lurking truecel
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Okey, lower eye, one of the most talked about features on this site, people wanting infras, fat graft, bleph, cantho etc. But how do you really know what to get, hopefully this guide might be to some help.
lets start with some important anatomy:
in the pic below you can see postive and negative vector, the green line is the orbital septum. It is a important piece here as its divides two area of fat pads on the inside of the eye(yellow) from the one on the outside(red). fat graft is grafted in the red area, and blepho removes fat and repositions it even on the inside of the septum(yellow area). This weakens with time and is weak from the start if infra or eye orbits are round enough.
okey, let continue with the problems, and there are two distinct problems, and one problem that often follow the other two problems:
I will show how it looks and the reason for it first, then how differentiate between the two distinct ones.
1. first distinct problem we have the hollow eyes look:
Hollowed eyes are characterized by a hollowing around the eyes, basically lack of fat for the most part, its often accompanied by a discoloration.
This makes the nasujugal groves more visible which is the line from the inner canthus down the cheek.
and the reason is you lack fat basically, in the region marked below
.
2. The second distinct problem one can have is excess skin or also known as under eye bags
The characteristics off a undereye bags is fat bulging out rather then the eyes being hollowed.
Both of them causes nasujugal grooves, but for diffrent reasons.
As we can see below the reason for eyebags is the weakining of the orbital septum. This happens naturally with age for many people but some are unlucky to have it in early age.
3. The eye problem that is often accompanying this two problems is the schleral show.
the characteristics of schleral show is basically seeing the white under the pupils
The reason is either bad laxity or extremly bad infra bone, often both.
How do one differientiate between hollow eyes and under eye bags?
Many people on this forum often confuse this part.
basically it is:
-people with undereye bags has too much fat behind the orbital septum.
-and people with hollowed eyes just have problem with fat infront of the septum.
The photo below explains it anatomically, left is under eyebags and right is hollowed eyes. look at the purple rings and what they point too.
Under eye bags causes bulging of fat and therefore causes wrinkles and even some dicoluration as the veins are pushed outwards so they are placed shallowly.
hollow eyes have causes wrinkles because lack of fat, and when more fat in the cheeks it becomes a wrinkle. and discolouration comes from lack of fat covering the blood vessels.( some discoloration is just pigmentation and is a skin related thing treated with laser)
Surgical solutions:
Under eye hollows is lack of fat infront of the orbital septum or the general undereye region, so here fat grafting is the solution.
some fat grafting result:
under eye bags is because its too much fat or because the orbital septum is weak, this is fixed with blephoplasty and fat reposition, maybe additional fat grafting too.
result from bleph and fat repositioning:
Schleral show is because of lack of laxity in the under eye lid, this is fixed with a lateral canthoplasty, canthoplasty, canthopexy or some other kind of eyelid retraction procedure.
result from some lower eyelid retractions type surgeries:
But hello, what about the infra orbital implant, when should i consider this?
The reason someone would need a infra orbital implant or tear through implant is when a person has negative vector.
This is illustrated in the pic below that other people shared here too.
This will not solve the problem with hollowing or lower eye bags, but it can be used in combination with the other surgery solutions for that extra touch up and bone support.
Lack of bone might the reason for your problems and why the soft tissue is what it is, but the soft tissue will not be solved by bone augmentation.
WHY ONE SHOULD BE CAREFUL WITH SADDLE IMPLANTS, according to my critical view(Ai confirmed it if it means anything):
If you do a big saddle, you can cause mechanical harm to the orbital septum which can create schleral show and problems with time. This is the reason many surgeons dont want to do big saddles. because as you blink and move the eye the orbital septum will take damage.
Another thing is that with time you lose bone in the orbital and then the orbital septum will take even more mechanical stress. This is more a hypothetical but its worth thinking about and consider so you can make a good decision.
other good threads about under eye region:
looksmax.org
looksmax.org
lets start with some important anatomy:
in the pic below you can see postive and negative vector, the green line is the orbital septum. It is a important piece here as its divides two area of fat pads on the inside of the eye(yellow) from the one on the outside(red). fat graft is grafted in the red area, and blepho removes fat and repositions it even on the inside of the septum(yellow area). This weakens with time and is weak from the start if infra or eye orbits are round enough.
okey, let continue with the problems, and there are two distinct problems, and one problem that often follow the other two problems:
I will show how it looks and the reason for it first, then how differentiate between the two distinct ones.
1. first distinct problem we have the hollow eyes look:
Hollowed eyes are characterized by a hollowing around the eyes, basically lack of fat for the most part, its often accompanied by a discoloration.
This makes the nasujugal groves more visible which is the line from the inner canthus down the cheek.
and the reason is you lack fat basically, in the region marked below
.
2. The second distinct problem one can have is excess skin or also known as under eye bags
The characteristics off a undereye bags is fat bulging out rather then the eyes being hollowed.
Both of them causes nasujugal grooves, but for diffrent reasons.
As we can see below the reason for eyebags is the weakining of the orbital septum. This happens naturally with age for many people but some are unlucky to have it in early age.
3. The eye problem that is often accompanying this two problems is the schleral show.
the characteristics of schleral show is basically seeing the white under the pupils
The reason is either bad laxity or extremly bad infra bone, often both.
How do one differientiate between hollow eyes and under eye bags?
Many people on this forum often confuse this part.
basically it is:
-people with undereye bags has too much fat behind the orbital septum.
-and people with hollowed eyes just have problem with fat infront of the septum.
The photo below explains it anatomically, left is under eyebags and right is hollowed eyes. look at the purple rings and what they point too.
Under eye bags causes bulging of fat and therefore causes wrinkles and even some dicoluration as the veins are pushed outwards so they are placed shallowly.
hollow eyes have causes wrinkles because lack of fat, and when more fat in the cheeks it becomes a wrinkle. and discolouration comes from lack of fat covering the blood vessels.( some discoloration is just pigmentation and is a skin related thing treated with laser)
Surgical solutions:
Under eye hollows is lack of fat infront of the orbital septum or the general undereye region, so here fat grafting is the solution.
some fat grafting result:
under eye bags is because its too much fat or because the orbital septum is weak, this is fixed with blephoplasty and fat reposition, maybe additional fat grafting too.
result from bleph and fat repositioning:
Schleral show is because of lack of laxity in the under eye lid, this is fixed with a lateral canthoplasty, canthoplasty, canthopexy or some other kind of eyelid retraction procedure.
result from some lower eyelid retractions type surgeries:
But hello, what about the infra orbital implant, when should i consider this?
The reason someone would need a infra orbital implant or tear through implant is when a person has negative vector.
This is illustrated in the pic below that other people shared here too.
This will not solve the problem with hollowing or lower eye bags, but it can be used in combination with the other surgery solutions for that extra touch up and bone support.
Lack of bone might the reason for your problems and why the soft tissue is what it is, but the soft tissue will not be solved by bone augmentation.
WHY ONE SHOULD BE CAREFUL WITH SADDLE IMPLANTS, according to my critical view(Ai confirmed it if it means anything):
If you do a big saddle, you can cause mechanical harm to the orbital septum which can create schleral show and problems with time. This is the reason many surgeons dont want to do big saddles. because as you blink and move the eye the orbital septum will take damage.
Another thing is that with time you lose bone in the orbital and then the orbital septum will take even more mechanical stress. This is more a hypothetical but its worth thinking about and consider so you can make a good decision.
other good threads about under eye region:
Complete Guide To Eye Area
First post in over a year but I would stop by and drop some knowledge I think you guys will appreciate. This will be a complete in-depth guide to everything eye area which is a lot more complex than you probably think. 1. Medial Canthus Positioning While its common knowledge PCT > NCT, the...
looksmax.org
NO BS GUIDE: curing a subhuman eye area (abused dogs GTFIH)
Some people will tell you that it doesn't matter how strong your facial features are, if your eye area is below the MTN range there is no salvation. It is truly a make or break area of the face. Considering my eyes are one of my largest failos and I see many here struggling with theirs I'll...
looksmax.org
