Is fat graft sufficient to solve lower scleral show?

[vribabble]

Wondering if infraorbital implants are an inevitable necessity, or if you can get away with fat graft + cantho. If you guys have any pre-post w/ evidence that would be great

 

[vermicel]

Canthopexy may be enough on its own.

 

[Lefor3Laser]

Wondering if infraorbital implants are an inevitable necessity, or if you can get away with fat graft + cantho. If you guys have any pre-post w/ evidence that would be great

Llr and fat grafts most likely, depends on the issue, but for many on this forum, this is what they need.

 

[lurking truecel]

Infra implants barely helps with that

 

[Lefor3Laser]

Infra implants barely helps with that

I remember talking to many users who did infras saying that they still had their old undereyes and that they said that they should've gotten fat grafts and lower eyelid retraction.

 

[vermicel]

lower eyelid retraction.

Isn't canthopexy the surgery by default to correct lower eyelid retraction and reduce scleral show ?

 

[lurking truecel]

I remember talking to many users who did infras saying that they still had their old undereyes and that they said that they should've gotten fat grafts and lower eyelid retraction.

Yea it doesnt help with that, but its stupid to think it would

 

[Lefor3Laser]

Isn't canthopexy the surgery by default to correct lower eyelid retraction and reduce scleral show ?

Chanto(plasty/pexy) work with the chantus, lower eyelid retraction on the other side tightens the eyelids.

 

[Don12456]

Yea it doesnt help with that, but its stupid to think it would

Would it help if the cause was actually bone deficiency? Eyes are droopy from recession?

 

[lurking truecel]

Would it help if the cause was actually bone deficiency? Eyes are droopy from recession?

It can help slightly like i said, but if its 1,5 mm + probably not. And its also depends design as it can actually make it worse

 

[Don12456]

It can help slightly like i said, but if its 1,5 mm + probably not. And its also depends design as it can actually make it worse

Any other cause of scleral show than orbital recession? Not negative canthal but just sclera

 

[lurking truecel]

Any other cause of scleral show than orbital recession? Not negative canthal but just sclera

Lack of skin laxity, but i mean it might come from lack of bones and then soft tissue adapted. But fixing bones wont make soft tissue good, you basically need both

 

[Resistance.]

Lack of skin laxity, but i mean it might come from lack of bones and then soft tissue adapted. But fixing bones wont make soft tissue good, you basically need both

In the meantime, let me tell you about one such situation. The person's eyes aren't wrinkled or droopy, but they have a downturned, scaly appearance. However, the lower eyelid appears quite firm, only slightly pulled down. I think a fat graft might be sufficient. What do you think?

 

[lurking truecel]

In the meantime, let me tell you about one such situation. The person's eyes aren't wrinkled or droopy, but they have a downturned, scaly appearance. However, the lower eyelid appears quite firm, only slightly pulled down. I think a fat graft might be sufficient. What do you think?

You cant see skin laxcity, everyone gets worse with age. And fat grsft just doesnt lift your lower eyelid. Maybe half a millimeter untill i resorps lol

 

[vribabble]

Llr and fat grafts most likely, depends on the issue, but for many on this forum, this is what they need.

Do you know of any surgeons who specifically do LLR?

 

[Accutane.and.ldar]

I would go with a canthopexy and the skin under the eye is very thin so implants are bad do fat grafting