A malar implant for mid-face lifts and reconstructions is disclosed. The malar implant is designed to be attached to both bone and soft tissue, and provides both volume and soft tissue lift. A depending tab or lip on the superior edge of the implant attaches to the inferior orbital rim. The implant has a central plateau, which may be gently curved, that includes a number of soft tissue spikes. In one embodiment, the soft tissue spikes have the general shapes of bent isosceles triangular pyramids, thicker at the base than at the tip. The soft tissue spikes may be angled upwardly, toward the superior edge, to reposition and suspend the soft tissues of the mid-face.
