Question for @RealSurgerymax regarding vertical eye assymetry

[LongForgotten]

@RealSurgerymax I came to see that recently there was a case where vertical assymetry got corrected, through Orbital Box Osteonomy.

I personally suffer from a rare case of assymetry, where 1 eye is more close set than the other one, and 1 eye being vertically higher than the other one. From photoshopping my pictures, I came to realize if I fixed my eye assymetry by bringing 1 eye more out, it pretty much resolved the issue, together with bringing the other one down.

Would I be able to get that fixed at you with OBO? Most of the cases I've seen so far have been for merely increasing IPD as a whole. And this is the first case I saw where vertical assymmetry got corrected, thus I was wondering.

 

[RealSurgerymax]

@RealSurgerymax I came to see that recently there was a case where vertical assymetry got corrected, through Orbital Box Osteonomy.
View attachment 2828919
I personally suffer from a rare case of assymetry, where 1 eye is more close set than the other one, and 1 eye being vertically higher than the other one. From photoshopping my pictures, I came to realize if I fixed my eye assymetry by bringing 1 eye more out, it pretty much resolved the issue, together with bringing the other one down.

Would I be able to get that fixed at you with OBO? Most of the cases I've seen so far have been for merely increasing IPD as a whole. And this is the first case I saw where vertical assymmetry got corrected, thus I was wondering.

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

 

[LongForgotten]

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

View attachment 2828940

Fantastic. Thanks for the information.

Would all of this still be subcranial? I had seen in another thread that you posted in this surgery which you will have on monday carries more complications.

Would it also be recommended to straighten the nose before this procedure? My nose is also very deviated, but even then 1 eye is closer to the midline from my observations. Would getting a cosmetic septoplasty help in optimising OBO results?

 

[RealSurgerymax]

Fantastic. Thanks for the information.

Would all of this still be subcranial? I had seen in another thread that you posted in this surgery which you will have on monday carries more complications.

Would it also be recommended to straighten the nose before this procedure? My nose is also very deviated, but even then 1 eye is closer to the midline from my observations. Would getting a cosmetic septoplasty help in optimising OBO results?

for less severe cases it could be done subcranial. If you are interested in realistically having the surgery with our service within the next few months you can send me your pictures.

 

[i_love_roosters]

What a subhuman lower third and teeth

 

[UZB_Strebl]

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

View attachment 2828940

Could u drop the orbit downwards vertically and then do a drop down Supra that covers nasion and would shorten mid face

 

[optimisticzoomer]

One eye closer to the midline isn't that uncommon
Also jfl of course it can be fixed with obo

 

[optimisticzoomer]

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

How can we tell if one eye is closer, or if the problem is that one eye is higher?
If you tilt your head to level the vertically asymmetrical eyes, the lower eye will look closer to the midline

I have trying to work this out on myself

 

[RealSurgerymax]

Could u drop the orbit downwards vertically and then do a drop down Supra that covers nasion and would shorten mid face

Yes

 

[UZB_Strebl]

Yes

I don’t understand how u could make orbit lower on the skull I mean it’s there literally bone under its your maxilla and zygo where would it go off that make sense or are u pushing the eyeball lower

 

[UZB_Strebl]

Yes

This would make forehead bigger and mid face shorter right

 

[RealSurgerymax]

I don’t understand how u could make orbit lower on the skull I mean it’s there literally bone under its your maxilla and zygo where would it go off that make sense or are u pushing the eyeball lower

the orbital floor is lowered. A strip of bone is removed under the orbit to make room

This would make forehead bigger and mid face shorter right

Yes theoretically

 

[LongForgotten]

the orbital floor is lowered. A strip of bone is removed under the orbit to make room



Yes theoretically

But wouldnt that mess with the sinuses around the supraorbitals and below the eyes?

 

[UZB_Strebl]

But wouldnt that mess with the sinuses around the supraorbitals and below the eyes?

@RealSurgerymax

 

[RealSurgerymax]

But wouldnt that mess with the sinuses around the supraorbitals and below the eyes?

@RealSurgerymax

No. All Lefort and orbital osteotomies enter the sinuses it isn't a problem because we know ways to deal with it

 

[moreroidsmoredates]

No. All Lefort and orbital osteotomies enter the sinuses it isn't a problem because we know ways to deal with it

Which surgeries you recommend for fixing nct and hollow under eye?

 

[RealSurgerymax]

Which surgeries you recommend for fixing nct and hollow under eye?

Canthoplasty/pexy and infraorbital implants

 

[moreroidsmoredates]

Canthoplasty/pexy and infraorbital implants

How much do you charge for infra implants? Also does fat grafting and canthoplasty work?

 

[FrenchareMedCucks]

it seems OBO patients all have a bellow average eye area in common , assymetrical or very recessed.

i'm too glad i just need PEEK saddle implants to ascend.

 

[albanian_chad]

@RealSurgerymax I came to see that recently there was a case where vertical assymetry got corrected, through Orbital Box Osteonomy.
View attachment 2828919
I personally suffer from a rare case of assymetry, where 1 eye is more close set than the other one, and 1 eye being vertically higher than the other one. From photoshopping my pictures, I came to realize if I fixed my eye assymetry by bringing 1 eye more out, it pretty much resolved the issue, together with bringing the other one down.

Would I be able to get that fixed at you with OBO? Most of the cases I've seen so far have been for merely increasing IPD as a whole. And this is the first case I saw where vertical assymmetry got corrected, thus I was wondering.

i got the same problem

 

[RealSurgerymax]

We did it!

 

[HarrierDuBois]

Just give up at this point, good luck fixing plagiocephaly.

 

[Kaz]

We did it!

View attachment 2841284

Holy amazing work

 

[barettrealrx]

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

View attachment 2828940

Is it true u only do surgeries on white people

 

[RealSurgerymax]

Is it true u only do surgeries on white people

No

 

[SubhumanityForce]

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

View attachment 2828940

Hey man

You mention AP clockwise rotation on the left eye. I can see that on the upper cut (for head), but the rest of the bones don't seem to be tilted (for instance the red drawing I made both on before and after, starting from the medial wall and following along the supreorbital border.)

 

[SubhumanityForce]

Orbital Box Osteotomy works in every direction. The Boxes can be moved further, closer, up, down (where the eye globe will follow) and forward (although the eyeball will not move forward.)

In every case I consider whether one eye is actually closer to the midline and in that case, yes, one orbit will be moved more than the other.

Vertical Orbital Dystopias are also best corrected by Box Osteotomies if it is really noticeable.

Here are the planned movements for our case you posted:

Right Eye:

• 3.5mm Up medially, 5mm Up Laterally
• AP Clockwise Rotation
• Lateral Counterclockwise Rotation

Left:

• 3mm Down
• Small AP Clockwise Rotation

View attachment 2828940

Hey man

You mention AP clockwise rotation on the left eye. I can see that on the upper cut (for head), but the rest of the bones don't seem to be tilted (for instance the red drawing I made both on before and after, starting from the medial wall and following along the supreorbital border.)

 

[SubhumanityForce]

@RealSurgerymax

 

[RealSurgerymax]

@RealSurgerymax

?

 

[SubhumanityForce]

?

Question for @RealSurgerymax regarding vertical eye assymetry

@RealSurgerymax I came to see that recently there was a case where vertical assymetry got corrected, through Orbital Box Osteonomy. I personally suffer from a rare case of assymetry, where 1 eye is more close set than the other one, and 1 eye being vertically higher than the other one. From...

looksmax.org

@RealSurgerymax