Why don't surgeons ever place malar implants highly?

[Millis]

For both females and males I always see even renowned surgeons placing the implant low on the cheekbone, and not high on the upper canthus as would be desirable. Why?

[boyo]

Probably because it's mostly older people with volume deficient and age-related soft tissue atrophy who seek out to fill out the midface in an attempt to look younger. Too bad that's not the right approach for males where increased gauntness and angularity is one of the reasons males tend to have the most sex appeal in their 30's.

[PloskoPlus]

Guyuron does "high riding"  implants - a stock cheek implant that he puts in the corners. I've been told it looked ridiculous and caused bone erosion.

[Millis]

I've been told it looked ridiculous and caused bone erosion.

By whom?

[ditterbo]

I thought I recall reading somewhere that plastic surgeons used to do that until the industry switched to more 'natural' looks. Maybe we want a malar + orbital rim combined custom implant?