Is there a possibility that I can obtain psl eye area?

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DripInferno

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Do all psl gods obtain psl eye area or eyes better than my max potential?
 
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all black models who have great eye areas have defined and low browridges

you won't ever achieve this look even with botox and dropdown browridge implants

just give up and LDAR
 
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all black models who have great eye areas have defined and low browridges

you won't ever achieve this look even with botox and dropdown browridge implants

just give up and LDAR
What does LDAR mean?
 
all black models who have great eye areas have defined and low browridges

you won't ever achieve this look even with botox and dropdown browridge implants

just give up and LDAR
And thanks for the reality check! I was thinking I could get surgery to have an elite tier face but now I know I have no chance.
 
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Kind of a bad situation. Bad eye area but idk how you’d fix it.
I've never seen a person this stupid
When will he realise that it's impossible to obtain striking eye area naturally if you already have an average one
 
And thanks for the reality check! I was thinking I could get surgery to have an elite tier face but now I know I have no chance.
Bro dont act like a poor kitty, if u cant stand out to have one of the best eye areas on this planet doesnt make you worse than u can be, u still can improve it with all of the other things
Just dont shit ur pants all because u cant eye mog jordan barett😂
 
all black models who have great eye areas have defined and low browridges

you won't ever achieve this look even with botox and dropdown browridge implants

just give up and LDAR

1769187520965

Remember this guy who I said has a browridge height of 2.8.

OP's is 3.2 lol (shitty pic tbf)
1769187612123



O Pry is 1.2 on one side and 1.4 on the other side, but I'd say you're in gay alien territory at this point, especially if you don't have any other striking features. I bet Elias de Poot is in this range too
1769187809494


interesting to note that fat grafting almost halved the brow height in this case. I'm guessing the fat is pulling the brow down. Low key mogging O'Pry, because it doesn't even look like there's a lot of soft tissue hooding, it genuinely looks like the brows are that low. Look at O'Pry and compare.

1769188042874


1769188145964



So assuming fat grafting does this to everyone (it doesn't*), the best that OP could get to is this guy's before pic (but probably nowhere near due to non-existent browridge) .

*I'd be careful to assume that this is what fat grafting does to everyone, as from what I've seen it's more likely to create more of a hooded look than bringing the brow down like this. Probably a job for dropdown supra implants, but even then, miracles can't be performed
 
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View attachment 4571369
Remember this guy who I said has a browridge height of 2.8.

OP's is 3.2 lol (shitty pic tbf)
View attachment 4571378


O Pry is 1.2 on one side and 1.4 on the other side, but I'd say you're in gay alien territory at this point, especially if you don't have any other striking features. I bet Elias de Poot is in this range too
View attachment 4571388

interesting to note that fat grafting almost halved the brow height in this case. I'm guessing the fat is pulling the brow down. Low key mogging O'Pry, because it doesn't even look like there's a lot of soft tissue hooding, it genuinely looks like the brows are that low. Look at O'Pry and compare.

View attachment 4571394

View attachment 4571399


So assuming fat grafting does this to everyone (it doesn't*), the best that OP could get to is this guy's before pic (but probably nowhere near due to non-existent browridge) .

*I'd be careful to assume that this is what fat grafting does to everyone, as from what I've seen it's more likely to create more of a hooded look than bringing the brow down like this.
I think he might be frowning there (probably with botox to eliminate it being obvious) or using some sort of angle also his eyebrows got thicker vertically which can help fraud the setness - like you said fat grafting is to create a hooded look unless he had direct brow work done which in @SteveRogers post he doesn't say

when it comes to the brow there is projection and height - the latter is very hard to replicate directly but can be helped by some indirect shadowing and parallaxing from projection. fat can be used there for contouring and projection but it won't create that gay alien look you mentioned. It's similar to the way chin filler is applied in that they can't go directly down but have to go horizontally then vertically down (like a pair of stairs)

note how SOME neanderthals when reconstructed still have uee despite prominent supras?

1000094136
1000094142


Low setness is key and very hard to fully replicate without it being uncanny imo look at Liam's dropdown browridge implants results it was a world record and despite it being an improvement it still isn't enough to what these people "desire"

1000094145


and even in here too they're uncanny but still an improvement

Thread 'GIANT IMPLANTS Results (GTFIH)' https://looksmax.org/threads/giant-implants-results-gtfih.1806323/

but that's my 2 cents on it
 
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@bossman dnrd my post i thought this was a PSL circle jerk :confused:
 
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I think he might be frowning there (probably with botox to eliminate it being obvious) or using some sort of angle also his eyebrows got thicker vertically which can help fraud the setness - like you said fat grafting is to create a hooded look unless he had direct brow work done which in @SteveRogers post he doesn't say

when it comes to the brow there is projection and height - the latter is very hard to replicate directly but can be helped by some indirect shadowing and parallaxing from projection. fat can be used there for contouring and projection but it won't create that gay alien look you mentioned. It's similar to the way chin filler is applied in that they can't go directly down but have to go horizontally then vertically down (like a pair of stairs)

note how SOME neanderthals when reconstructed still have uee despite prominent supras?

View attachment 4571474View attachment 4571475

Low setness is key and very hard to fully replicate without it being uncanny imo look at Liam's dropdown browridge implants results it was a world record and despite it being an improvement it still isn't enough to what these people "desire"

View attachment 4571481

and even in here too they're uncanny but still an improvement

Thread 'GIANT IMPLANTS Results (GTFIH)' https://looksmax.org/threads/giant-implants-results-gtfih.1806323/

but that's my 2 cents on it
I haven’t measured anything, but even in this implant case doesn’t it look like the brows are in the same position and it’s just the UEE that has been reduced?

Maybe I’m stupid but I can’t help but think fat graft and botox could’ve done the same / better result.
I think he might be frowning there (probably with botox to eliminate it being obvious) or using some sort of angle also his eyebrows got thicker vertically which can help fraud the setness - like you said fat grafting is to create a hooded look unless he had direct brow work done which in @
SteveRogers
@SteveRogers post he doesn't say
And agreed, I think it’s somewhat achievable with botox.
 
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I haven’t measured anything, but even in this implant case doesn’t it look like the brows are in the same position and it’s just the UEE that has been reduced?

Maybe I’m stupid but I can’t help but think fat graft and botox could’ve done the same / better result.

And agreed, I think it’s somewhat achievable with botox.
you're correct his eyebrow position didn't change because the implant can't do that - eyebrows are controlled by muscles mainly but the rim acts as a shelf for the skin to drape against - if you have high supras and botox your eyebrows it's just gonna be a saggy mess

fat grafting wouldn't have gave him a "hood" look how open and concave the orbit is. in the after you can see the implant has covered the uee area almost eliminating it

now he can do botox to lower the eyebrows sufficiently without getting eyebrow ptosis or a negative eyebrow tilt since there is enough support for the eyebrow and skin to sit on - even then I doubt most injectors could get it good since they all do brow lifts not brow drops

however I don't think he can fat graft now because blood vessels can't be made due to the implant being in the way :unsure:
 
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I think he might be frowning there (probably with botox to eliminate it being obvious) or using some sort of angle also his eyebrows got thicker vertically which can help fraud the setness - like you said fat grafting is to create a hooded look unless he had direct brow work done which in @SteveRogers post he doesn't say

when it comes to the brow there is projection and height - the latter is very hard to replicate directly but can be helped by some indirect shadowing and parallaxing from projection. fat can be used there for contouring and projection but it won't create that gay alien look you mentioned. It's similar to the way chin filler is applied in that they can't go directly down but have to go horizontally then vertically down (like a pair of stairs)

note how SOME neanderthals when reconstructed still have uee despite prominent supras?

View attachment 4571474View attachment 4571475

Low setness is key and very hard to fully replicate without it being uncanny imo look at Liam's dropdown browridge implants results it was a world record and despite it being an improvement it still isn't enough to what these people "desire"

View attachment 4571481

and even in here too they're uncanny but still an improvement

Thread 'GIANT IMPLANTS Results (GTFIH)' https://looksmax.org/threads/giant-implants-results-gtfih.1806323/

but that's my 2 cents on it
do i have low eyebrow setness
 
Bro dont act like a poor kitty, if u cant stand out to have one of the best eye areas on this planet doesnt make you worse than u can be, u still can improve it with all of the other things
Just dont shit ur pants all because u cant eye mog jordan barett😂
Facts😂
 
you're correct his eyebrow position didn't change because the implant can't do that - eyebrows are controlled by muscles mainly but the rim acts as a shelf for the skin to drape against - if you have high supras and botox your eyebrows it's just gonna be a saggy mess

fat grafting wouldn't have gave him a "hood" look how open and concave the orbit is. in the after you can see the implant has covered the uee area almost eliminating it

now he can do botox to lower the eyebrows sufficiently without getting eyebrow ptosis or a negative eyebrow tilt since there is enough support for the eyebrow and skin to sit on - even then I doubt most injectors could get it good since they all do brow lifts not brow drops

however I don't think he can fat graft now because blood vessels can't be made due to the implant being in the way :unsure:
Yes agreed. I've never thought of this that much as my brow ridge isn't too bad. I should be saved with some fat grafting to eliminate UEE. It is truly over for those who need supra implants as they'll have to deal with Giant's shenanigans or give up.

On this topic, I'd appreciate your high IQ perspective on infra implants too.

I've been consulting with a lot of oculoplastic surgeons recently, all of whom are either implant-averse, or use off-the-shelf silicon for anterior support. However, they are all capable of achieving a very nice eye area like the Giant result you sent (at least when looking at the lower lid and infraorbital region) through orbital decompression, canthoplasty and lower lid retraction repair with spacer graft. Yaremchuk used to publish loads about fixing eye areas with infraorbital implants (I'm guessing no saddle), canthoplasty and a midface lift.

Yet the Giant result achieved this just with infraorbital implants with saddle. Now, as far as I'm aware if you want these kinds of implants the two people who've done them the most are Giant and Eppley, and now there are newer players trying to copy this style. However, too much saddle allegedly gives an uncanny permasquint look.

GPT suggested that some of these soft tissue procedures only work when the issues with the eye area are caused by old age and laxity, but this is clearly not true as these surgeons have also achieved the same results on younger patients who naturally have crappy eye areas too.

So, in what cases is saddle actually indicated, and when can a regular implant with eyelid / lifting work suffice? To me it seems like it's not worth the risk going for a saddle.
 
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I've been consulting with a lot of oculoplastic surgeons recently, all of whom are either implant-averse, or use off-the-shelf silicon for anterior support. However, they are all capable of achieving a very nice eye area like the Giant result you sent (at least when looking at the lower lid and infraorbital region) through orbital decompression, canthoplasty and lower lid retraction repair with spacer graft. Yaremchuk used to publish loads about fixing eye areas with infraorbital implants (I'm guessing no saddle), canthoplasty and a midface lift.

So, in what cases is saddle actually indicated, and when can a regular implant with eyelid / lifting work suffice? To me it seems like it's not worth the risk going for a saddle.
Interesting because I was thinking of this too at one point in terms of Orbital decompression + lid work + grafts vs saddled infras to mask the proptosis

how bad is your proptosis btw? How far does the eye specifically the corneal apex bulging out past the lower lid? If it's not that bad then saddles should do the trick.

Normal infras won't change the lower lid only saddled can - ditch that idea tbh unless you have a negative orbital vector in that case yeah go for it WITH Orbital decompression lid work and spacers because just spacers alone are limited and not for projection but for verticality if you have scleral show

1000094182


1000094175


see how her eyes got more "deepset" due to the lower lid coming forward - only saddled implants can do this (implant wise)

The results I've seen from Yaremchuck from a brief glance at his website are normal since they don't change the lower lid

1000094178


i cba to draw the lines but his corneal apex is still slightly infront of the lid

Thread 'Some notes on infraorbital implants, harmony, and the necessity of a saddle' https://looksmax.org/threads/some-n...harmony-and-the-necessity-of-a-saddle.776250/

you can see with the first thread I linked the dude had normal infras but his corneal apex is still infront of his lower lid

AFAIK the only way for you to mask your proptosis (has to be mild) without having to do orbital decompression is to anteriorly move the lower lid but that can only be done by SADDLED infras - no fat grafting will be able to push it out as the lower lid needs a supportive shelf rather than just volume unless it's placed behind the orbital septum but then you're just speed running yourself to a lower bleph due to eyebags

if your proptosis is bad (idk how to standardise the criteria between implant and Orbital decompression - a brief search tells me 3-4mm MAX you can get anteriorly with a saddled implant and if the amount you need to correct it is beyond that limit) then you should look into the occuplastic approach

However there are a bunch of issues with saddled implants and good luck finding a mainstream surgeon to do it for you :forcedsmile:
 
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Interesting because I was thinking of this too at one point in terms of Orbital decompression + lid work + grafts vs saddled infras to mask the proptosis

how bad is your proptosis btw? How far does the eye specifically the corneal apex bulging out past the lower lid? If it's not that bad then saddles should do the trick.

Normal infras won't change the lower lid only saddled can - ditch that idea tbh unless you have a negative orbital vector in that case yeah go for it WITH Orbital decompression lid work and spacers because just spacers alone are limited and not for projection but for verticality if you have scleral show

View attachment 4572653

View attachment 4572477

see how her eyes got more "deepset" due to the lower lid coming forward - only saddled implants can do this (implant wise)

The results I've seen from Yaremchuck from a brief glance at his website are normal since they don't change the lower lid

View attachment 4572500

i cba to draw the lines but his corneal apex is still slightly infront of the lid

Thread 'Some notes on infraorbital implants, harmony, and the necessity of a saddle' https://looksmax.org/threads/some-n...harmony-and-the-necessity-of-a-saddle.776250/

you can see with the first thread I linked the dude had normal infras but his corneal apex is still infront of his lower lid

AFAIK the only way for you to mask your proptosis (has to be mild) without having to do orbital decompression is to anteriorly move the lower lid but that can only be done by SADDLED infras - no fat grafting will be able to push it out as the lower lid needs a supportive shelf rather than just volume unless it's placed behind the orbital septum but then you're just speed running yourself to a lower bleph due to eyebags

if your proptosis is bad (idk how to standardise the criteria between implant and Orbital decompression - a brief search tells me 3-4mm MAX you can get anteriorly with a saddled implant and if the amount you need to correct it is beyond that limit) then you should look into the occuplastic approach

However there are a bunch of issues with saddled implants and good luck finding a mainstream surgeon to do it for you :forcedsmile:
Yes that’s the thing - it’s actually easier to do a natural and safe OD than saddled infras. The legendary Dr Douglas said I only need ~3mm of decompression.

My crap eye area is a combination of proptosis, negative vector morphology and shitty soft tissue. So the most effective result is going to come from a combination treatment like Taban does that involves implants, OD and lid work.

So I’m planning on an OD. I have seen so many beautiful natural results from cosmetic OD and saddled infras are not as promising.

I guess my question is, does saddled infras provide any benefit over the standard combination treatment that is practiced in oculoplastics? I’m hoping there isn’t.
 
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Yes that’s the thing - it’s actually easier to do a natural and safe OD than saddled infras. The legendary Dr Douglas said I only need ~3mm of decompression.

My crap eye area is a combination of proptosis, negative vector morphology and shitty soft tissue. So the most effective result is going to come from a combination treatment like Taban does that involves implants, OD and lid work.

So I’m planning on an OD. I have seen so many beautiful natural results from cosmetic OD and saddled infras are not as promising.

I guess my question is, does saddled infras provide any benefit over the standard combination treatment that is practiced in oculoplastics? I’m hoping there isn’t.
OD combination mogs it but i'm not aware of the risks

how many walls for orbital decompression are you gonna do? The lateral one alone I assume if it's 3mm
 
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OD combination mogs it but i'm not aware of the risks

how many walls for orbital decompression are you gonna do? The lateral one alone I assume if it's 3mm
Yes lateral and fat according to Douglas but not going with him as he’s so expensive. Think all surgeons are gonna say the same thing though.

Yeah, I’m actually kinda curious about how to distinguish between proptosis and negative vector morphology in such borderline cases. But, combination mogs for sure
 
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how to distinguish between proptosis and negative vector morphology in such borderline cases. But, combination mogs for sure
proptosis - corneal apex going past the lower lid

negative vector - visible backward tilt between the lower lid and midface
 
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99% sure I've read somewhere that @SteveRogers also used botox to lower his eyebrows in the past.
 
proptosis - corneal apex going past the lower lid

negative vector - visible backward tilt between the lower lid and midface
That's also why the view that OD is a meme surgery and 'you just need to bring the face forward, not the eyes back', is a misconception. There are possible cases where non-diseased eyes actually are forward and it is not just the bones that are to blame (e.g. myopes). And especially some phenos will tend to present with both proptosis and a shallow midface. Trying to solve this with only one out of OD and implants will require either a risky decompression (multiple walls/4 mm+) or an unnatural amount of midface building (because positive vector with proptosis will look very weird).

This is easily tested if you have a scan/side profile image with a known and accurate scale in mm. Translate the corneal apex back the amount of mm planned from decompression. Then drop a vertical line down from that point. Orbital vector is measured as corneal apex vs cheek line (not, as this forum sometimes thinks, by corneal apex/lower lid vs tear trough projection). So if the anterior-most point of the lower eyelid is now ahead of that line, but the anterior-most point of the cheek contour is still behind, then you will also need midface augmentation (most likely implants). @bossman I did this for myself further to our conversation and my midface indeed fails this line test even though the planned decompression is exactly enough to make the lid pass it.

But I don't understand the role of saddles at all, they seem redundant. The point of saddles is that there will be a step off otherwise; the lid-cheek transition won't be smooth. However you can fat graft there which is what good surgeons offer to compensate when doing non-saddle. But saddles are also supposed to push the lid up, so that's a distinct purpose. However if you're doing OD and lid work anyway then this is again redundant. Given the theoretical risks of saddles, why do them then? @yussimania

And incidentally Dr Douglas claims that off the shelf silicone infras can raise the lid as well (unless he is doing saddles and I am unaware). Apparently the below case had pending retraction post OD (above) and placing an implant afterwards corrected it (below).
1769286403779
 
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But I don't understand the role of saddles at all, they seem redundant. The point of saddles is that there will be a step off otherwise; the lid-cheek transition won't be smooth. However you can fat graft there which is what good surgeons offer to compensate when doing non-saddle. But saddles are also supposed to push the lid up, so that's a distinct purpose. However if you're doing OD and lid work anyway then this is again redundant. Given the theoretical risks of saddles, why do them then? @yussimania
For fat grafting to anteriorly project the lower lid you need to place the fat behind the orbital septum

the standard fat graft is the tear trough area which is filled in - this won't move the lower lid anteriorly relative to the corneal apex

when we place fat behind the orbital septum we risk having eye bags develop which is due to too much fat behind the orbital septum

fat grafting is for volume not for bony shelf support which is why saddled implants are superior

but if you're having orbital decompression work done combined with lid work, spacer grafts, fat grafting and infraorbital implants that's the best outcome

some people don't wanna do allat and are scared of OD because of Tufano - having implant problems (except infection) is better than losing vision

also welcome to the PSL circle jerk :love:
 
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For fat grafting to anteriorly project the lower lid you need to place the fat behind the orbital septum

the standard fat graft is the tear trough area which is filled in - this won't move the lower lid anteriorly relative to the corneal apex

when we place fat behind the orbital septum we risk having eye bags develop which is due to too much fat behind the orbital septum

fat grafting is for volume not for bony shelf support which is why saddled implants are superior

but if you're having orbital decompression work done combined with lid work, spacer grafts, fat grafting and infraorbital implants that's the best outcome
No I get that saddles are not merely for raising the lid upwards but for shifting the base of the lid forward so that the lid is not curving back into the midface. I'm questioning saddles' purpose specifically in the combination where you're also doing OD and lid work. Because reducing proptosis via OD should achieve the same result, albeit in the opposite way. Like this:
1769288625171

And after this you only need tear trough smoothing which fat can surely do? I mean I'd still do saddles if not for the risks, but given what they are, if doing OD anyway I don't understand the point.
some people don't wanna do allat and are scared of OD because of Tufano - having implant problems (except infection) is better than losing vision
0.5% chance of (correctable) double vision and 1 in 30,000 of losing vision, vs whatever risks come with saddles. However this won't save anyone when they hit the mythical 1 in 10 gorillion CSF leak during deep lateral decompression and fucking die :forcedsmile:

also welcome to the PSL circle jerk :love:
Thanks bhai :owo: this stuff is fun to learn and understand lol
 
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No I get that saddles are not merely for raising the lid upwards but for shifting the base of the lid forward so that the lid is not curving back into the midface. I'm questioning saddles' purpose specifically in the combination where you're also doing OD and lid work. Because reducing proptosis via OD should achieve the same result, albeit in the opposite way. Like this:
View attachment 4576226
And after this you only need tear trough smoothing which fat can surely do? I mean I'd still do saddles if not for the risks, but given what they are, if doing OD anyway I don't understand the point.

0.5% chance of (correctable) double vision and 1 in 30,000 of losing vision, vs whatever risks come with saddles. However this won't save anyone when they hit the mythical 1 in 10 gorillion CSF leak during deep lateral decompression and fucking die :forcedsmile:


Thanks bhai :owo: this stuff is fun to learn and understand lol
oooh i see what u asked now

saddle is basically redundant in that case then when solely trying to fix proptosis aesthetically

it would be unnecessary, overkill and very expensive

also good luck finding a surgeon to do all of this
 
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oooh i see what u asked now

saddle is basically redundant in that case then when solely trying to fix proptosis aesthetically

it would be unnecessary, overkill and very expensive
@bossman there you go
We are saved :love:
We yes we are making it to our 80s with no damage to our orbital septums from plastic molesting it daily
 
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@bossman there you go
We are saved :love:
We yes we are making it to our 80s with no damage to our orbital septums from plastic molesting it daily
this is a lurking truecel theory i dont think this has been documented in any medical literature as a complication
 
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this is a lurking truecel theory i dont think this has been documented in any medical literature as a complication
What are the documented risks? Also I thought the main concern with saddles is that they're a recent invention so there is simply no long-term data, especially for how they hold up in older ages.
 
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proptosis - corneal apex going past the lower lid

negative vector - visible backward tilt between the lower lid and midface
It occurred to me that this distinction might also matter for the subject of lid retraction.

It is said by all oculoplastics that it is negative vector morphology that is the risk factor for lid retraction and for failure of lid work. But just by common sense it seems to me that proptosis is what should cause far more risk. Proptosis obviously adds to negative vector so I wonder if the two terms are being conflated here.

Under proptosis the lid is being asked to stretch over a globe that is anterior to it - obviously this will cause an issue. If you completely eliminate proptosis such that the lid is now anterior to the globe, why should it matter that the cheek remains a couple of mm behind the lid? The logic is supposed to be that it lacks structural support under it. But why does it need that post OD, why would the lid-bone relationship matter and not just the lid-globe, for retraction?

This has important implications because it's the difference between implants being just a cosmetic choice to get the most ideal result vs implants being mandatory for the OD + lid work results to hold. But I understand why most oculoplastics would use proptosis and negative vector interchangeably, as OD is not on the table for them so the terms are effectively synonymous for the purpose of treatment. Orbital surgeons also use the term negative vector, though.

What do you think?
 
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It occurred to me that this distinction might also matter for the subject of lid retraction.

It is said by all oculoplastics that it is negative vector morphology that is the risk factor for lid retraction and for failure of lid work. But just by common sense it seems to me that proptosis is what should cause far more risk. Proptosis obviously adds to negative vector so I wonder if the two terms are being conflated here.

Under proptosis the lid is being asked to stretch over a globe that is anterior to it - obviously this will cause an issue. If you completely eliminate proptosis such that the lid is now anterior to the globe, why should it matter that the cheek remains a couple of mm behind the lid? The logic is supposed to be that it lacks structural support under it. But why does it need that post OD, why would the lid-bone relationship matter and not just the lid-globe, for retraction?

This has important implications because it's the difference between implants being just a cosmetic choice to get the most ideal result vs implants being mandatory for the OD + lid work results to hold. But I understand why most oculoplastics would use proptosis and negative vector interchangeably, as OD is not on the table for them so the terms are effectively synonymous for the purpose of treatment. Orbital surgeons also use the term negative vector, though.

What do you think?
bit hard to understand maybe Im too low IQ for it - by lid retraction you are referring to this?

1000094360
 
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bit hard to understand maybe Im too low IQ for it - by lid retraction you are referring to this?

View attachment 4577048
Yes, inferior scleral show. Pre-existing or in the context of what I asked, the relapse of the lid work so the lid that was raised up comes down again.
 
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This is easily tested if you have a scan/side profile image with a known and accurate scale in mm. Translate the corneal apex back the amount of mm planned from decompression.
Very clever method - but how exactly did you do this?
 
Very clever method - but how exactly did you do this?
Measure length between two points tool in ct scan viewer

Well, there was still a bit of work to do because it only lets you measure on bone, not on soft tissue (afaik), even thought both models use the same mm scale. So I had to make a reference line of x mm on bone and then measure the pixel length of that line and use the ratio of mm to pixels to derive the line for my decompression mm. Can't be too inaccurate, if not to calculate your exact infra deficiency then at least to diagnose you as deficient or not deficient.

Then I placed the decompression line I derived against the corneal apex on the soft tissue model of the scan and then drew a vertical line down from the end of it. There must be better methods but this is what I did with my very limited knowledge of navigating ct scan softwares.
 
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