Vertical Optical Dystopia - should I get orbital rim augmentation?

[unaiav25]

Hi, one of the biggest issues I think I have is basically that my left eye is lower than the other. And this signifantly affects my facial harmony, in my opinion. I’ve been told the actual canthal tilt is positive, it’s just one of the eyes is lower than the other. I don’t think it’s by a significant margin but it’s noticeable. I looked into this and saw Dr Eppley has solved this for people. I don’t think mine is severe enough to need to be corrected by the more drastic ‘Orbital Box Osteotomy’ I think that’s reversed for 5mm+ difference. I emailed Dr Eppley and he said ‘This is a foundational issue in which the entire left orbital box is positioned to lower. This requires a combined orbital floor/rim augmentation with overlying eyelid adjustments.’

Should I pursue this surgery? It won’t be anytime soon but in the future. I feel like it’s my most noticeable flaw. I’m relatively happy with my other facial features. I’ve seen him around he but I would like that ‘real surgery max’ guy’s opinion on this also.

 

[RealSurgerymax]

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

 

[Snicket]

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

Can you confirm if you’re doing high level LeForts with Steinbacher?

 

[Youㅤ]

nigga just tilt ur head a bit

 

[RealSurgerymax]

Can you confirm if you’re doing high level LeForts with Steinbacher?

I do implant cases with him.
About high LFs - You have $150K? to burn on 1 surgery? If no then stop mentally masturbating.

 

[unaiav25]

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

I spoke with Barry

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

Is an obrital floor implant separate from orbital rim augmentation? Is that why you’re saying the floor implant wouldn’t be necessary? Also, I just want to hear your take on how much of an improvement this surgery would have on me. I’ve spoke with others who said it’s my worse flaw. And I think it really affects the harmony due to asymmetry. I guess what I’m asking is do u think this would be a high ROI surgery for me? From a looksmaxing POV

 

[unaiav25]

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

I believe we can camouflage this with only orbital rim implants and possible eyelid surgery.

In my opinion the orbital floor implant is not worthwhile since you have dark eyes no one will see the pupillary dystopia. However we can do it anyway if you want a more total correction.

Orbital Box Osteotomy is probably not necessary unless you want to move the right eye DOWN which may be more beneficial for your mid face ratio than artificially raising the left eye with implants.

Here’s some more pics. Do you think this surgery is high ROI?