![]() ![]() The relationship of the globe to the orbital rims is a primary determinant of the appearance of the upper third of the face. Normal values are shown in the figure. Augmenting the infraorbital rim alone, or together with other soft tissue manipulations, can have a powerful effect on periorbital appearance. This lack of skeletal support predisposes to lower lid malposition after blepharoplasty and limits the efficacy and longevity of midface lifting. Patients with poorly projecting midface skeletonsare more likely to undergo premature lower lid and cheek descent with aging. ![]() Because the infraorbital rim ( the bone directly beneath the eye) and upper midface skeleton support the lower eyelids and the cheek soft tissues, their projection impacts on lid and cheek position. The relationship between the eyeball and the orbital rims will determine if the eyes appear prominent or deep set. The upper midface skeleton has direct and indirect influences on the appearance of the face and particularly, the eyes.
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