Customized Orbital Decompression to modify IPD

[Senssei]

I was reading about Orbital Decompression, and its mentioned that the IPD gets on average 1,7mm shorter afterwards (https://pubmed.ncbi.nlm.nih.gov/28130596/), I also read that bimatoprost (latisse) reduced IPD by 2,2mm on average, due to atrophy of the fat wall on the inner part of the orbits, some people even got it shortened by 4mm+ without any bad side effect beside deepening of upper eyelid crease which is incredibly easy to fix (https://www.sciencedirect.com/science/article/pii/S2451993622002262 ).
That made me think, since the reason OD shortens the IPD is similar to the mechanism that happens with bimatoprost (in OD they remove tissue and bones and then the eye repositions itself), then surgeons could do a modified version of OD where they dont take tissue and bones off all the areas they usually do when the objective is to make the eye go deeper, and instead just remove it from either the inner or outer part of the orbits, depending if the person wants to increase or decrease their IPD. Considering that bimatoprost can safely alter the IPD by 4mm+ by fat atrophy alone, I believe it would be possible to get 5mm+ IPD changes with this modified OD method, which would be far safer and easier to do than Orbital Box Osteotomy.
I suggest someone contact surgeons like Eppley and others and ask them about this possibility.

 

[sub5inchcel]

@RealSurgerymax

 

[Deleted member 1901]

@RealSurgerymax

“No you can’t do this. Orbital fat is inside the periorbita and too close to the intraconal area which has the muscles, nerves, and arteries running through it. You cannot liposuction this area.

It’s often reduced under direct vision in orbital decompression surgery (safe for removal by controlled surgery, not blind liposuction)

Because the grafted fat would resorb this would not be a very reliable surgery and might cause other eye problems like enopthalmos.

The concept you are describing is lateralizing the globe within the orbit which is possible through lateral orbital wall bone burring and medial orbital wall bone grafting (or implant.)

While either of these might increase IPD a couple millimeters it won’t correct the collection of aesthetic problems that make up the usual close-set eyes look - the main thing being the narrow intercanthal distance. That will require orbital box osteotomies.”


His reply to my thread:

Orbital liposuction and fat graft to increase IPD?

Basically my idea is that you suck out the fat lateral to the eyeball and then transfer it over medial to the eyeball.

looksmax.org

 

[Deleted member 19766]

“No you can’t do this. Orbital fat is inside the periorbita and too close to the intraconal area which has the muscles, nerves, and arteries running through it. You cannot liposuction this area.

It’s often reduced under direct vision in orbital decompression surgery (safe for removal by controlled surgery, not blind liposuction)

Because the grafted fat would resorb this would not be a very reliable surgery and might cause other eye problems like enopthalmos.

The concept you are describing is lateralizing the globe within the orbit which is possible through lateral orbital wall bone burring and medial orbital wall bone grafting (or implant.)

While either of these might increase IPD a couple millimeters it won’t correct the collection of aesthetic problems that make up the usual close-set eyes look - the main thing being the narrow intercanthal distance. That will require orbital box osteotomies.”


His reply to my thread:

Orbital liposuction and fat graft to increase IPD?

Basically my idea is that you suck out the fat lateral to the eyeball and then transfer it over medial to the eyeball.

looksmax.org

can you explain in english how to raise IPD besides OBO?

 

[Senssei]

“No you can’t do this. Orbital fat is inside the periorbita and too close to the intraconal area which has the muscles, nerves, and arteries running through it. You cannot liposuction this area.

It’s often reduced under direct vision in orbital decompression surgery (safe for removal by controlled surgery, not blind liposuction)

Because the grafted fat would resorb this would not be a very reliable surgery and might cause other eye problems like enopthalmos.

The concept you are describing is lateralizing the globe within the orbit which is possible through lateral orbital wall bone burring and medial orbital wall bone grafting (or implant.)

While either of these might increase IPD a couple millimeters it won’t correct the collection of aesthetic problems that make up the usual close-set eyes look - the main thing being the narrow intercanthal distance. That will require orbital box osteotomies.”


His reply to my thread:

Orbital liposuction and fat graft to increase IPD?

Basically my idea is that you suck out the fat lateral to the eyeball and then transfer it over medial to the eyeball.

looksmax.org

It seems he is wrong after all, another user showed that you can indeed do targeted OD to reduce or increase IPD

Horizontal Eye Position in Thyroid Eye Disease: A Retrospective Comparison with Normal Individuals and Changes after Orbital Decompression Surgery

Objective To compare horizontal eye positions between proptotic thyroid eye disease patients and normal individuals, and to examine positional changes after orbital decompression surgery in thyroid eye disease patients. Methods The present case-controlled and retrospective comparative study...

journals.plos.org

 

[SubHumanHere]

Custom orbital implant mogs OD