Has anyone successfully raised/straightened their lower lid long term?

[async]

I haven't seen any long term success stories on here with LLRR, I had canthopexy but it didn't do much to reduce scleral show.

Has anyone had success going from a 'normal' amount of scleral show to a tight mogger lower lid through surgery?

Added image of what I think is good below

 

[Are we in hell]

If you dont have good infras and cheek bones then a canthopexy will relapse

 

[koops]

There are definitely surgical results out there with a very straight lower lid, but these are usually taken not long after as you can guess. I've always wondered about the long term stability as well. I'm guessing that it must have at least a reasonable retention rate within the span of a few years after, otherwise you'd see much much more complaints about it

I'm gonna get infra implant + LERR in 2028 so I guess I'll let you know the long term results sometime around 2033, just wait and I will definitely share the experience okay

 

[async]

I'm gonna get infra implant + LERR in 2028 so I guess I'll let you know the long term results sometime around 2033, just wait and I will definitely share the experience okay

sounds good, will plan to get mine in 2035 if everything goes well for you.

 

[yussimania]

Did you fat graft infras with your canthopexy?

Also your example is hella autistic - not ideal at all

 

[async]

Did you fat graft infras with your canthopexy?

surgeon said he couldn't and i was retarded to not insist on a bleph at the time but im going back in a few months to get bleph/fat reposition + graft infras.

I'm not sure how much it will push it up or if it will even be noticeable.

Also your example is hella autistic - not ideal at all

i like it, what do u think is ideal? i've seen some better ones but i don't have pics saved.

 

[yussimania]

surgeon said he couldn't

That's why it didn't work for you

 

[tweaqoRevived]

There’s this thing called squinting

 

[IDontBlameAnybody]

I haven't seen any long term success stories on here with LLRR, I had canthopexy but it didn't do much to reduce scleral show.

Has anyone had success going from a 'normal' amount of scleral show to a tight mogger lower lid through surgery?

Added image of what I think is good below

View attachment 5384217

There is a photo in Bass's tiktok, it's the photo on his document. You can see that he actually just has a lower lid that has no scleral show, it just touches the iris. Something everyone with good lower lids and 0 scleral show have. The only difference is that his PFL is extremely good, thats why it looks so mogger.

 

[async]

There’s this thing called squinting

maybe its a bad example and he is squinting, but its not like its impossible to have a good lower lid with no scleral show

 

[grimlock]

LERR and canthopexy are two different things and not in the way you think.


Lower eyelid retraction is the issue, lower eyelid retraction REPAIR is the fix. under LERR you have multiple approaches for multiple different issues, if you have lateral lower eyelid laxity, the canthus is tightened via canthopexy such that it straightens the lower eyelid. if you have scleral show right below the iris + negative orbital vector, a cartilage (spacer) graft is used for raising the eyelid higher and this is a permanent result.

if you have scleral show but not much of a negative vector (this is decided by the surgeon as higher scleral show usually correlates with negative vector) lower eyelid retraction release is performed, the lower eyelid has "retractors" in place that hold it there. similar to the retractors in the upper eyelid like the mullers muscle which is what is augmented i ptosis correction. what is done is those are released so they sit higher, this has a low relapse rate compared to the traditional canthopexy too but isnt as permanent as cartilage graft.

diagram above shows how the retractor release is done

another criteria based on which surgeons decide is the degree of scleral show, if its greater than 2mm + lateral lower eyelid rounding, they go with the spacer graft. if its less than 2 mm + lateral rounding, canthopexy. if its just 2 mm, no lateral rounding, eyelid retractor release.


lastly no surgeon you find will perform any LERR procedure to the degree of the picture shown, they will only tighten the retractors untill they overlap the eyeball by 1 mm max. any higher than that you face the risks of looking like youre perma squinting, structural issues such as partial eyelid closure which leads to corneal damage, leading to blindness.

like look at this, it looks horrendous and im sure it looks worse in motion too, the eyeballs look like they want to escape his eyelids bec of how overtightened they look. it is 100% going to relapse very soon, dont try going for the aspie super narrow pfh look.

although it does become a problem when u have short pfl and for an ideal EAR u need smaller pfh but no surgeon will perform an such a high degree of retraction release

 

[Jgns]

LERR and canthopexy are two different things and not in the way you think.


Lower eyelid retraction is the issue, lower eyelid retraction REPAIR is the fix. under LERR you have multiple approaches for multiple different issues, if you have lateral lower eyelid laxity, the canthus is tightened via canthopexy such that it straightens the lower eyelid. if you have scleral show right below the iris + negative orbital vector, a cartilage (spacer) graft is used for raising the eyelid higher and this is a permanent result.

if you have scleral show but not much of a negative vector (this is decided by the surgeon as higher scleral show usually correlates with negative vector) lower eyelid retraction release is performed, the lower eyelid has "retractors" in place that hold it there. similar to the retractors in the upper eyelid like the mullers muscle which is what is augmented i ptosis correction. what is done is those are released so they sit higher, this has a low relapse rate compared to the traditional canthopexy too but isnt as permanent as cartilage graft.
View attachment 5417487
diagram above shows how the retractor release is done

another criteria based on which surgeons decide is the degree of scleral show, if its greater than 2mm + lateral lower eyelid rounding, they go with the spacer graft. if its less than 2 mm + lateral rounding, canthopexy. if its just 2 mm, no lateral rounding, eyelid retractor release.


lastly no surgeon you find will perform any LERR procedure to the degree of the picture shown, they will only tighten the retractors untill they overlap the eyeball by 1 mm max. any higher than that you face the risks of looking like youre perma squinting, structural issues such as partial eyelid closure which leads to corneal damage, leading to blindness.

View attachment 5417511


like look at this, it looks horrendous and im sure it looks worse in motion too, the eyeballs look like they want to escape his eyelids bec of how overtightened they look. it is 100% going to relapse very soon, dont try going for the aspie super narrow pfh look.

although it does become a problem when u have short pfl and for an ideal EAR u need smaller pfh but no surgeon will perform an such a high degree of retraction release

holy gem ty for that effortpost dude

 

[async]

LERR and canthopexy are two different things and not in the way you think.


Lower eyelid retraction is the issue, lower eyelid retraction REPAIR is the fix. under LERR you have multiple approaches for multiple different issues, if you have lateral lower eyelid laxity, the canthus is tightened via canthopexy such that it straightens the lower eyelid. if you have scleral show right below the iris + negative orbital vector, a cartilage (spacer) graft is used for raising the eyelid higher and this is a permanent result.

if you have scleral show but not much of a negative vector (this is decided by the surgeon as higher scleral show usually correlates with negative vector) lower eyelid retraction release is performed, the lower eyelid has "retractors" in place that hold it there. similar to the retractors in the upper eyelid like the mullers muscle which is what is augmented i ptosis correction. what is done is those are released so they sit higher, this has a low relapse rate compared to the traditional canthopexy too but isnt as permanent as cartilage graft.
View attachment 5417487
diagram above shows how the retractor release is done

another criteria based on which surgeons decide is the degree of scleral show, if its greater than 2mm + lateral lower eyelid rounding, they go with the spacer graft. if its less than 2 mm + lateral rounding, canthopexy. if its just 2 mm, no lateral rounding, eyelid retractor release.


lastly no surgeon you find will perform any LERR procedure to the degree of the picture shown, they will only tighten the retractors untill they overlap the eyeball by 1 mm max. any higher than that you face the risks of looking like youre perma squinting, structural issues such as partial eyelid closure which leads to corneal damage, leading to blindness.

View attachment 5417511


like look at this, it looks horrendous and im sure it looks worse in motion too, the eyeballs look like they want to escape his eyelids bec of how overtightened they look. it is 100% going to relapse very soon, dont try going for the aspie super narrow pfh look.

although it does become a problem when u have short pfl and for an ideal EAR u need smaller pfh but no surgeon will perform an such a high degree of retraction release

Thanks for the thorough reply, my vector is neutral so I'll consult with a few surgeons to see what they suggest.

https://looksmax.org/threads/surgery-with-vreck-disappointed.2126709/ This guy got spacer graft but said relapse was extremely quick, do you think this was this at fault of the surgeon or the method itself isn't always reliable?

 

[koops]

like look at this, it looks horrendous and im sure it looks worse in motion too, the eyeballs look like they want to escape his eyelids bec of how overtightened they look. it is 100% going to relapse very soon, dont try going for the aspie super narrow pfh look.

although it does become a problem when u have short pfl and for an ideal EAR u need smaller pfh but no surgeon will perform an such a high degree of retraction release

Yeah it is unfortunate for people who fall shy of ideal EAR, but ultimately it's better to have the ratio be slightly unideal than to have your eyes be like the stereotypical old man look. There seems to be wiggle room on what the ideal is anyways, I've seen some people say it's as low as 2.8+ - so clearly people don't NEED super narrow eyes regardless

 

[grimlock]

Thanks for the thorough reply, my vector is neutral so I'll consult with a few surgeons to see what they suggest.

https://looksmax.org/threads/surgery-with-vreck-disappointed.2126709/ This guy got spacer graft but said relapse was extremely quick, do you think this was this at fault of the surgeon or the method itself isn't always reliable?

Thanks for the thorough reply, my vector is neutral so I'll consult with a few surgeons to see what they suggest.

https://looksmax.org/threads/surgery-with-vreck-disappointed.2126709/ This guy got spacer graft but said relapse was extremely quick, do you think this was this at fault of the surgeon or the method itself isn't always reliable?

i just looked at his thread, alloderm graft is not a good material + could be surgeons fault. we also need to note that a measure of relapse should always be expected with any soft tissue surgery, even bone anchored cantho/ mitek screw cantho can relapse if you rub your eyes habitually