How much vertical and anterior projection you Can achieve with supra and infraorbital rim implant?

[Deleted member 5385]

This project from Eppley show vertical projection with infraorbital implant- infraorbitals become square
Probably same Can be done with supraorbital rim implant to straighten and project supraorbital ringe to cover more eyeball
Question is how much vertical and anterior projection Can be achieved with and without soft tissue expansion before?
Actually tall middle third, short middle third, deep set Wide eyes are enough to mog 90percent and attract most People.
I am only afraid are supraorbital rim implants really able to affect vertical height of an orbit.

This is the most dramatic example of supraorbital ringe implant and still supraorbitals are round, it would actually looks like shit on this guy- recessed face, long midface, round orbits and then caveman tier browringe.

 

[Deleted member 5583]

dunno

 

[Mr.cope]

dunno

 

[Deleted member 6892]

View attachment 745560
This project from Eppley show vertical projection with infraorbital implant- infraorbitals become square
Probably same Can be done with supraorbital rim implant to straighten and project supraorbital ringe to cover more eyeball
Question is how much vertical and anterior projection Can be achieved with and without soft tissue expansion before?
Actually tall middle third, short middle third, deep set Wide eyes are enough to mog 90percent and attract most People.
I am only afraid are supraorbital rim implants really able to affect vertical height of an orbit.
View attachment 745592
This is the most dramatic example of supraorbital ringe implant and still supraorbitals are round, it would actually looks like shit on this guy- recessed face, long midface, round orbits and then caveman tier browringe.

can you do supraorbital implant if you have good browridge but your upper lid isnt straight?

 

[RichardwillImprove]

About 5 man.

 

[Warlow]

how stable are the implants? what are they made with? and they can really create square orbitals?

 

[RichardwillImprove]

Cant u just do orbital decompression with lower lid retraction to achieve the same results.

 

[Deleted member 5385]

how stable are the implants? what are they made with? and they can really create square orbitals?

Implants are really stable if good placed according to @RealSurgerymax
They Can be made with silicon, medpoor, titanium, PEEK and in the near future with bone made in 3d printer
Yes they Can create square orbitals but its really uncommon request according to Eppley

 

[Deleted member 5385]

Cant u just do orbital decompression with lower lid retraction to achieve the same results.

Orbital decompression decrease PFL and my is already good so no
Lid retraction along with lateral canthoplasty will be one of the things to create Hunter look

 

[Deleted member 5385]

About 5 man.

So 1cm of vertical decrease in orbital height

 

[Deleted member 5385]

can you do supraorbital implant if you have good browridge but your upper lid isnt straight?

Yes, The more hooding the better Also lateral ca tho for upper lid shape

 

[RichardwillImprove]

Implants are really stable if good placed according to @RealSurgerymax
They Can be made with silicon, medpoor, titanium, PEEK and in the near future with bone made in 3d printer
Yes they Can create square orbitals but its really uncommon request according to Eppley

With bone what the hell how near in the future Ill wait for that man.

 

[Warlow]

would you recommend going to taban and getting the ll retraction + lateral canthoplasty then doing the implant for square orbits are the other way around?

 

[Deleted member 5385]

With bone what the hell how near in the future Ill wait for that man.

3D Printed Implant Transforms Into Real Bone | Splice

Fractures typically mended with metal plates and screws could be replaced with 3D printed ceramic implants in the future. This means that treating severely

splice-bio.com

Mainly for fractures but Also will use it to augment for sure

 

[Deleted member 5385]

would you recommend going to taban and getting the ll retraction + lateral canthoplasty then doing the implant for square orbits are the other way around?

I don't know if Taban do lateralcantoplasty/pexy.
Also Yes since soft tissues will recover after that

 

[Deleted member 6892]

Yes, The more hooding the better Also lateral ca tho for upper lid shape

lateral canthoplasty or cathoplexy?

 

[Deleted member 5385]

lateral canthoplasty or cathoplexy?

IT depends since plasty cut your muscles and pexy use threads
Ask surgeon which is better for u

 

[RichardwillImprove]

Orbital decompression decrease PFL and my is already good so no
Lid retraction along with lateral canthoplasty will be one of the things to create Hunter look

Decreases by how much and im guessing only from the non medial canthus side.

 

[lasthope]

3D Printed Implant Transforms Into Real Bone | Splice

Fractures typically mended with metal plates and screws could be replaced with 3D printed ceramic implants in the future. This means that treating severely

splice-bio.com

Mainly for fractures but Also will use it to augment for sure

Holy shit I start saving for this shit

 

[RealSurgerymax]

Infraorbital
The physical limitations here are set by the risk for ectropion, where the eyelid is pulled away from the eyeball. Certain poorly done malar implants have caused this and scleral show. However Infraorbital implants, particularly those with a flange the goes over the infraorbital rim and slightly within the orbit guard against this well.

Usually the aesthetic limit will be met before the physical/biological limit.

Infraorbital implants anterior projection is usually between 3 and 5 millimeters anterior. Six would be a lot, and if you need any more than that you probably need orbital decompression.

About 2.5 to 4 millimeters vertical is a nice amount of vertical projection.

Supraorbital
The supraorbital soft tissues are much tighter than the Infraorbital.

In cases of extreme upper eyelid show or high-set supraorbital rims, the physical/biological limit may be reached before the ideal aesthetic limit can be met.

Depending how much anterior projection the implant provides, 4mm vertical, 3mm anterior is a realistic design.

If one needs more, then freeing more soft tissue from higher up on the forehead is one strategy to recruit more tissue to “stretch” and re-drape. This can even lower the eyebrows some depending on the implant design. With this modification, maybe 5, 6 or 7 millimeters could be obtained.

Tissue expansion is also an option but most people would probably rather not go through the staged process.

 

[Deleted member 5385]

Infraorbital
The physical limitations here are set by the risk for ectropion, where the eyelid is pulled away from the eyeball. Certain poorly done malar implants have caused this and scleral show. However Infraorbital implants, particularly those with a flange the goes over the infraorbital rim and slightly within the orbit guard against this well.

Usually the aesthetic limit will be met before the physical/biological limit.

Infraorbital implants anterior projection is usually between 3 and 5 millimeters anterior. Six would be a lot, and if you need any more than that you probably need orbital decompression.

About 2.5 to 4 millimeters vertical is a nice amount of vertical projection.

Supraorbital
The supraorbital soft tissues are much tighter than the Infraorbital.

In cases of extreme upper eyelid show or high-set supraorbital rims, the physical/biological limit may be reached before the ideal aesthetic limit can be met.

Depending how much anterior projection the implant provides, 4mm vertical, 3mm anterior is a realistic design.

If one needs more, then freeing more soft tissue from higher up on the forehead is one strategy to recruit more tissue to “stretch” and re-drape. This can even lower the eyebrows some depending on the implant design. With this modification, maybe 5, 6 or 7 millimeters could be obtained.

Tissue expansion is also an option but most people would probably rather not go through the staged process.

Thank you for answer
But who actually perform that
I have an idea only about Eppley and Yaremchuck