Why are saddle infraorbital implants better?

newlurker69

newlurker69

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People say to get infraorbital implants with the saddle that goes into the eye socket, why is that? My eye sockets are already quite small, I don’t want to make them even smaller.
 
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raise the lower lid
 
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raise the lower lid
it didnt raise mine

you need to make sure you also have enough forward projection or else you are doomed
 
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The saddle is only necessary if you have a vertical deficiency. It’s not for every case lol
 
The saddle is only necessary if you have a vertical deficiency. It’s not for every case lol
how can you tell if you have a vertical deficiency vs another problem?
 
how can you tell if you have a vertical deficiency vs another problem?
you can usually just tell by looking in the mirror. if your eyes and/or lower eyelids look droopy or sad, tired, etc. then you probably have vertical deficiency which is ultimately a lack of bone support creating the droopy look.
 
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it didnt raise mine

you need to make sure you also have enough forward projection or else you are doomed
I'm curious about the changes aswell. What difference did the saddle make on your face?
 
you can usually just tell by looking in the mirror. if your eyes and/or lower eyelids look droopy or sad, tired, etc. then you probably have vertical deficiency which is ultimately a lack of bone support creating the droopy look.
why are saddle infras considered dangerous by other surgeons outside of Eppley generally?
 
why are saddle infras considered dangerous by other surgeons outside of Eppley generally?
I don’t think they’re considered dangerous, but I think Eppley is simply one of the only doctors currently known for using them in his practice. Eppley is considered one of the experts on custom implants. As far as I know, for whatever reason, saddle infra implants just aren’t very commonly used. There are no “off the shelf” version of these implants implants, meaning you need to find a surgeon who:
1. Regularly designs + creates 3D custom fabricated implants for each individual case
2. is willing to listen to your saddle-infra implant idea and work with you to achieve a solution you both agree on
 
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how can you tell if you have a vertical deficiency vs another problem?
You should not have lower scleral show.
I have 2mm of it. Even if you have neutral canthal tilt, if you have severe scleral show your eyes will look uncanny, creepy, however you like to call them.

If the reason you have them is a lack of bone support then you likely have the dark undereye hollowness.
 

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