The "types" of buggy eyes and the underrated extreme importance of periorbital fat

[Deleted member 20631]

Insanely good thread

 

[stressftw]

I made a big update in the thread and added alot of valuable information. I also improved a bit the format of the thread, ill keep improving it since its the area that really drags my attention.

this thread now deserves a highlight spot on BOTB tbh

 

[max_frisch]

good thread

 

[max_frisch]

I made a big update in the thread and added alot of valuable information. I also improved a bit the format of the thread, ill keep improving it since its the area that really drags my attention.

this thread now deserves a highlight spot on BOTB tbh

@Alexanderr

 

[max_frisch]

tbh that guy says he still uses fillers but because of the tear through structure he injects not directly in the tear trough but below to cheek area which - according to the reaction - can itself cause other problems such as heaviness in the midface

 

[max_frisch]

Thirty-nine studies consisting of 3 cohorts and 36 case series with a total of 4046 cases were included. Meta-analysis revealed a relatively high satisfaction rate of 90.9% (95% CI, 86.4%–94.0%). Frequent complications in 4046 patients receiving AFG were edema, chemosis, and contour irregularity, with an overall complication rate of 7.9% (95% CI, 4.8%–12.8%).

Conclusion​

This systematic review and meta-analysis showed that AFG for rejuvenation of eyelids and periorbital area provided a high satisfaction rate and did not result in severe complications. Therefore, AFG might be performed safely for periorbital rejuvenation and reconstruction.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016360/

 

[Deleted member 8771]

mirin high iq

 

[stressftw]

Just updated the thread

organized it in sections and added a topic about the risks of fat grafting with a reference paper that try to access the chances of severe complications

 

[DripZ]

how big of a failo is protruding eyes they are almond shaped

 

[Artemis]

how big of a failo is protruding eyes they are almond shaped

BIG failo. Actually the WORST FAILO, apart from large/low IPD and severe eye asymmetries.

 

[Tasty17]

Are hooded eyes only about periorbital fat?

 

[Tasty17]

Is Taban a good doctor to get this done at?

 

[stressftw]

Are hooded eyes only about periorbital fat?

Hooded eyes can be achieved solely by orbital fat, yes. But low set relatively protruding brows(not ogre tier) in addition to rich fat pads are mainly what makes it looks aesthetically deep set

Also, you can get hooded eyes solely by browbone too, like Roger Federer or Matt Smith. But you ideally want a mix of both browbone and alot of fat like Chico or Gandy

Is Taban a good doctor to get this done at?

For orbital rim implants, canthoplasty, lower lid retraction and orbital decompression he seems to be a good doctor, i dont think he offers periorbital fat grafting.

 

[Tasty17]

Hooded eyes can be achieved solely by orbital fat, yes. But low set relatively protruding brows(not ogre tier) in addition to rich fat pads are mainly what makes it looks aesthetically deep set

Also, you can get hooded eyes solely by browbone too, like Roger Federer or Matt Smith. But you ideally want a mix of both browbone and alot of fat like Chico or Gandy


For orbital rim implants, canthoplasty, lower lid retraction and orbital decompression he seems to be a good doctor, i dont think he offers periorbital fat grafting.

Who would you go to for the fat grafts? I have had always hooded eyes but my left eye lost some periorbital fat and now they look assymetric.

 

[Tasty17]

It seems like periorbital fat returns after gaining weight?

 

[PrinceofDarkness]

Fat grafts don't migrate like fillers either correct?

 

[garoupilled_]

bump

 

[MrGentleman]

Lefort3 or volcel

 

[Lethbridge]

Goated thread, it’s a shame how much Erin moriarty descended

 

[6foot3Mediterranean]

good thread

 

[Bitchwhipper2]

Not a letter

 

[einzigartig]

View attachment 1808365

This is a good indicator. But there are more things in play regarding to this. The zygoma/upper maxilla and it's positioning come heavily into play. Is way more complex than just measuring orbital vector

its*

 

[pslgod15]

we can softmaxx the fat of the eyes?

 

[Anakin_10k]

There are two types of "buggy eyes" that are not usually differenciated in this forum

Spoiler: Types of buggy eyes

Exophtalmos sufferers:
Exophthalmos is the protrusion of one or both eyes anteriorly out of the orbit due to an increase in orbital contents within the rigid bony orbit. It most commonly manifests in thyroid-associated eye disease such as Graves' disease ophthalmopathy.
This one is the real "buggy eyes"; when eye balls are extremly protruded and look like they will jump out of the eye socket.
Extreme protruding eyes usually suggests that the person have underlying health coditions and diseas - A common cause of bulging eyes is an overactive thyroid gland (hyperthyroidism), but sometimes protruding eyes are just from the anatomic structure of the person. Besides resolving the underlying condition of the diseseas that's causing it, this problem can very often be improved through orbital decompression.

Example of patient with intact periorbital fat around eyes and very protruding and buggy eye appearance.



Enophthalmos sufferers(the opposite of first example):
Enophthalmos is defined as the posterior displacement of the globe in an anteroposterior plane within the orbit. Clinically, the eye may appear sunken and have a deeper superior sulcus with either an upper eyelid retraction, upper eyelid ptosis, or, often, both.
Enophthalmos is the reason of the classic "hollow eyes" look and can represent several conditions from atrophy of fat pads from aging to even bone loss from Silent Sinus Syndrome.

A patient with severe hollowing on his left eye from periorbital fat loss while his right eye fat pad still intact

Spoiler: Why fat have major importance in your face and specially around your eyes

Periorbital fat fullness is a representation of youth and plays a vital aesthetic role in eye area. Whilist losing malar and cheek fat can improve angularity and jaw definition, loss of periorbital fat can be a deal breaker on eye area and will certainly happen to all adults after certain age to some extent. Males under certain body fat are usually the most affected as we all know - descending your body fat to certain percentage will certainly cause impact in periorbital fat. Aging process also plays a major role here and some people tend to lose their periorbital fat pads very early in their adult life and end up with hollow eyes without knowing the reason.

View attachment 1963648
Periorbital Fat is the major youth aspect Jared Leto couldnt keep in his amazing aging process.

Cillian Murphy is another example of someone that suffers from a form of enophthalmos, his eyes arent buggy because they are protruding, its exactly the opposite. They are very deep set without any fat covering surroundings, he has no periorbital fat, which explains his notorious "cadaveric" eyes.



Old blepharoplasty methods are being replaced by new lifting techniques associated with fat grafting:
Contradicting the old school line of thought in plastic surgery, the new aesthetic analsys in regards of eye area (which has alot of PSL knowledge contribution) is that techniques like upper and lower blepharoplasty that removes skin and eye fat pads heavily contributes to more aging and very often lead to extreme unaesthetic outcomes. Those techniques are now being replaced by lifting techniques associated with fat grafting among good surgeons nowdays(i wonder why LOL). Thats why is very important to educate yourself and never let surgeons lead procedures they wanna do without your aknowledge of what it really is. Alot of people and even Hollywood low IQ celebrities very often fall for procedures that they dont need based on flawed opinion of surgeons with old and retrograde aesthetic school of thought.

View attachment 1881306View attachment 1881304
Victim of low IQ decision: Erin Mortiarty, famous actres from the series The Boys before and after removing upper eyelid fat pads through blepharoplasty and a bichectomy. She lost all her youth and beauty. After The Boys, her career is probably over. She wont be able to get her youth back, removing fat is permanent.
She was really cute and attractive before, a shame.


Fat cells are the jack of all trades cells:
Fat pads and collagen are the two major youth aspects in your face, fat cells are the jack of all trades cells in your body, they are rich in stemcells that can become every type of cell in your body. They certainly help holding our facial structure in many signaling pathways that are yet to be discovered by studies. Keep in mind that, when you are leaning up, you arent losing fat, only shrinking them, but the cells are still there working. That's why you should avoid any procedures that permanently remove fat on your face(even bichectomy, only go for bichectomy in extreme cases).

"Fat tissue can communicate with other organs from afar, sending out tiny molecules that control gene activity in other parts of the body, according to a new study. This novel route of cell-to-cell communication could indicate fat plays a much bigger role than previously thought."

Some may never experience significant loss of periorbital fat and some genetically blessed ones have way more periorbital fat than average people even at low bodyfat percentage. Periorbital volume also contributes to lift lower eyelids by giving support. Volumizing it with fat or implants can aid lifting under eyelids.

prime Adriana Lima had intact fat pads

David Gandy has alot of upper eyelid fat but lost some fat and support under his eyes with age

Spoiler: Drawbacks, risks and side effects

Fat transfer is generally a safe procedure but is not all sunshine and rainbows because can carry MANY drawbacks. I could share my honest opinion on that matter and my own experience but i will be very straight and deliver FACTUAL information gathered through several studies instead of my anecdotal evidence and biased opinion, because this is not bullshit.

Common side effects to be expected:

• significant bruising, swelling and collection of blood underneath the skin (haematoma)
• temporary numbness
• temporary hyperpigmentation
• loss of some of the fat from the injected area during the first few months and irregularities (30 to 70% reabsorption is expected)

Moderate to severe side effects from uncommon to very rare​

• death of fat tissue (fat necrosis) - rare
• a blockage in a blood vessel caused by a piece of fat (fat embolism) that can lead to permanent blindness, cause strokes and lead to severe brain damage and death. - very very rare
• air leaking into the space between your lungs and chest wall (pneumothorax) - very rare
• thick, obvious scars – sometimes known as hypertrophic scars - rare
  
  
  A study analyzing the ocurrence of side effects in fat grafting identified a total of 462 papers by PubMed search. Of which, 359 were excluded: 38 papers were not in English, 41 were review articles, 279 articles were not reporting recipient site complications, 1 was not on human subjects. A total of 103 were studied.
  
  These complications included intravascular injection or migration, required neurological or neurosurgical management. Search found 87 described cases of severe complications and it represented the most reported complication with almost a third of cases. Only two cases (2.3%) showed full neurological recovery. The highest rate of severe (vascular) complications occurred in cases of multisite injections (16–18.4%) and Glabella treatment (16–18.4%), followed by the forehead (10–11.5%) and temporal area (8–9.2%), which carried a medium-high risk. The peri-ocular region, nose and naso-labial folds carried a medium-low risk (5–5.7%, 4–4.6% and 4–4.6% risk, respectively). The safest facial zone to inject was the cheek (1–1.1% risk)
  
  Map of complication rate:
  View attachment 1963607

CONCLUSION: In literature there are 89 reported cases of fat embolism in fat grafting.
According to I.S.A.P.S data, a total of 2.932.618 Facial Fat Graft procedures were performed worldwide from 2015 to 2019. (around 500k year) In the same time frame, according to our work, a total of only 15 severe complications were reported. Following these data, intravascular injection or migration (fat embolism) should be considered very rare and almost anecdotal (roughly one in 5 million). Still, it is impossible to know if all the cases of severe complications have been reported, and this incidence seems defective.

Spoiler: Some before and afters examples

View attachment 1808354View attachment 1808353View attachment 1808352View attachment 1808351View attachment 1881402View attachment 1881404

-

View attachment 1878980View attachment 1878981View attachment 1878982
Rare case of Insane ascension through fat grafting under eyes and also chin(yes, fat can be used to improve chin projection):

In short: Preserving soft tissue around eyes is very important and underrated here. Specially because after your 25's and lowering your body fat to stay lean in most of cases will inevitably lead to loss of periorbital volume. I would like to open up a discussion about it because i see that UEE fat grafts and fillers are relatively simple approaches that yield one of most dramatic changes in eye area one can have. Fat can be used in addition to midface lift, canthoplasty and canthopexy to improve under eye area and tear troughs.

Also, after extensive research i would say that im against under eyelid fillers and would only use fillers in the upper eyelid area.
Research has been done and fillers not only migrate but can remain for many years in that area causing long-term under eye puffiness.
Studies have also shown that, if you suffer from tear through deformity fillers cant fix it. Let me rephrase that: although u can atenuate a bit is impossible to fix tear trough without especific surgery. A study conducted in 2012, discovered that there is a ligament on tear trough area responsable for this deformity and fillers in that area can cause more harm than good making it descend even more.

This video is very good explaining that:

Spoiler: Some reference papers

Exophthalmos: https://www.ncbi.nlm.nih.gov/books/NBK559323/
Enophthalmos: https://www.ncbi.nlm.nih.gov/books/NBK563300/
Fat grafting: http://www.rbcp.org.br/details/1215...e-analysis-of-efficacy-and-safety-in-31-cases
Analyzing risks of fat grafting: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410081/

Note: Now that i have the permission to edit this topic whenever i want i will slowly polish and build it better over time with more information.

I dnr but bug eyes can either be cuz of orbitals shape , sphenoid ( define the depth of ur eyes in the orbitals box ) or cuz of bad fat pads , it can be a cobinaison too

 

[Anakin_10k]

we can softmaxx the fat of the eyes?

obv not

 

[Anakin_10k]

we can softmaxx the fat of the eyes?

obv not

or u can try to be at 30% bf u will notice a slighty difference

 

[buccalfatremoval]

we can softmaxx the fat of the eyes?

or u can try to be at 30% bf u will notice a slighty difference

Niggas bumping 4yo thread