

He does AUTOLOGOUS cartilage or bone graft under the upper lip to mimic maxillary advancement.  He avoids ALLOPLASTIC augmentation and strongly advises against it. 

[Bowie]

I knew someone who had it placed under eyes and said no risk of resorbtion.Maybe not adjacent to bone?

Well then their surgeon was lying to them, there is a maxillofacial professor in Australia who uses cartilage and bone implants for cheekbones and other facial implants, he is very open that there will be resorption so he actually does an overcorrection.

[Bowie]

He does AUTOLOGOUS cartilage

Oh in that case it doesn't sound like it will be a significant augmentation

[Milli_Meters]

Well then their surgeon was lying to them, there is a maxillofacial professor in Australia who uses cartilage and bone implants for cheekbones and other facial implants, he is very open that there will be resorption so he actually does an overcorrection.

Yeah his surgeon has less than stellar reputation on this forum.