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Deleted member 18582
Poet laureate of the deep state
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I'm just putting this here for my reference. I can never remember what they all mean and what they do.
Canthoplasty
Blepharoplasty
Ptosis Repair Surgery
Saddled Infraorbital Rim Implant
Supraorbital Implant
Botox to the Eyebrow
Eye Fillers
Fat Grafts
Orbital Decompression
Orbital Box Osteotomy
Lower Eyelid Retraction Surgery
How to solve upper eyelid exposure
Canthoplasty
- What can it solve?
- Negative canthal tilt
- Droopy lower eyelids
- Scleral show
- How does it do it?
- Reshapes the lateral canthus and nearby area of the eyes
- What can it solve?
- Droopy lower eyelids
- Scleral show
- How does it do it?
- Tightens the skin underneath the eye. Less invasive but less versatile version of the canthoplasty.
Blepharoplasty
- What can it solve?
- Removal of excess skin on upper or lower eyelid
- Hooding from skin (bad) rather than from a hanging brow (good)
- How does it do it?
- Removes skin and other issue and strengthens eye muscles
- Notes: Much more common with women, most results with men I see don't need it or would more benefit from orbital implants
Ptosis Repair Surgery
- What can it solve?
- Weakened levator muscle in the eye
- How does it do it?
- Tightens or shortens the upper eyelid muscle so that it can fully lift and open the eyelid
- A weakened levator muscle means the eyelid cannot be maintained fully open. As a result of this weakened muscle, the eyebrows rise to compensate, so in addition to reducing upper eyelid exposure it also creates more hooding
- Notes: Cheap, quick surgery, the bread and butter of all oculoplastic surgeons
Saddled Infraorbital Rim Implant
- What can it solve?
- Recessed undereye area
- Scleral show
- Bulging appearance to the immediate undereye area
- How does it do it?
- Adds projection to the undereye area
- The saddle provides a quasi-canthopexy that lifts the lower eyelid a few mm
Supraorbital Implant
- What can it solve?
- Recessed supraorbital rim, causes bulging eye appearance to the immediate above-eye area
- How does it do it?
- Adds projection to the above-eye area
Botox to the Eyebrow
- What can it solve?
- Upper eyelid exposure
- How does it do it?
- Paralyzes muscles in the brow so that it naturally lowers
Eye Fillers
- What can it solve?
- Upper eyelid exposure
- Recessed infraorbital rims
- How does it do it?
- Fillers. Self-explanatory
Fat Grafts
- What can it solve?
- Upper eyelid exposure
- Recessed infraorbital rims
- How does it do it?
- By grafting fat. Self-explanatory
Orbital Decompression
- What can it solve?
- Bulging eyes
- How does it do it?
- Moves the eyes further into the skull
Orbital Box Osteotomy
- What can it solve?
- IPD too wide or narrow
- How does it do it?
- Moving the eyes closer together or further apart lol
Lower Eyelid Retraction Surgery
- Not any particular surgery, just refers to the surgeries from the above (usually a mix of canthoplasty, blepharoplasty, and canthopexy) a surgeon may use to fix lower eyelid "retraction" (when the lower eyelid droops too low).
How to solve upper eyelid exposure
- There is no one size fits all solution. It will require one, or a combination of the following: ptosis repair, supraorbital implant, fat grafts, fillers, botox to the eyebrow. It depends on the cause of your upper eyelid exposure.