EPPLEY CONFIRMS COSMETIC OBO IS POSSIBLE (IPDCELS GTFIH)

[Deleted member 22381]

Tagging ipdcels @optimisticzoomer @Octavian_Augustus @bleksandre

I can't fucking believe Eppley of all people would be the one to confirm that a cosmetic OBO for adult patients is possible and has been done before, but here we are.

This is huge boyos. This means we could get an OBO that is not only safer but much cheaper. The hardest part will be finding someone who knows how to perform this.

Massive lifefuel.

 

[khvirgin]

100k probably

 

[Octavian_Augustus]

Tagging ipdcels @optimisticzoomer @Octavian_Augustus @bleksandre

View attachment 2033938

I can't fucking believe Eppley of all people would be the one to confirm that a cosmetic OBO for adult patients is possible and has been done before, but here we are.

This is huge boyos. This means we could get an OBO that is not only safer but much cheaper. The hardest part will be finding someone who knows how to perform this.

Massive lifefuel.

Nice dude. Did you ask the question?

This is quite a tone change from him. In other threads he highly discourages OBO and here he makes it seem pretty tame. He also says he has performed it.

@LebenistneHure

I think this will interest you too?

 

[Deleted member 12002]

Tagging ipdcels @optimisticzoomer @Octavian_Augustus @bleksandre

View attachment 2033938

I can't fucking believe Eppley of all people would be the one to confirm that a cosmetic OBO for adult patients is possible and has been done before, but here we are.

This is huge boyos. This means we could get an OBO that is not only safer but much cheaper. The hardest part will be finding someone who knows how to perform this.

Massive lifefuel.

Been on this site two years and am so glad I still don't know what any of those words are. Orbital? Box (like a pussy?) Osteoporosis? Wtf?

 

[Octavian_Augustus]

Been on this site two years and am so glad I still don't know what any of those words are. Orbital? Box (like a pussy?) Osteoporosis? Wtf?

A surgery to increase or decrease eye spacing, a really tricky failo to fix. Assumed by many to be impossible to change.

 

[Piratecel]

could save @Spinecel 's life tbh

 

[Deleted member 22381]

Nice dude. Did you ask the question?

This is quite a tone change from him. In other threads he highly discourages OBO and here he makes it seem pretty tame. He also says he has performed it.

I did not.

I think 99% of the time when people ask he assumes they are referencing the traditional one that requires half of your face to be peeled down from the scalp, so I don't fault him there. I'm just so relieved this modified version is actually confirmed to exist, I thought it was just speculation on behalf of @RealSurgerymax. Followup revision surgery will still be needed to correct things like the nasal bridge being widened, but the fact you shouldn't have to pay for the neurosurgeon to be there like with the transcranial version should bring down the cost a ton.

 

[Deleted member 19766]

@thecel

 

[Octavian_Augustus]

I did not.

I think 99% of the time when people ask he assumes they are referencing the traditional one that requires half of your face to be peeled down from the scalp, so I don't fault him there. I'm just so relieved this modified version is actually confirmed to exist, I thought it was just speculation on behalf of @RealSurgerymax. Followup revision surgery will still be needed to correct things like the nasal bridge being widened, but the fact you shouldn't have to pay for the neurosurgeon to be there like with the transcranial version should bring down the cost a ton.

Yeah but IDK why he wouldn't just mention this alternative in those question threads right? Surely he knows a lot of the people asking don't need a ton of modification. But whatever it's water under the bridge.

 

[apocalypse]

Box (like a pussy?)

jfl

 

[Deleted member 24444]

I'm like 100% sure that it was some PSL autist asking him if it's possible

 

[bleksandre]

lifefuel, even 4mm widening would be significat PSL boost for IPDcels like me

 

[ifyouwannabemylover]

who the fuck needs 10mm ipd increase

 

[optimisticzoomer]

Lifefuel but puts me in a dilemma
I don't have the money for what this will likely be

 

[RealSurgerymax]

Unfortunately the 180° U-Shaped Osteotomy is going to be insufficient for the full correction of hypotelorism.

From focusing on this aesthetic problem in depth for 2 years now I can say for sure that IPD is not the most important metric (It’s just the most obvious sign of the problem. ICD and LOR-to-LOR are probably more important in setting foundational landmarks for the face). The entire periorbital contour is compressed and I have even design custom periorbital implants that camoflauge this problem (but the intercanthal distance and interpupillary distance stays the same.) Leaving out the upper part of the orbit is leaving a lot on the table

The ultimate correction is a 360° orbital shift which has been my life’s work to devise a safe way of doing Subcranialy, through the frontal sinus, which I have:

Interesting Eppley posted this since I was trying to contact him 2 weeks ago to perform this protocol on a patient with custom surgical guides to ensure maximal globe capture while maintaining a safe distance from the cranial cavity. Patient wants to stay in US. I just got replies from his staff, I have yet to talk to him about performing my modified version (it has 3 distinct modifications, one being the Subcranial nature). Hopefully he will accept the collaboration.

 

[optimisticzoomer]

I don't understand though, cos I asked him a few months ago about OBO and the answer was that he didn't perform it.

So I don't know why he didn't mention this subcranial variety then if he had performed it before

 

[Deleted member 1901]

who the fuck needs 10mm ipd increase

Me

 

[Dystopian]

who the fuck needs 10mm ipd increase

@DarkTetrad

 

[bleksandre]

Unfortunately the 180° U-Shaped Osteotomy is going to be insufficient for the full correction of hypotelorism.

From focusing on this aesthetic problem in depth for 2 years now I can say for sure that IPD is not the most important metric (It’s just the most obvious sign of the problem. ICD and LOR-to-LOR are probably more important in setting foundational landmarks for the face). The entire periorbital contour is compressed and I have even design custom periorbital implants that camoflauge this problem (but the intercanthal distance and interpupillary distance stays the same.) Leaving out the upper part of the orbit is leaving a lot on the table

View attachment 2034026

The ultimate correction is a 360° orbital shift which has been my life’s work to devise a safe way of doing Subcranialy, through the frontal sinus, which I have:

View attachment 2034028


Interesting Eppley posted this since I was trying to contact him 2 weeks ago to perform this protocol on a patient with custom surgical guides to ensure maximal globe capture while maintaining a safe distance from the cranial cavity. Patient wants to stay in US. I just got replies from his staff, I have yet to talk to him about performing my modified version (it has 3 distinct modifications, one being the Subcranial nature). Hopefully he will accept the collaboration.
View attachment 2034029View attachment 2034030

So according to you IPDcels can mask eyes misplacement with implants without OBO?

 

[Jigen]

could save @Spinecel 's life tbh

My IPD is fine. My nose bridge is just wide + selfie distortion. By this logic, Meeks would need the same produce as his IPD is similar to mine. His higher node bridge just makes it less noticeable.

 

[Deleted member 25039]

I don't understand though, cos I asked him a few months ago about OBO and the answer was that he didn't perform it.
View attachment 2034041View attachment 2034042
So I don't know why he didn't mention this subcranial variety then if he had performed it before

Yeah but then he saw a new car he wants so now he performs it

 

[actual9cmjawslayer]

who the fuck needs 10mm ipd increase

@thecel

 

[RealSurgerymax]

So according to you IPDcels can mask eyes misplacement with implants without OBO?

No, the periorbital and frontal bone contours can be made a little broader though. It’s only for people getting midface/brow implants that don’t want and will never get OBO, then I will try to fix it as much as possible with just implant.

 

[Deleted member 20064]

Laughs in perfect ipd.

 

[Deleted member 22381]

Unfortunately the 180° U-Shaped Osteotomy is going to be insufficient for the full correction of hypotelorism.

From focusing on this aesthetic problem in depth for 2 years now I can say for sure that IPD is not the most important metric (It’s just the most obvious sign of the problem. ICD and LOR-to-LOR are probably more important in setting foundational landmarks for the face). The entire periorbital contour is compressed and I have even design custom periorbital implants that camoflauge this problem (but the intercanthal distance and interpupillary distance stays the same.) Leaving out the upper part of the orbit is leaving a lot on the table

View attachment 2034026

The ultimate correction is a 360° orbital shift which has been my life’s work to devise a safe way of doing Subcranialy, through the frontal sinus, which I have:

View attachment 2034028


Interesting Eppley posted this since I was trying to contact him 2 weeks ago to perform this protocol on a patient with custom surgical guides to ensure maximal globe capture while maintaining a safe distance from the cranial cavity. Patient wants to stay in US. I just got replies from his staff, I have yet to talk to him about performing my modified version (it has 3 distinct modifications, one being the Subcranial nature). Hopefully he will accept the collaboration.
View attachment 2034029View attachment 2034030

And of course the reality is that the situation is much more complex than I thought JFL.

Oh well. My final verdict after driving myself insane over researching this problem for the past couple days is to simply camouflage the issue. There's actually a couple of in-depth threads on how to do this, basically the list is: creating longer eyebrow length so they extend past the edge of the eye, shaving the middle of the eyebrows to create a bigger gap, lateral cheekbone reduction, lateral orbital rim shaving, flattening the nasal bridge, increasing chin height, framing face with lower hairline and temple points, and overall just ascending the eye shape as much as you can. Obviously, it won't fix the root issue but it's good to know there are ways to minimize this failo. That IMO is enough for me, I'm just looking for feasible solutions here.

If you end up successfully pioneering a subcranial OBO technique and collaborate with Eppley to do it, god damn mad respect man. Excited to see where it goes.

 

[Chinlet Ascension]

GIGACHAD EPPLEY

Apologize

 

[BananaBoy]

Unfortunately the 180° U-Shaped Osteotomy is going to be insufficient for the full correction of hypotelorism.

From focusing on this aesthetic problem in depth for 2 years now I can say for sure that IPD is not the most important metric (It’s just the most obvious sign of the problem. ICD and LOR-to-LOR are probably more important in setting foundational landmarks for the face). The entire periorbital contour is compressed and I have even design custom periorbital implants that camoflauge this problem (but the intercanthal distance and interpupillary distance stays the same.) Leaving out the upper part of the orbit is leaving a lot on the table

View attachment 2034026

The ultimate correction is a 360° orbital shift which has been my life’s work to devise a safe way of doing Subcranialy, through the frontal sinus, which I have:

View attachment 2034028


Interesting Eppley posted this since I was trying to contact him 2 weeks ago to perform this protocol on a patient with custom surgical guides to ensure maximal globe capture while maintaining a safe distance from the cranial cavity. Patient wants to stay in US. I just got replies from his staff, I have yet to talk to him about performing my modified version (it has 3 distinct modifications, one being the Subcranial nature). Hopefully he will accept the collaboration.
View attachment 2034029View attachment 2034030

are you a surgeon?

 

[othersitedown]

I can't fucking believe Eppley of all people would be the one to confirm that a cosmetic OBO for adult patients is possible and has been done before, but here we are.

Well he also mentions that it has to look so bad it's deformed. Most of the users here just look kinda bad and would get rejected.

 

[optimisticzoomer]

View attachment 2040496
Well he also mentions that it has to look so bad it's deformed. Most of the users here just look kinda bad and would get rejected.

He has changed his tone on obo. Seems more open to it now and said it could be done in general in an email reply months ago

 

[othersitedown]

He has changed his tone on obo. Seems more open to it now and said it could be done in general in an email reply months ago

are u getting it done with eppley

 

[optimisticzoomer]

are u getting it done with eppleyView attachment 2040505

I'm not saying who

 

[Deleted member 22381]

View attachment 2040509
I'm not saying who

For the best, otherwise forum autists will swamp him and we will lose yet another option for ipdcels

 

[Deleted member 22381]

View attachment 2040496
Well he also mentions that it has to look so bad it's deformed. Most of the users here just look kinda bad and would get rejected.

There's a longer blog style write up he has posted about the surgery and he takes a middle ground approach. Dosen't encourage it, doesnt't write it off, he simply explains how a client looking to get it will need to be very dedicated due to the magnitude of the procedure.

The thing about Eppley is that he has been known by PSL for ages now. He is so used to forum autists asking him stupid shit like "where's muh lefort 3 on local anesthesia???" that he often shuts that shit down fast. Not to mention his bread and butter is implants, so any osteotomy recommendations will be driving away his customer base. Still respect the guy, just have to put his repsonses in the proper context.

 

[FrenchChad]

And of course the reality is that the situation is much more complex than I thought JFL.

Oh well. My final verdict after driving myself insane over researching this problem for the past couple days is to simply camouflage the issue. There's actually a couple of in-depth threads on how to do this, basically the list is: creating longer eyebrow length so they extend past the edge of the eye, shaving the middle of the eyebrows to create a bigger gap, lateral cheekbone reduction, lateral orbital rim shaving, flattening the nasal bridge, increasing chin height, framing face with lower hairline and temple points, and overall just ascending the eye shape as much as you can. Obviously, it won't fix the root issue but it's good to know there are ways to minimize this failo. That IMO is enough for me, I'm just looking for feasible solutions here.

If you end up successfully pioneering a subcranial OBO technique and collaborate with Eppley to do it, god damn mad respect man. Excited to see where it goes.

How could temples peaks and increased chin height affect peirceveid ipd ?
I was asking to myself why Zayn's and Pitt ipd looked good despite being very low, it seems like the hairline plays a big role.
And yes styling the eyebrows is extremely legit, Jordan Barrett would look much worse if it wasn't for his very wide eyebrows.

 

[Deleted member 22381]

How could temples peaks and increased chin height affect peirceveid ipd ?
I was asking to myself why Zayn's and Pitt ipd looked good despite being very low, it seems like the hairline plays a big role.
And yes styling the eyebrows is extremely legit, Jordan Barrett would look much worse if it wasn't for his very wide eyebrows.

I was just listing off every single camouflage strategy I have come across on here, some are more legit then others. The absolute best thing one can do is try to fill in that empty space between your eyes and your temples, whether that be with long dense eyebrows or curtains hairstyle.

 

[DarkTetrad]

@DarkTetrad

didn’t ask for the opioniom of a certified loser

 

[ItsyBitsyJayhawk]

View attachment 2040509
I'm not saying who

You don't have to say the doctor's name, but can you let me know which approach you're going for? The 180° U-shaped osteotomy or the classic 360° one? I know I'm pretty late, but man, I would deeply appreciate a reply.

 

[ItsyBitsyJayhawk]

Unfortunately the 180° U-Shaped Osteotomy is going to be insufficient for the full correction of hypotelorism.

From focusing on this aesthetic problem in depth for 2 years now I can say for sure that IPD is not the most important metric (It’s just the most obvious sign of the problem. ICD and LOR-to-LOR are probably more important in setting foundational landmarks for the face). The entire periorbital contour is compressed and I have even design custom periorbital implants that camoflauge this problem (but the intercanthal distance and interpupillary distance stays the same.) Leaving out the upper part of the orbit is leaving a lot on the table

View attachment 2034026

The ultimate correction is a 360° orbital shift which has been my life’s work to devise a safe way of doing Subcranialy, through the frontal sinus, which I have:

View attachment 2034028


Interesting Eppley posted this since I was trying to contact him 2 weeks ago to perform this protocol on a patient with custom surgical guides to ensure maximal globe capture while maintaining a safe distance from the cranial cavity. Patient wants to stay in US. I just got replies from his staff, I have yet to talk to him about performing my modified version (it has 3 distinct modifications, one being the Subcranial nature). Hopefully he will accept the collaboration.
View attachment 2034029View attachment 2034030

What changes are observed if the IPD isn't affected? What's the point of this modified subcranial approach if it doesn't even address the issue at hand? I know I'm late but a reply would be greatly appreciated.

 

[RealSurgerymax]

What changes are observed if the IPD isn't affected? What's the point of this modified subcranial approach if it doesn't even address the issue at hand? I know I'm late but a reply would be greatly appreciated.

You are confusing periorbital implants with the modified orbital Osteotomy. My version of OBO Definitely changes the IPD.

 

[ItsyBitsyJayhawk]

You are confusing periorbital implants with the modified orbital Osteotomy. My version of OBO Definitely changes the IPD.

Well mad respect if you end up pioneering a surgical procedure of your own. You're literally making history.

 

[bobsmith03]

Tagging ipdcels @optimisticzoomer @Octavian_Augustus @bleksandre

View attachment 2033938

I can't fucking believe Eppley of all people would be the one to confirm that a cosmetic OBO for adult patients is possible and has been done before, but here we are.

This is huge boyos. This means we could get an OBO that is not only safer but much cheaper. The hardest part will be finding someone who knows how to perform this.

Massive lifefuel.

how safe is it to increase my IPD by 5mm?

 

[bobsmith03]

How could temples peaks and increased chin height affect peirceveid ipd ?
I was asking to myself why Zayn's and Pitt ipd looked good despite being very low, it seems like the hairline plays a big role.
And yes styling the eyebrows is extremely legit, Jordan Barrett would look much worse if it wasn't for his very wide eyebrows.

I think I look good with a low ipd. My PFL is 33mm, Inter canthal distance is 27mm. es ratio 0.45. So I need to increase IPD to 68-70mm to be ideal. dm me if u want pics