debating scheduling consultion with rattinan (pics included)

[teno]

I’m debating scheduling a consultation with Rattinan Clinic. Do you guys think canthopexy + fat grafting would be enough to improve my eyes?
I feel like I probably need some form of lower eyelid retraction correction as well, but I’m not sure whether they perform that procedure there.

selfie:

back camera, 6ft away:

morph made by @vermicel (fixed lower lid/scelerashow, negative hooding):

This would be my ideal result, and honestly, I’d be more than happy if I could achieve something close to it.

What do you guys think

 

[teno]

bump

 

[duduboy]

it Will be good man, good Luck

 

[Aloft]

i think improving lashes and eyebrows should be your priority. The lower lid retraction plus fat graft would definitely help, but pales in comparison. Me personally i would focus on that before booking with rattinan

 

[idont]

I’m debating scheduling a consultation with Rattinan Clinic. Do you guys think canthopexy + fat grafting would be enough to improve my eyes?
I feel like I probably need some form of lower eyelid retraction correction as well, but I’m not sure whether they perform that procedure there.

selfie:
View attachment 5048565

back camera, 6ft away:
View attachment 5048397

morph made by @vermicel (fixed lower lid/scelerashow, negative hooding):
View attachment 5048486

This would be my ideal result, and honestly, I’d be more than happy if I could achieve something close to it.

What do you guys think

i mean you could try spacer grafts but no aesthetic result would be guaranteed as it is almost never done cosmetically but functionally

(for lower eyelid retraction)

 

[teno]

i think improving lashes and eyebrows should be your priority. The lower lid retraction plus fat graft would definitely help, but pales in comparison. Me personally i would focus on that before booking with rattinan

Dye them or use minoxidil? I’ve heard minoxidil can make your face look bloated, and once you stop using it, the hair that grew from it usually falls out again.

 

[teno]

i mean you could try spacer grafts but no aesthetic result would be guaranteed as it is almost never done cosmetically but functionally

(for lower eyelid retraction)

Alright, I understand. So you’re not recommending spacer grafts because the aesthetic outcome is unpredictable. In that case, how do you think I could achieve this morph, or something similar to it? Do you think a canthopexy could reduce or remove the scleral show?

 

[teno]

it Will be good man, good Luck

Thanks

 

[Aloft]

Dye them or use minoxidil? I’ve heard minoxidil can make your face look bloated, and once you stop using it, the hair that grew from it usually falls out again.

use topical minox on brows twice a day and latisse on eyelids (bimatoprost) daily for 4 months. Once you have good growth you can shape them up a little and dye them. minoxidil bloat from topical application is cope and you can keep applying it less frequently to keep the growth. That will transform your eye area way more than surgery

 

[LackEmpathyTherefor]

Alright, I understand. So you’re not recommending spacer grafts because the aesthetic outcome is unpredictable. In that case, how do you think I could achieve this morph, or something similar to it? Do you think a canthopexy could reduce or remove the scleral show?

It is done aesthetically I had a consult with a very good French occuplzstic surgeon and he used amniotic membrane instead of a spacer and grafts it after incision of eyelid retractors. This creates a ground for eyelid restructuring in a higher position with less scleral show.
He showed me a result on a young man and it was pretty good

 

[Adee]

I’m debating scheduling a consultation with Rattinan Clinic. Do you guys think canthopexy + fat grafting would be enough to improve my eyes?
I feel like I probably need some form of lower eyelid retraction correction as well, but I’m not sure whether they perform that procedure there.

selfie:
View attachment 5048565

back camera, 6ft away:
View attachment 5048397

morph made by @vermicel (fixed lower lid/scelerashow, negative hooding):
View attachment 5048486

This would be my ideal result, and honestly, I’d be more than happy if I could achieve something close to it.

What do you guys think

You don't need canthopexy, you need drill hole canthoplasty and LLRR (lower lid retraction repair) with spacer graft.
Canthopexy is just canthal resuspension without canthotomy, it's worse than standard canthoplasty: % lost by 1 yr: ~50–60%.

I would do these before any fat grafting.

 

[zemult]

Softmaxxing: darker + thicker eyebrows. Brutal underrated falio of yours

Surgical: Cantho, lower eyelid retraction repair, infra implants + fat grafts

I don't think you're a candidate for supraorbital fat grafting or implants

Fat grafting alone will not amount to much for that reaso

You also need an otoplasty

 

[teno]

You don't need canthopexy, you need drill hole canthoplasty and LLRR (lower lid retraction repair) with spacer graft.
Canthopexy is just canthal resuspension without canthotomy, it's worse than standard canthoplasty: % lost by 1 yr: ~50–60%.

I would do these before any fat grafting.

I saw some bone-drill canthopexy before-and-afters, and honestly the results looked pretty good, which is why I mentioned it.
For example: https://looksmax.org/threads/bone-drill-canthopexy-results.2037044/
In my opinion, a lot of canthoplasty results can end up looking uncanny because the canthal tilt gets overdone, but maybe I’ve just been looking at the wrong examples.

 

[teno]

Softmaxxing: darker + thicker eyebrows. Brutal underrated falio of yours

Surgical: Cantho, lower eyelid retraction repair, infra implants + fat grafts

I don't think you're a candidate for supraorbital fat grafting or implants

Fat grafting alone will not amount to much for that reaso

You also need an otoplasty

Don´t you think fatgrafting can be used to create positive hooding in my case?
And yeah, if I end up going to Rattinan, I’d get otoplasty done along with the eye surgeries since they offer it there.

 

[teno]

It is done aesthetically I had a consult with a very good French occuplzstic surgeon and he used amniotic membrane instead of a spacer and grafts it after incision of eyelid retractors. This creates a ground for eyelid restructuring in a higher position with less scleral show.
He showed me a result on a young man and it was pretty good

Interesting, but I don’t think it’s as effective as spacer grafts, right? It might work well for people with mild scleral show though.

 

[LackEmpathyTherefor]

Interesting, but I don’t think it’s as effective as spacer grafts, right? It might work well for people with mild scleral show though.

It is more effective and has a lower revision rate according to him.
From what I understand what makes the vertical change in LLRR isn’t the spacer but the incision of the retractors. The graft is only here to « secure » the new position of the eyelid retractors and so they don’t tighten back again. This can be done either by putting a spacer graft in between (risks of thicker lower eyeli, rejection, colouring etc)

This amniotic graft has the advantage that it is most similar in the body to the tissue you’re oing the incision on so no rejection.
It also has amazing regenerative properties which will literally reconstruct the lower eyelid into this higher vertical position.

This is all from the consultation I had with him yesterday night from 20:30 to 22:00 HAHA this mf explained so much stuff also a whole lot about fat graft, how it’s used, its mechanisms etc.

It’s truely refreshing to pull information from sources outside of this forum and online articles on a 1 on 1.

 

[zemult]

Don´t you think fatgrafting can be used to create positive hooding in my case?
And yeah, if I end up going to Rattinan, I’d get otoplasty done along with the eye surgeries since they offer it there.

I don't think your hooding is a problem

You don't have negative hooding and you have a normal amount of UEE

 

[svarddre]

Fix your eyes, brows and narrow mouth

 

[teno]

It is more effective and has a lower revision rate according to him.
From what I understand what makes the vertical change in LLRR isn’t the spacer but the incision of the retractors. The graft is only here to « secure » the new position of the eyelid retractors and so they don’t tighten back again. This can be done either by putting a spacer graft in between (risks of thicker lower eyeli, rejection, colouring etc)

This amniotic graft has the advantage that it is most similar in the body to the tissue you’re oing the incision on so no rejection.
It also has amazing regenerative properties which will literally reconstruct the lower eyelid into this higher vertical position.

This is all from the consultation I had with him yesterday night from 20:30 to 22:00 HAHA this mf explained so much stuff also a whole lot about fat graft, how it’s used, its mechanisms etc.

It’s truely refreshing to pull information from sources outside of this forum and online articles on a 1 on 1.

Mmh, okay, I’ll look into that then, thank you.

 

[teno]

Fix your eyes, brows and narrow mouth

"Just fix your narrow mouth bro"

 

[svarddre]

"Just fix your narrow mouth bro"

Idk man find a way I’m sure it exists

 

[teno]

Softmaxxing: darker + thicker eyebrows. Brutal underrated falio of yours

Surgical: Cantho, lower eyelid retraction repair, infra implants + fat grafts

I don't think you're a candidate for supraorbital fat grafting or implants

Fat grafting alone will not amount to much for that reaso

You also need an otoplasty

Wouldn’t it make more sense for me to get a midface implant instead of just infraorbitals? I mean, in theory, if I already would go this far, a midface implant might be the better option since my midface lacks projection.

 

[koops]

You should grow out your hair to the point where it covers your ears, it would be a great softmax for you. Surprised nobody mentioned it. Obv otoplasty would be better but that'll do in the meantime

 

[teno]

You should grow out your hair to the point where it covers your ears, it would be a great softmax for you. Surprised nobody mentioned it. Obv otoplasty would be better but that'll do in the meantime

yea okay I´ll do that and minoxidil, doubt it would do much tho...
I could just book the surgeries and softmax in the meantime. I mean, I need to get them done anyway.

 

[idont]

Alright, I understand. So you’re not recommending spacer grafts because the aesthetic outcome is unpredictable. In that case, how do you think I could achieve this morph, or something similar to it? Do you think a canthopexy could reduce or remove the scleral show?

nah im just saying that its niche so there isnt any “good” surgeons for it

and yes you could reduce it

 

[stigmaboy]

@LackEmpathyTherefor bones dont lie

 

[LackEmpathyTherefor]

@LackEmpathyTherefor bones dont lie

wdym why u taggin me