How good is canthopexy for SIMPLY lifting the outer canthi

[danilioqqq]

I just have outer corners slanting downward. Is canthopexy the way? Or maybe a temporal lift of some sort? How likely am I to get botched? Are results permanent?

I just need to lift it up a bit. It very much ruins the percieve CT. The pic was taken from above sorry i don't have anything better. 1mm pfl increase would also be nice

 

[async]

It’s exactly what the surgery does but you won’t see any increase in pfl

 

[danilioqqq]

It’s exactly what the surgery does but you won’t see any increase in pfl

ive heard it's not permanent?

 

[Jgns]

canthoplasty would also increase ur pfl which would help make ur eye area look much better and balance ur eyes

 

[Lookologist003]

canthoplasty would also increase ur pfl which would help make ur eye area look much better and balance ur eyes

@BronzeSpartan2

 

[Jgns]

@BronzeSpartan2

wait am i bugging, i havent really done research into it yet kinda just what ive been told and pieced tgth.

 

[imontheloose]

canthoplasty would also increase ur pfl which would help make ur eye area look much better and balance ur eyes

how? ur restricted by the lateral rim even if u decide to give urself a fish eye for the sake of max length. both ends of the fissure r tethered to the bone. https://pubmed.ncbi.nlm.nih.gov/27462562/ they get 3mm on avg here they claim, but u will need a tripod if u want proper pfl gains. u cant cheat the anatomy of ur rims, u cant go outside the orbits.

 

[Jgns]

how? ur restricted by the lateral rim even if u decide to give urself a fish eye for the sake of max length. both ends of the fissure r tethered to the bone. https://pubmed.ncbi.nlm.nih.gov/27462562/ they get 3mm on avg here they claim, but u will need a tripod if u want proper pfl gains. u cant cheat the anatomy of ur rims, u cant go outside the orbits.

yeah sorry ill be honest I was speaking outta my ass, dunning-kruger effect. But I was under the impression that a lateral canthoplasty could increase the lateral canthus by a few mm and increase the tilt positively a lil. 3mms in the eye area would still make a pretty obvious difference espc when combined with like 2-3 degrees of positive tilt (or am i wrong about that). anywaays EDUCATE ME NIGGA ty

 

[imontheloose]

yeah sorry ill be honest I was speaking outta my ass, dunning-kruger effect. But I was under the impression that a lateral canthoplasty could increase the lateral canthus by a few mm and increase the tilt positively a lil. 3mms in the eye area would still make a pretty obvious difference espc when combined with like 2-3 degrees of positive tilt (or am i wrong about that). anywaays EDUCATE ME NIGGA ty

the aesthetic difference here is from the tilt and laxity/lid. i advise u take a look at the pmc from the pm link i attached, they hv some nice figures n food for thought. the point is, pfl is never maximised since the rim is ur boundary anyway, hence y tripod is ur only escape. u will note the avg distance to the rim is some 5mm, if u push to chase this, ur using up tissue excursion, leaving less freedom 2 handle the rest. remember the main difference comes from other changes the surgery better addresses, so ur cost-benefit becomes increasingly awful. not to mention uve introduced complexity .

"The effect of lateral canthal lengthening may not be distinctive from the front view even when the lengthened amount is 3 mm or longer, because the main effect of lateral canthal lengthening is lateral posterior deepening while giving no significant change to the shape of the lower lid from the front view. Thus, to maximize the front view effect, lower lid lowering must be performed in combination with the lengthening"
^most of the lengthening is occurring posteriorly. the new canthus will naturally follow the globe: this lengthening isnt 2d. theres a reason lateral fornix is listed as a sort of cul-de-sac.



tldr its over 4 pflcel

 

[Jgns]

the aesthetic difference here is from the tilt and laxity/lid. i advise u take a look at the pmc from the pm link i attached, they hv some nice figures n food for thought. the point is, pfl is never maximised since the rim is ur boundary anyway, hence y tripod is ur only escape. u will note the avg distance to the rim is some 5mm, if u push to chase this, ur using up tissue excursion, leaving less freedom 2 handle the rest. remember the main difference comes from other changes the surgery better addresses, so ur cost-benefit becomes increasingly awful. not to mention uve introduced complexity .

View attachment 5369173

"The effect of lateral canthal lengthening may not be distinctive from the front view even when the lengthened amount is 3 mm or longer, because the main effect of lateral canthal lengthening is lateral posterior deepening while giving no significant change to the shape of the lower lid from the front view. Thus, to maximize the front view effect, lower lid lowering must be performed in combination with the lengthening"
^most of the lengthening is occurring posteriorly. the new canthus will naturally follow the globe: this lengthening isnt 2d. theres a reason lateral fornix is listed as a sort of cul-de-sac.

View attachment 5369134View attachment 5369061View attachment 5369142

tldr its over 4 pflcel

tysm for that thorough and well researched reply dude, ill be honest i gt sleep now my mommys telling me to tuck in since its 6 am. Didnt wnna leave u dnrd inrespect to this effort dude so ill look into all dis in the morning. Dr taban will get us right four shore though

 

[koops]

yeah sorry ill be honest I was speaking outta my ass, dunning-kruger effect. But I was under the impression that a lateral canthoplasty could increase the lateral canthus by a few mm and increase the tilt positively a lil. 3mms in the eye area would still make a pretty obvious difference espc when combined with like 2-3 degrees of positive tilt (or am i wrong about that). anywaays EDUCATE ME NIGGA ty

PFL has been kind of used by a buzzword lately I find, when people say PFL they really mean PFL to PFH (eye opening height) ratio, also known as eye aspect ratio. Most of what we perceive as PFL is just how narrow someone's eyes looks. So some dude gets lower eyelid surgery, he looks at himself and goes "woah! my eyes are more narrow and wide looking. My PFL went up" when in reality the PFL is the same. There are actually a lot of guys out there who have insanely low PFL but still have wide seeming eyes due to this

 

[async]

PFL has been kind of used by a buzzword lately I find, when people say PFL they really mean PFL to PFH (eye opening height) ratio, also known as eye aspect ratio. Most of what we perceive as PFL is just how narrow someone's eyes looks. So some dude gets lower eyelid surgery, he looks at himself and goes "woah! my eyes are more narrow and wide looking. My PFL went up" when in reality the PFL is the same. There are actually a lot of guys out there who have insanely low PFL but still have wide seeming eyes due to this

Agreed, most people mean perceived width which can vary a lot based on your lower lid state.

For me when I wake up and my lower lid is raised higher my perceived pfl looks really good despite my actual pfl not being average.

 

[Andremln]

ive heard it's not permanent?

Relapse can occur depending on your infraorbital bone, if you have no hard tissue supporting it, the gravitational pull can sag the skin and fat over time, which is why in some cases it is adviced to get implants before canthopexy or lower eyelid retraction

 

[koops]

Agreed, most people mean perceived width which can vary a lot based on your lower lid state.

For me when I wake up and my lower lid is raised higher my perceived pfl looks really good despite my actual pfl not being average.

Yeah exactly. I ascend the moment I go outside because the sunlight makes me squint a little lmao

 

[danilioqqq]

PFL has been kind of used by a buzzword lately I find, when people say PFL they really mean PFL to PFH (eye opening height) ratio, also known as eye aspect ratio. Most of what we perceive as PFL is just how narrow someone's eyes looks. So some dude gets lower eyelid surgery, he looks at himself and goes "woah! my eyes are more narrow and wide looking. My PFL went up" when in reality the PFL is the same. There are actually a lot of guys out there who have insanely low PFL but still have wide seeming eyes due to this

im just a genuine pflcel unfortunately
It's not like uncannily narrow but still very much so
and when i squint because of my hooding or whatever it makes it even worse

 

[tweaqoRevived]

how? ur restricted by the lateral rim even if u decide to give urself a fish eye for the sake of max length. both ends of the fissure r tethered to the bone. https://pubmed.ncbi.nlm.nih.gov/27462562/ they get 3mm on avg here they claim, but u will need a tripod if u want proper pfl gains. u cant cheat the anatomy of ur rims, u cant go outside the orbits.

After canthopexy I noticed I have a slight gap between my soft tissue and my bone, indicating my PFL slightly increased as the soft tissue was stretched, now I’m not sure if this is the case for everyone, or if it would even be a noticeable change in PFL.

In terms of tripod osteotomies, afaik it is a fever dream. I would be surprised if you can find a surgeon who can deliver an aesthetic result with this surgery. Unless anyone has results they can show me, I have seen very little.

PFL, at the moment with the technology we have currently, seems to be just one of those things that you’re born with or not. And you gotta live with it

 

[imontheloose]

After canthopexy I noticed I have a slight gap between my soft tissue and my bone, indicating my PFL slightly increased as the soft tissue was stretched, now I’m not sure if this is the case for everyone, or if it would even be a noticeable change in PFL.

In terms of tripod osteotomies, afaik it is a fever dream. I would be surprised if you can find a surgeon who can deliver an aesthetic result with this surgery. Unless anyone has results they can show me, I have seen very little.

PFL, at the moment with the technology we have currently, seems to be just one of those things that you’re born with or not. And you gotta live with it

i remember ur immediate po pic but this just sounds like ur lower lid has less lax n reduced ur pfh, so the proportional pfl is larger. in pexy, the commissure remains in tact, so theres no reserve tissue to turn into anymore fissure.

 

[nathan_Bs123]

canthoplasty would also increase ur pfl which would help make ur eye area look much better and balance ur eyes

canthopexy increases pfl too, more so in alot of cases