Ptosis Repair Surgery: are YOU a candidate?

[Deleted member 80642]

Many of you have probably seen my thread:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

And noticed that I had decent results, so naturally want a similar surgical outcome.

However, many people also may not understand the use of these surgeries, specifically Ptosis Repair, and who is indicated for it.


In this short thread I will explain who is and isn't indicated for ptosis repair


Firstly here is someone who HAS upper eyelid exposure, but is still not indicated for Ptosis repair.

As you can see he clearly has some UEE, but ptosis repair in this case would not give an aesthetic benefit. It would only risk overcorrecting and making you not be able to close eyes properly. Hardly any of the upper eyelid is covering any of the iris, and none of the pupil.



Next we have someone who is CLINICALLY indicated for ptosis repair surgery:

As you can see the eyelids are sagging far down enough that it is covering a significant amount of the iris, and even part of the pupils. This is where, if causing eyesight issues, you could get this surgery medically covered.



And finally you have my case, someone who is NOT medically/clinically indicated for Ptosis Repair surgery, but would benefit aesthetically from it.

Image quality is not ideal, but there is no part of the upper eyelid that would sag far down enough to cover my pupils, but enough to have a semi significant amount covering the iris.



So it is important to figure out which one you are. To see whether you are indicated for this surgery or not.

@yussimania
@lurking truecel
@LEFORT17
@DnrGriffith
@cortisolman2

 

[DnrGriffith]

Nice thread bhai

 

[LackEmpathyTherefor]

Good shit

 

[Rbhkzz]

great post was looking for this litch a sec ago

 

[Kyriae]

Yeah I have these on both of my eyes(ptosis) when relaxed. Left side pupil I can see my eyelid and lashes clearly.

 

[Assymetry]

Ptosis or negative canthal tilt on my right eye? I should have taken a better look at my ct scan. I have a lateral open bite on my left side and my left leg is 0,5cm shorter than my right leg. I am already getting saddled infra-malars soon (hopefully I can add a canthopexy).

 

[Shobek]

I believe the main indication is whether the eyelid obstructs the pupil.
This is also an effective way to evaluate asymmetry.

For example, you can clearly see that the left eye (our right) shows more iris above the pupil, while the other does not.

 

[shedontluv-U]

Many of you have probably seen my thread:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

And noticed that I had decent results, so naturally want a similar surgical outcome.

However, many people also may not understand the use of these surgeries, specifically Ptosis Repair, and who is indicated for it.


In this short thread I will explain who is and isn't indicated for ptosis repair


Firstly here is someone who HAS upper eyelid exposure, but is still not indicated for Ptosis repair.
View attachment 4810476
As you can see he clearly has some UEE, but ptosis repair in this case would not give an aesthetic benefit. It would only risk overcorrecting and making you not be able to close eyes properly. Hardly any of the upper eyelid is covering any of the iris, and none of the pupil.



Next we have someone who is CLINICALLY indicated for ptosis repair surgery:
View attachment 4810477
As you can see the eyelids are sagging far down enough that it is covering a significant amount of the iris, and even part of the pupils. This is where, if causing eyesight issues, you could get this surgery medically covered.



And finally you have my case, someone who is NOT medically/clinically indicated for Ptosis Repair surgery, but would benefit aesthetically from it.
View attachment 4810478
Image quality is not ideal, but there is no part of the upper eyelid that would sag far down enough to cover my pupils, but enough to have a semi significant amount covering the iris.



So it is important to figure out which one you are. To see whether you are indicated for this surgery or not.

@yussimania
@lurking truecel
@LEFORT17
@DnrGriffith
@cortisolman2

W

 

[WrathOfOlives]

I did it, helped my ass out a lot

 

[Kyriae]

Mine is congenital or something happened between 8-10 because here's a picture of me as a 12y.o with my eyelid covering the top of my pupil. Before this point my pictures looked alright in terms of my eyes.
Wild how I haven't gotten it fixed yet, but I'm up for consultation this week with a oculoplastic surgeon.

 

[shedontluv-U]

Goat

 

[marled]

What about my left eye? (Also left on image). I have shitty eye area so I don't know if it will be worth it. Would also add fat grafting

 

[Lefor3Laser]

Many of you have probably seen my thread:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

And noticed that I had decent results, so naturally want a similar surgical outcome.

However, many people also may not understand the use of these surgeries, specifically Ptosis Repair, and who is indicated for it.


In this short thread I will explain who is and isn't indicated for ptosis repair


Firstly here is someone who HAS upper eyelid exposure, but is still not indicated for Ptosis repair.
View attachment 4810476
As you can see he clearly has some UEE, but ptosis repair in this case would not give an aesthetic benefit. It would only risk overcorrecting and making you not be able to close eyes properly. Hardly any of the upper eyelid is covering any of the iris, and none of the pupil.



Next we have someone who is CLINICALLY indicated for ptosis repair surgery:
View attachment 4810477
As you can see the eyelids are sagging far down enough that it is covering a significant amount of the iris, and even part of the pupils. This is where, if causing eyesight issues, you could get this surgery medically covered.



And finally you have my case, someone who is NOT medically/clinically indicated for Ptosis Repair surgery, but would benefit aesthetically from it.
View attachment 4810478
Image quality is not ideal, but there is no part of the upper eyelid that would sag far down enough to cover my pupils, but enough to have a semi significant amount covering the iris.



So it is important to figure out which one you are. To see whether you are indicated for this surgery or not.

@yussimania
@lurking truecel
@LEFORT17
@DnrGriffith
@cortisolman2

Yep, finally someone does understand the difference (not saying you don't, you did the surgery specifically for this wich means you are documented), but putting the info to the others to umderstand.

 

[slaminnnn1]

Many of you have probably seen my thread:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

And noticed that I had decent results, so naturally want a similar surgical outcome.

However, many people also may not understand the use of these surgeries, specifically Ptosis Repair, and who is indicated for it.


In this short thread I will explain who is and isn't indicated for ptosis repair


Firstly here is someone who HAS upper eyelid exposure, but is still not indicated for Ptosis repair.
View attachment 4810476
As you can see he clearly has some UEE, but ptosis repair in this case would not give an aesthetic benefit. It would only risk overcorrecting and making you not be able to close eyes properly. Hardly any of the upper eyelid is covering any of the iris, and none of the pupil.



Next we have someone who is CLINICALLY indicated for ptosis repair surgery:
View attachment 4810477
As you can see the eyelids are sagging far down enough that it is covering a significant amount of the iris, and even part of the pupils. This is where, if causing eyesight issues, you could get this surgery medically covered.



And finally you have my case, someone who is NOT medically/clinically indicated for Ptosis Repair surgery, but would benefit aesthetically from it.
View attachment 4810478
Image quality is not ideal, but there is no part of the upper eyelid that would sag far down enough to cover my pupils, but enough to have a semi significant amount covering the iris.



So it is important to figure out which one you are. To see whether you are indicated for this surgery or not.

@yussimania
@lurking truecel
@LEFORT17
@DnrGriffith
@cortisolman2

 

[ICL]

someone who HAS upper eyelid exposure, but is still not indicated for Ptosis repair.

Fix: Orbital decompression

Next we have someone who is CLINICALLY indicated for ptosis repair surgery:

Fix: Ptosis repair

And finally you have my case, someone who is NOT medically/clinically indicated for Ptosis Repair surgery, but would benefit aesthetically from it.

Fix: Deep orbital decompression
Additional comments for this since that UEE is actually hood but since his eyes are protruded that hood looks like UEE. If he orbitally decompressed he'd have good hooding

 

[Deleted member 80642]

Fix: Orbital decompression

Fix: Ptosis repair

Fix: Deep orbital decompression
Additional comments for this since that UEE is actually hood but since his eyes are protruded that hood looks like UEE. If he orbitally decompressed he'd have good hooding

Bro what are u saying… please educate yourself on eye area surgeries… you seriously thing my results would be better from orbital decompression compared to my results now:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

 

[ICL]

Bro what are u saying… please educate yourself on eye area surgeries… you seriously thing my results would be better from orbital decompression compared to my results now:

FAT GRAFTING TO ORBITALS RESULTS

I am making this thread because too many people keep messaging me about my results. I am now 4.5 months post op. Bear in mind I got the surgery at 18, which is not allowed without parental consent in the country I got this done in. So I had to fake my parents e- signature to get this done. The...

looksmax.org

See now it doesn't make sense that you use your anecdote to prove that orbital decompression wouldnt be the play here.

You had eye protrusion and got fat grafts. Good results, unrealistic for others, you got a canthopexy and ptosis repair as well.

You did movements than retruding your eye, and I have no clue how fraudmaxxed the b4 and afters are, squinting a considerable amount, I have the same protrusion and I can squint the same.

Clearly I wouldn't be uneducated in eye surgeries if my argument was logical and I recommended orbital decompression which people are very misinformed on. You could've gotten a small lateral wall decompression for the full aesthetic benefit, instead, you took the soft tissue package rather than fixing your bone issue

 

[Deleted member 80642]

See now it doesn't make sense that you use your anecdote to prove that orbital decompression wouldnt be the play here.

You had eye protrusion and got fat grafts. Good results, unrealistic for others, you got a canthopexy and ptosis repair as well.

You did movements than retruding your eye, and I have no clue how fraudmaxxed the b4 and afters are, squinting a considerable amount, I have the same protrusion and I can squint the same.

Clearly I wouldn't be uneducated in eye surgeries if my argument was logical and I recommended orbital decompression which people are very misinformed on. You could've gotten a small lateral wall decompression for the full aesthetic benefit, instead, you took the soft tissue package rather than fixing your bone issue

The problem with orbital decompression is that it is not performed commonly, and by a small handful of surgeons, has a higher risk profile depending on the method used.

Soft tissue surgeries for bases like mine will always mog due to lower risk profile and higher customisation.

Also how can u tell I have protruding eyes jfl. I just had UEE, my eyes are deepset. You wouldn’t be able to see if they’re protruding because I haven’t offered a side profile of my eyes…

I also mentioned in my post which pictures im squinting in and which im not.

 

[ICL]

The problem with orbital decompression is that it is not performed commonly, and by a small handful of surgeons, has a higher risk profile depending on the method used.

Soft tissue surgeries for bases like mine will always mog due to lower risk profile and higher customisation.

Also how can u tell I have protruding eyes jfl. I just had UEE, my eyes are deepset. You wouldn’t be able to see if they’re protruding because I haven’t offered a side profile of my eyes…

I also mentioned in my post which pictures im squinting in and which im not.

You had a lower lid retraction which is why i deduced with this combo that you have eye protrusion.

Orbital decompression is not risky if you perform a single wall, without grafting deep amounts of bone.

Besides, the complication rates with surgeons like Deepak rakesh and Raymond douglas are <1%

Soft tissue surgeries for bases like mine will always mog due to lower risk profile and higher customisation.

Besides, the 20% botch statistic isnt even a botch. It's a complication rate, which is double vision, easily fixable with botox. Additionally, those are done with insane grafts on those with eye thyroid disease or dangerous exophtalmos.

I also mentioned in my post which pictures im squinting in and which im not.

Hardly believable, but, sure

The problem with orbital decompression is that it is not performed commonly,

Orbital decompression is performed by eye area occuplastic surgeons, it's standard procedure for people even with signs of thyroid disease.

Besides, it's merely a bone graft. No way in hell could that be dangerous especially if your technique is good [in a surgeons perspective].

 

[yussimania]

See now it doesn't make sense that you use your anecdote to prove that orbital decompression wouldnt be the play here.

You had eye protrusion and got fat grafts. Good results, unrealistic for others, you got a canthopexy and ptosis repair as well.

You did movements than retruding your eye, and I have no clue how fraudmaxxed the b4 and afters are, squinting a considerable amount, I have the same protrusion and I can squint the same.

Clearly I wouldn't be uneducated in eye surgeries if my argument was logical and I recommended orbital decompression which people are very misinformed on. You could've gotten a small lateral wall decompression for the full aesthetic benefit, instead, you took the soft tissue package rather than fixing your bone issue

Retard

@BronzeSpartan2 @Nahorscend

 

[Nahorscend]

Retard

@BronzeSpartan2 @Nahorscend

jfl people parroting us without actually knowing about the surgery, double vision fixed by botox and OD a bone graft surgery HAHAHAHA

Might be god tier ragebait tbf

Also jfl at people now assuming everyone with bad pfh has proptosis, in general trying to determine OD indication by looking at the front instead of the side

 

[Lefor3Laser]

Retard

@BronzeSpartan2 @Nahorscend

His comments reminds me on the crab mentality that women have on ugly one's "you're so pretty"

 

[zemult]

You had a lower lid retraction which is why i deduced with this combo that you have eye protrusion.

Orbital decompression is not risky if you perform a single wall, without grafting deep amounts of bone.

Besides, the complication rates with surgeons like Deepak rakesh and Raymond douglas are <1%

Besides, the 20% botch statistic isnt even a botch. It's a complication rate, which is double vision, easily fixable with botox. Additionally, those are done with insane grafts on those with eye thyroid disease or dangerous exophtalmos.

Hardly believable, but, sure

Orbital decompression is performed by eye area occuplastic surgeons, it's standard procedure for people even with signs of thyroid disease.

Besides, it's merely a bone graft. No way in hell could that be dangerous especially if your technique is good [in a surgeons perspective].

 

[BronzeSpartan2]

View attachment 4978717

You had a lower lid retraction which is why i deduced with this combo that you have eye protrusion.

Orbital decompression is not risky if you perform a single wall, without grafting deep amounts of bone.

Besides, the complication rates with surgeons like Deepak rakesh and Raymond douglas are <1%

Besides, the 20% botch statistic isnt even a botch. It's a complication rate, which is double vision, easily fixable with botox. Additionally, those are done with insane grafts on those with eye thyroid disease or dangerous exophtalmos.

Hardly believable, but, sure

Orbital decompression is performed by eye area occuplastic surgeons, it's standard procedure for people even with signs of thyroid disease.

Besides, it's merely a bone graft. No way in hell could that be dangerous especially if your technique is good [in a surgeons perspective].

OD is more like an osteotomy, NOT a bone graft.

Not everyone with lower eyelid retraction needs OD. Although most people who need OD also need lower eyelid retraction repair. If you get double vision, it’s usually temporary, but if it’s persistent you can get a strabismus surgery which tend to be very successful. Prism glasses can also resolve longer-lasting double vision in some cases.

Example of someone who doesn’t need OD but has lower eyelid retraction:

You’re correct about the complication rates of OD though. Slandering OD because Frank got botched by it is like saying no one should ever get bimax because of this result:

Really the correct interpretation of what happened to Frank should be to always DYOR and not to blindly trust a surgeon just because they are respected in their field or have a large social medial following. Getting multiple opinions from different surgeons is key.

Also Frank’s case highlights that you need to be aware of how your IPD could potentially change after getting orbital decompression. The change in IPD will vary depending on the techniques used and the surgeon.

 

[zemult]

OD is more like an osteotomy, NOT a bone graft.

Not everyone with lower eyelid retraction needs OD. Although most people who need OD also need lower eyelid retraction repair. If you get double vision, it’s usually temporary, but if it’s persistent you can get a strabismus surgery which tend to be very successful. Prism glasses can also resolve longer-lasting double vision in some cases.

Example of someone who doesn’t need OD but has lower eyelid retraction:
View attachment 4978837

You’re correct about the complication rates of OD though. Slandering OD because Frank got botched by it is like saying no one should ever get bimax because of this result:

View attachment 4978826

Really the correct interpretation of what happened to Frank should be to always DYOR and not to blindly trust a surgeon just because they are respected in their field or have a large social medial following. Getting multiple opinions from different surgeons is key.

Also Frank’s case highlights that you need to be aware of how your IPD could potentially change after getting orbital decompression. The change in IPD will vary depending on the techniques used and the surgeon.

OD can be a good procedure in some rare cases. Tufano and the examples here are not candidates

 

[BronzeSpartan2]

OD can be a good procedure in some rare cases. Tufano and the examples here are not candidates

I personally think Frank needed OD, but it's hard to tell without seeing his side profile view. I agree that the user above was most likely not a candidate.

 

[ICL]

View attachment 4978717

Son

But he did need an orbital decompression. It was the best method in his situation, i mean, you can just see the protrusion from here. Frank looks way healthier in his newer posts.

 

[ICL]

OD can be a good procedure in some rare cases. Tufano and the examples here are not candidates

Tufano's surgeon was (allegedly) negligent, the medial bone graft was a bad idea especially considering the circumstances and the amount he took and he should've sticked to a single wall decompression.

 

[ICL]

His comments reminds me on the crab mentality that women have on ugly one's "you're so pretty"

Knew this was gonna go downhill, that I was gonna receive these nonsensical and aggressive replies.

jfl people parroting us without actually knowing about the surgery, double vision fixed by botox and OD a bone graft surgery HAHAHAHA

Might be god tier ragebait tbf

Also jfl at people now assuming everyone with bad pfh has proptosis, in general trying to determine OD indication by looking at the front instead of the side

Double vision is fixable by botox, what do I tell you? Sure it's temporary but neither is strabismus surgery dangerous, literally a 0.1% complication rate, ASSUMING you'll even get a complication, especially when dealing with specialists who's works are excellent.
OD isn't a bone graft, sure, that's a bone harvest, that's one thing cleared out, not "retard" worthy.

Also jfl at people now assuming everyone with bad pfh has proptosis, in general trying to determine OD indication by looking at the front instead of the side

It would be optimal for these people to get OD for the full aesthetic impact, that person definitely had an NOV of at least 1mm, and he fixed it with soft tissue procedures, rather than dealing with the bone itself.

If you have no POV, no midface deficiency, and no orbital fat loss, orbital decompression is high ROI for that instance. Especially looking at OP, he'd benefit from the full package with OD.

 

[Nahorscend]

Knew this was gonna go downhill, that I was gonna receive these nonsensical and aggressive replies.

Double vision is fixable by botox, what do I tell you? Sure it's temporary but neither is strabismus surgery dangerous, literally a 0.1% complication rate, ASSUMING you'll even get a complication, especially when dealing with specialists who's works are excellent.
OD isn't a bone graft, sure, that's a bone harvest, that's one thing cleared out, not "retard" worthy.

It would be optimal for these people to get OD for the full aesthetic impact, that person definitely had an NOV of at least 1mm, and he fixed it with soft tissue procedures, rather than dealing with the bone itself.

If you have no POV, no midface deficiency, and no orbital fat loss, orbital decompression is high ROI for that instance.

Yea I'm not disagreeing that OD risk is exaggerated and there is a second surgery to fix diplopia. But you are exaggerating the use case of OD somewhat, the case you are describing of NOV without midface deficiency seems to be the rarest presentation excluding thyroid cases.

Most people have NOV but not proptosis so they likely need infra work more than OD though you could also do OD. But usually the midface is the culprit, and in a few people whose eyes are the culprit they usually also have deficient midfaces anyway.

Especially looking at OP, he'd benefit from the full package with OD.

Can't say with such certainty from one front pic

 

[BronzeSpartan2]

Tufano's surgeon was (allegedly) negligent, the medial bone graft was a bad idea especially considering the circumstances and the amount he took and he should've sticked to a single wall decompression.

Surgeons like Taban do medial/floor decompressions on cosmetic patients commonly because they’re good at doing decompressions for patients with TED, but not good at decompressions for cosmetic cases. A very well respected oculoplastic surgeon told me that OD for non-TED patients is a very different type of surgery, but some surgeons just don’t adapt their techniques for these cases.

Frank was also just unlucky. There was a user on this website who went to Taban and got a two wall decompression and had good results:

Just got orbital decompression/lower lid lift/infraorbital implant ama

Looks like it will be a wonderful result, which surgeon?

looksmax.org

But also Tufano isn’t the only person who’s been horrendously botched by Taban:

There are some use cases of doing two wall decompressions on cosmetic patients, but very rarely (about 1/1000 according to the surgeon I spoke to). For example, if the person is highly myopic and has very large eyeballs. If a surgeon ever proposes to do a two wall decompression always get a second opinion from another surgeon, ideally a few opinions.

 

[0 bone mass]

pm me nigger

 

[ICL]

Yea I'm not disagreeing that OD risk is exaggerated and there is a second surgery to fix diplopia. But you are exaggerating the use case of OD somewhat, the case you are describing of NOV without midface deficiency seems to be the rarest presentation excluding thyroid cases.

Most people have NOV but not proptosis so they likely need infra work more than OD though you could also do OD. But usually the midface is the culprit, and in a few people whose eyes are the culprit they usually also have deficient midfaces anyway.


Can't say with such certainty from one front pic

Fair enough