reminder: almond eye surgery will always decrease your palpebral fissure width / length

homo_faber

homo_faber

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its basically the reverse form of that lateral canthopexy that is used by gooks to make the eyes longer (pfl) and less asian looking (less almond shaped)

rZlFdVw.jpg


 
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thx rick dalton
 
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that explains this
2A_B.jpg
 
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1605289038018

funny how europeans get almond eye surgery while gooks in korea get the opposite lol
 
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jfl at this
 
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jfl at this

didnt it got longer? tbh op is just an assumption of mine to be really sure i would need to know what exactly dr. taban is doing when is saying he is doing an almond eye surgery (according to him it consist of canthoplasty, lower eyelid retraction surgery and infraorbital implants). but there are are different techniques for canthoplasty and many surgeons who talk about lower eyelid retraction surgery often just mean canthoplasty.

taban is descibing his canthoplasty technique here https://r7z9r7i7.stackpathcdn.com/wp-content/uploads/2014/08/AestheticLateralCanthoplasty.pdf (will read this later) but i still dont know what exactly he means with lower eyelid retraction surgery
 
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didnt it got longer? tbh op is just an assumption of mine to be really sure i would need to know what exactly dr. taban is doing when is saying he is doing an almond eye surgery (according to him it consist of canthoplasty, lower eyelid retraction surgery and infraorbital implants). but there are are different techniques for canthoplasty and many surgeons who talk about lower eyelid retraction surgery often just mean canthoplasty.

taban is descibing his canthoplasty technique here https://r7z9r7i7.stackpathcdn.com/wp-content/uploads/2014/08/AestheticLateralCanthoplasty.pdf (will read this later) but i still dont know what exactly he means with lower eyelid retraction surgery

The one that looks best is lateral canthopexy, since it raises the lower eyelid to attach at the corner, without making the PFL wider or shorter (both seem to result in looking unnatural).


Eppley explains it here:

"Lateral canthopexies can elevate the outer corner of the eye and can do so without creating a bowstring or tightening effect across the entire lower eyelid. Because it stays on the outside of the bone (rather than inside like a lateral canthoplasty) it does not shorten the horizontal length of the lower eyelid."
 
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The one that looks best is lateral canthopexy, since it raises the lower eyelid to attach at the corner, without making the PFL wider or shorter (both seem to result in looking unnatural).


Eppley explains it here:

"Lateral canthopexies can elevate the outer corner of the eye and can do so without creating a bowstring or tightening effect across the entire lower eyelid. Because it stays on the outside of the bone (rather than inside like a lateral canthoplasty) it does not shorten the horizontal length of the lower eyelid."


wow, that probably is the reason why some people in tabans after result just look like they are perma squinting..

look at the left result here

057cc032-76e4-4931-be07-4a1037e782a4-jpeg.802352


to tight. looks unnatural. that person is not squinting yet it looks like that. complete shit result

same here
1605125810312-jpeg.798693


and what is going on here?

1605296848811-jpeg.802318


is he starring into the sun in the after? turns out his lower eyelid is just too tight for his eyeballs, its a bit overdone



this result on the other hands looks way better, the lower eyelid even though tightened, still has natural shape. maybe the orbital decompression countered the tightening effect or maybe taban just made a better job here overall


ff7PAuP.jpg
 
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im trying to understand the difference between canthoplasty and canthopexy. there some different definitions and form of canthopexy too which makes it a bit confusing (eg Bridge of Bone Canthopexy @Dr Shekelberg )

taban writes:

Canthoplasty vs Canthopexy?
A canthoplasty is more focused on the corner of the eye where the eyelids meet. It’s normally more invasive as their has to be cutting of the muscle. Alternatively, a canthopexy is less invasive and mostly involves sutures to tighten and stabilize the tendons and muscles of the eye. There’s no muscles that are cut in this procedure. Many times a canthopexy is performed in conjunction with a blepharoplasty or other procedures.




in comparison


canthoplasty a taban

jCg5Xdc.jpg



canthopexy a yaremchuck (probably what eppley is referring to, looks way more invasive then canthoplasty wtf is taban talkin about tbh?)

fQXaHS0.jpg


 
its basically the reverse form of that lateral canthopexy that is used by gooks to make the eyes longer (pfl) and less asian looking (less almond shaped)

rZlFdVw.jpg


What the hell is pfl
 
Still has nct

i dont like the result i just want to know what procedure that was. reminds me a bit of that turkish doctor that basically just pulls skin back
 
wow, that probably is the reason why some people in tabans after result just look like they are perma squinting..

look at the left result here

057cc032-76e4-4931-be07-4a1037e782a4-jpeg.802352


to tight. looks unnatural. that person is not squinting yet it looks like that. complete shit result

same here
1605125810312-jpeg.798693


and what is going on here?

1605296848811-jpeg.802318


is he starring into the sun in the after? turns out his lower eyelid is just too tight for his eyeballs, its a bit overdone



this result on the other hands looks way better, the lower eyelid even though tightened, still has natural shape. maybe the orbital decompression countered the tightening effect or maybe taban just made a better job here overall


ff7PAuP.jpg
I need whatever the jogger got, life fuel
 
No it doesn't. Lower lid retraction increases PFL.
 
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No it doesn't. Lower lid retraction increases PFL.

wrong. otherwise post source to prove your claim. also note that im specific referring to the "almond surgery" from dr taban
 
Last edited:
wrong. otherwise post source to prove your claim. also note that im specific referring to the "almond surgery" from dr taban
Notice how the lower lid now attaches directly under the edge of his upper eyelid crease. I made a red line to try to illustrate

Untitled
 
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its basically the reverse form of that lateral canthopexy that is used by gooks to make the eyes longer (pfl) and less asian looking (less almond shaped)

rZlFdVw.jpg


Is this good or no
 
Yeah its scheisse
First get bone support
 
Notice how the lower lid now attaches directly under the edge of his upper eyelid crease. I made a red line to try to illustrate

View attachment 803001


how do you explain dr eppleys comment on canthoplasty then:

Lateral canthopexies can elevate the outer corner of the eye and can do so without creating a bowstring or tightening effect across the entire lower eyelid. Because it stays on the outside of the bone (rather than inside like a lateral canthoplasty) it does not shorten the horizontal length of the lower eyelid.
 
appartently that guy didnt even got canthoplasty which is crucial for almond eye surgery

images


bad example, he didnt got almond eye surgery
 
appartently that guy didnt even got canthoplasty which is crucial for almond eye surgery
nah tbh taban just does random procedures and calls it almond eye surgery it's weird and confusing
 
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The one that looks best is lateral canthopexy, since it raises the lower eyelid to attach at the corner, without making the PFL wider or shorter (both seem to result in looking unnatural).


Eppley explains it here:

"Lateral canthopexies can elevate the outer corner of the eye and can do so without creating a bowstring or tightening effect across the entire lower eyelid. Because it stays on the outside of the bone (rather than inside like a lateral canthoplasty) it does not shorten the horizontal length of the lower eyelid."


i wrote eppley an email regarding that article :

Hello Patrick,



Thank you for your email and your interest in plastic surgery with Dr. Eppley.



Dr. Eppley has provided a reply/comment to your inquiry below:



Thank you for your inquiry. In answer to your questions:



1) I do not write about procedures I do not do. About 15% of my pre-pandemic practice was from outside the US.

2) Canthopexy can be permanent based on how it is performed and secured to the lateral orbital rim.



3) By definition either a lateral canthopexy or canthoplasty derounds the lower eyelid through altering the position of the junction of the upper and lower eyelids at the outer corner of the eye to a higher position. This does not constitute increasing lower lid length.



4) There is no effective procedure for increasing the palpebral fissure length as you can't pull the lid corner away from close contact to the eyeball. That tight relationship is of critical functional importance.



Dr. Eppley





A virtual consultation may be scheduled, please see below.

Your initial consultation can be done virtually. The virtual consultation fee is $200.00 for 30-minutes (fee would be applied towards your surgery cost) this can be easily arranged by clicking on the link below and completing the Virtual Consultation Request Form.
 
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i reversed my opinon on the matter

almond eye surgery shortens the lower lid margin (in order to - in combination with raising the canthal tendon - achieve the lifting effect of temporal (lateral) eyelid) but doesnt shorten the pfl, or at least not in a noticeable way
 
appartently that guy didnt even got canthoplasty which is crucial for almond eye surgery

images


bad example, he didnt got almond eye surgery

correction: he did got cantoplasty but he has a very weird canthal angle which isnt common at all. notice how his lower eyelid seem to connect way before the upper eyelid seems to "end"? anatomical abnormality which allowed to increase the pfl in the process of reshaping the lateral canthal angle
 

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