Surgery for medial canthus?

[iblamegeneticrecomb]

Is there a surgery which could change medial canthus bc idk it feels like it would’ve make the pfl look much longer

 

[yussimania]

too dangerous - not done for a reason

 

[iblamegeneticrecomb]

too dangerous - not done for a reason

It’s just the medial canthus tho?

 

[yussimania]

It’s just the medial canthus tho?

yeah dude not the fact that you also have the lacrimal sac and the medial orbital bones are weaker

 

[gSmme]

It’s just the medial canthus tho?

But it requires osteotomies to change medial canthus, you need to move parts of maxilla and lacrimal where ligament attaches, also it would be hard to achieve aesthetic effect i think it just requires good genes + good development, maybe in the future there will be a way for manipulating medial canthus, tbh having upturned medial canthus is brutal

 

[iblamegeneticrecomb]

But it requires osteotomies to change medial canthus, you need to move parts of maxilla and lacrimal where ligament attaches, also it would be hard to achieve aesthetic effect i think it just requires good genes + good development, maybe in the future there will be a way for manipulating medial canthus, tbh having upturned medial canthus is brutal

Why does the medial canthus has something to the with the maxilla? But yeah I have a good pfl but medial canthus is trash

 

[gSmme]

Why does the medial canthus has something to the with the maxilla? But yeah I have a good pfl but medial canthus is trash

Anterior limb of medial canthal tendon attaches to anterior lacrimal crest. Also how much is ur pfl (in mm)?

 

[IBL4MEZYG]

Medial canthoplasty or medial canthopexy

 

[Professor Grey]

Anterior limb of medial canthal tendon attaches to anterior lacrimal crest. Also how much is ur pfl (in mm)?

Not the op, but mine is like 32 mm is that good?

 

[gSmme]

Not the op, but mine is like 32 mm is that good?

Its above avg when average pfl is good in most humans already

 

[iblamegeneticrecomb]

Anterior limb of medial canthal tendon attaches to anterior lacrimal crest. Also how much is ur pfl (in mm)?

I never measured it, do you know some software on the phone to measure it?

 

[gSmme]

I never measured it, do you know some software on the phone to measure it?

Blud how do you want to measure raw PFL in mm's using app on ur phone?, you could measure your Interpupilary distance with a ruler and use it as reference for measuring PFL in Photoshop or Photopea thats the only idea i have

 

[Sicilian Cyclops]

But it requires osteotomies to change medial canthus, you need to move parts of maxilla and lacrimal where ligament attaches, also it would be hard to achieve aesthetic effect i think it just requires good genes + good development, maybe in the future there will be a way for manipulating medial canthus

Have you ever seen any cases of this, or are you just speaking theoretically? Sadly the bone on the lacrimal crest is really thin so shaving it is not an option; it's also just very hard to access. Osteotomies on it would be very interesting, would love to see if @RealSurgerymax could cook some crazy shit up — I imagine the nasolacrimal duct would be a big problem to work around/with.

I messaged Eppley a while back and he said that there were cases of full on medial canthoplasty for purely cosmetic reasons but I have yet to find any results of them or even medical records about it, only cases for trauma/deformites like this one, and it's really a minor change:

(trauma repair case from Dr. Massry)

tbh having upturned medial canthus is brutal

Absolutely, can speak from experience from unfortunately being bestowed it.

It's honestly super brutal because it's such a rare failo to have; I honestly can't think of anyone I know/met IRL who have it. My eyes are pretty much perma-locked to NCT. Even if I get lateral cantho I'll at best be at neutral. I'm really interested to see if there will be any surgical advancement in this area of the face. I just want PCT so fucking bad. I'm sick of looking like a sleepy eyed stoner...


@bossman Sorry to bother you, but I want to hear your opinion as you seem to be incredibly knowledgeable. Have you seen any cases/results for downturning the medial canthus? I remember Eppley saying that utilizing a soft tissue procedure like a z-plasty or v-y advancement can yield some moderate down-turning. If we're starting to see people get OBO and fucking tripod for purely cosmetic reasons now surely there has to be a result out there of someone getting this, right?

 

[iblamegeneticrecomb]

Have you ever seen any cases of this, or are you just speaking theoretically? Sadly the bone on the lacrimal crest is really thin so shaving it is not an option; it's also just very hard to access. Osteotomies on it would be very interesting, would love to see if @RealSurgerymax could cook some crazy shit up — I imagine the nasolacrimal duct would be a big problem to work around/with.

I messaged Eppley a while back and he said that there were cases of full on medial canthoplasty for purely cosmetic reasons but I have yet to find any results of them or even medical records about it, only cases for trauma/deformites like this one, and it's really a minor change:
View attachment 4509915(trauma repair case from Dr. Massry)



Absolutely, can speak from experience from unfortunately being bestowed it.

It's honestly super brutal because it's such a rare failo to have; I honestly can't think of anyone I know/met IRL who have it. My eyes are pretty much perma-locked to NCT. Even if I get lateral cantho I'll at best be at neutral. I'm really interested to see if there will be any surgical advancement in this area of the face. I just want PCT so fucking bad. I'm sick of looking like a sleepy eyed stoner...


@bossman Sorry to bother you, but I want to hear your opinion as you seem to be incredibly knowledgeable. Have you seen any cases/results for downturning the medial canthus? I remember Eppley saying that utilizing a soft tissue procedure like a z-plasty or v-y advancement can yield some moderate down-turning. If we're starting to see people get OBO and fucking tripod for purely cosmetic reasons now surely there has to be a result out there of someone getting this, right?

why wouldn’t you be satisfied with neutral canthal tilt? In my opinion (as long as you don’t have nct), what makes an eye area great looking is a wide pfl, good under eye support and how deep set they are. Pct is overrated

 

[yussimania]

It's honestly super brutal because it's such a rare failo to have; I honestly can't think of anyone I know/met IRL who have it. My eyes are pretty much perma-locked to NCT. Even if I get lateral cantho I'll at best be at neutral. I'm really interested to see if there will be any surgical advancement in this area of the face. I just want PCT so fucking bad. I'm sick of looking like a sleepy eyed stoner...

eye area of doom and gloom

 

[iblamegeneticrecomb]

eye area of doom and gloom

Left eye looks good

 

[Hernan]

whats up with these fucking retards and medial canthus, there's so much more to do and better things and you choose that i swear..
it's stupid and too dangerous for it to be worth it, dont.

 

[iblamegeneticrecomb]

whats up with these fucking retards and medial canthus, there's so much more to do and better things and you choose that i swear..
it's stupid and too dangerous for it to be worth it, dont.

it’s the only way to make the pfl wider without doing a tripod

 

[bossman]

If we're starting to see people get OBO and fucking tripod for purely cosmetic reasons now surely there has to be a result out there of someone getting this, right?

I would say this is foolish thinking.

Osteotomies are not inherently more complex or riskier than soft tissue procedures.

The medial canthus is tightly integrated with the tear drainage system and the medial canthal tendon. It is an extremely delicate area prone to scarring, and if you fuck it up the first time a revision would be insanely difficult due to the scar tissue.

Furthermore, as you yourself noticed, usually only mild changes are achievable. This is because large changes requires structural fixation that is only ever used in reconstructive and trauma surgery.

I did read about Eppley’s method but it would not make any big differences. Eppley has invented a lot of these procedures but I don’t trust him. He’s a jack of all trades, master of none.

So I haven’t seen any examples, and I wouldn’t recommend anyone doing this surgery.

We see the same issue with the lips. A lateral commisuroplasty is almost impossible to get done for cosmetic purposes. And even when it is done, you can only really get 5mm on both sides.

Swallow the soft tissue pill