Will canthopexy give me my squinting eyes perma ?

[LackEmpathyTherefor]

Squinting vs not squinting unfrauded angle back camera
Will canthopexy give me the same effects:

• Reduced scleral show
• More compact eye shape

Will it be even better ?

Getting the canthopexy in August along fat graft BFR etc. With very niche underground surgeon from Thailand whose name I can’t disclose for now.

@yussimania @tweaqo @lurking truecel @shedontluv-U @Firstname.Lastname

 

[Nahorscend]

You probably need something more than that, llrr, infras, maybe od depending on side

 

[lurking truecel]

canthopexy if you are a candidate, depends on the eye globe and diff things a surgeon need to evaluate would look better

 

[Deleted member 139731]

View attachment 4988048View attachment 4988049
Squinting vs not squinting unfrauded angle back camera
Will canthopexy give me the same effects:

• Reduced scleral show
• More compact eye shape

Will it be even better ?

Getting the canthopexy in August along fat graft BFR etc. With very niche underground surgeon from Thailand whose name I can’t disclose for now.

@yussimania @tweaqo @lurking truecel @shedontluv-U @Firstname.Lastname

crazy detication! bimax, ht, cantho, fat grafts, bfr and teeth after. mirinnn

 

[shedontluv-U]

i dont think so the only way a canthopexy can achieve this result its with a super intrusive bone fixation and we cant call that canthopexy

 

[Lefor3Laser]

View attachment 4988048View attachment 4988049
Squinting vs not squinting unfrauded angle back camera
Will canthopexy give me the same effects:

• Reduced scleral show
• More compact eye shape

Will it be even better ?

Getting the canthopexy in August along fat graft BFR etc. With very niche underground surgeon from Thailand whose name I can’t disclose for now.

@yussimania @tweaqo @lurking truecel @shedontluv-U @Firstname.Lastname

Lower limb retraction could do something similar as i know.

 

[LackEmpathyTherefor]

i dont think so the only way a canthopexy can achieve this result its with a super intrusive bone fixation and we cant call that canthopexy

mmh that’s what I was fearing too.
So that means a regular canthopexy will only lift the eye half as much because it cannot support as much weight/force as canthoplasty ?

 

[LackEmpathyTherefor]

You probably need something more than that, llrr, infras, maybe od depending on side

Haha I see what you mean, ig the high amount of scleral show makes it looks potruding but I don’t think iam an OD candidate.

And for implants iam not sure here are my side just now and CT

What do u think ?
@yussimania why this mf getting banned the second I need his opinion
@lurking truecel

 

[LackEmpathyTherefor]

Lower limb retraction could do something similar as i know.

Lower lid retraction you mean ?
Isn’t canthopexy/plasty some kind of llr or am I confused ?

 

[lurking truecel]

Haha I see what you mean, ig the high amount of scleral show makes it looks potruding but I don’t think iam an OD candidate.

And for implants iam not sure here are my side just now and CT
View attachment 4990061View attachment 4990071

View attachment 4990062View attachment 4990063
What do u think ?
@yussimania why this mf getting banned the second I need his opinion
@lurking truecel

SPacer grafts for lower eyelid repair and fat graft. Thenncall it a day

 

[kisslessvirgin]

@yussimania why this mf getting banned the second I need his opinion

self-ban

he has his discord on his profile doe

 

[Lefor3Laser]

Lower lid retraction you mean ?
Isn’t canthopexy/plasty some kind of llr or am I confused ?

It is, but it's somewhat kinda rebranded, Chantoplasty/pexy as i remember are a different tehnique.

 

[BM7]

You need infras

 

[zemult]

Lower eyelid retraction + infras

But you also need cantho I think

 

[Nahorscend]

Lower lid retraction you mean ?
Isn’t canthopexy/plasty some kind of llr or am I confused ?

Lower eyelid retraction + infras

But you also need cantho I think

Lower lid retraction repair with spacer graft can be called cantho yes. I think you only need that, you don't necessarily need the thing people here mean when they say cantho (vertical repositioning of the lateral canthus).

You need something like this which is achievable with llrr (graft). In fact it's probably only achievable with that (and then infras to support that from underneath).

I don't think you need the outer corner point physically moved up like this, you just need the lower lid border to come up into a better contour.

 

[heiwa]

View attachment 4988048View attachment 4988049
Squinting vs not squinting unfrauded angle back camera
Will canthopexy give me the same effects:

• Reduced scleral show
• More compact eye shape

Will it be even better ?

Getting the canthopexy in August along fat graft BFR etc. With very niche underground surgeon from Thailand whose name I can’t disclose for now.

@yussimania @tweaqo @lurking truecel @shedontluv-U @Firstname.Lastname

Why not do canthaplasty? Probably would look better on your case
You should probably also do something for your bitemporal width it looks kinda small

 

[Adee]

View attachment 4988048View attachment 4988049
Squinting vs not squinting unfrauded angle back camera
Will canthopexy give me the same effects:

• Reduced scleral show
• More compact eye shape

Will it be even better ?

Getting the canthopexy in August along fat graft BFR etc. With very niche underground surgeon from Thailand whose name I can’t disclose for now.

@yussimania @tweaqo @lurking truecel @shedontluv-U @Firstname.Lastname

LLRR and canthoplasty is the go to

 

[LackEmpathyTherefor]

Lower lid retraction repair with spacer graft can be called cantho yes. I think you only need that, you don't necessarily need the thing people here mean when they say cantho (vertical repositioning of the lateral canthus).

View attachment 4992957
You need something like this which is achievable with llrr (graft). In fact it's probably only achievable with that (and then infras to support that from underneath).


View attachment 4992973
I don't think you need the outer corner point physically moved up like this, you just need the lower lid border to come up into a better contour.

Thanks for the answer yall @lurking truecel @Adee @Lefor3Laser @shedontluv-U @zemult
I think you're right about LLRR

So i've contacted a very good occuplastic surgeon in my country Dr. Ferron, and he pretty much agreed with your ideas.

He proposed:

• Subperiosteal Midface Lift: Deep cheek elevation anchored directly to the orbital bone via transosseous fixation (drilled holes).
• Lower Lid Spacer Graft: Insertion of a graft (palate or cartilage) to vertically lengthen the lid.
• Drilled Bone Lateral Canthopexy: Securely anchoring the outer corner tendon into a drilled bone hole to support the new structure without cutting the tendon.
• Nanofat/Lipofilling: Fat injection to thicken the skin, camouflage the graft, and boost healing.

That is some article he made about his midface lift btw:
I'll have a consultation with him in a couple of days.

But iam looking at minimum 6-8k€, which is far from 2k€ canthoplasty in turkey, or 3k€ pexy+fatgraft in thailand.

ATP i could even consider doing a set of infra implants instead, with my previous trimax surgeon.
What yall think?

 

[LackEmpathyTherefor]

Why not do canthaplasty? Probably would look better on your case
You should probably also do something for your bitemporal width it looks kinda small

Yes you're right, i will do fat graft to the temples as well, at the same time as infra, supra and mentolabial fold.
Not sure it's a big failo tho idk

 

[Lefor3Laser]

Thanks for the answer yall @lurking truecel @Adee @Lefor3Laser @shedontluv-U @zemult
I think you're right about LLRR

So i've contacted a very good occuplastic surgeon in my country Dr. Ferron, and he pretty much agreed with your ideas.

He proposed:

• Subperiosteal Midface Lift: Deep cheek elevation anchored directly to the orbital bone via transosseous fixation (drilled holes).
• Lower Lid Spacer Graft: Insertion of a graft (palate or cartilage) to vertically lengthen the lid.
• Drilled Bone Lateral Canthopexy: Securely anchoring the outer corner tendon into a drilled bone hole to support the new structure without cutting the tendon.
• Nanofat/Lipofilling: Fat injection to thicken the skin, camouflage the graft, and boost healing.

That is some article he made about his midface lift btw: View attachment 5011341
I'll have a consultation with him in a couple of days.

But iam looking at minimum 6-8k€, which is far from 2k€ canthoplasty in turkey, or 3k€ pexy+fatgraft in thailand.

ATP i could even consider doing a set of infra implants instead, with my previous trimax surgeon.
What yall think?

Yeah because realistically, real chanto is for actual negative canthal tilt, usually people get chanto when in reality they just have a loose lower lid wich gives the impression if negative canthal tilt.

This is the case for my eye area as well, positive canthal tilt but since i have loose lower lids, it looks neutral.

 

[Lefor3Laser]

Also to add, your eye are is somewhat similar to mine, so the plan you also have will be similar to mine.

 

[LackEmpathyTherefor]

Yeah because realistically, real chanto is for actual negative canthal tilt, usually people get chanto when in reality they just have a loose lower lid wich gives the impression if negative canthal tilt.

This is the case for my eye area as well, positive canthal tilt but since i have loose lower lids, it looks neutral.

Yes, tilt is acually neutral to positive. That's why canthoplasty alone wouldn't be too appropriate for us.

But my question is at this point would i be better of using those 8k for a set of infras instead ?
The price would probably be about the same, but that's two different approaches.

One approach doesn't touch bones at all. But maybe my infras aren't really recessed (if you look at CT scan i sent previously)

 

[Lefor3Laser]

Yes, tilt is acually neutral to positive. That's why canthoplasty alone wouldn't be too appropriate for us.

But my question is at this point would i be better of using those 8k for a set of infras instead ?
The price would probably be about the same, but that's two different approaches.

One approach doesn't touch bones at all. But maybe my infras aren't really recessed (if you look at CT scan i sent previously)
View attachment 5011795
View attachment 5011820View attachment 5011800

Well spacer grafts would give you the same result as infraorbitals in some case, you want to fix the eye area or you want your midface to look "projected".

If you had reccesed infras, your eyes would bulge more, it's more about soft tissue and small skeletal correction, spacer graft is the go for me.

Tho infras alone wouldn't change your eyes btw, you would still have to get the other procedures.

 

[Nahorscend]

Yes, tilt is acually neutral to positive. That's why canthoplasty alone wouldn't be too appropriate for us.

But my question is at this point would i be better of using those 8k for a set of infras instead ?
The price would probably be about the same, but that's two different approaches.

One approach doesn't touch bones at all. But maybe my infras aren't really recessed (if you look at CT scan i sent previously)
View attachment 5011795
View attachment 5011820View attachment 5011800

It's not either or, barring ageing etc. in most cases the whole reason for lower lid retraction is infra deficiency. If that is your case then you need infra implants, but you also need llrr (spacer graft) to fix the lid. Because the implants are needed to give support to the llrr and prevent it from relapsing, but won't perfectly fix the retracted lid by themselves.

This is why some oculoplastics - I think those who don't offer implants themselves - decline to work on cases that have negative vector as they know their lid work won't last or be as effective. Ideally you need an oculoplastic who will do infra implants + llrr/cantho in the same surgery. But many oculoplastics are averse to implants and want to do facelifts and so on.

If you can't find someone to combine but you have negative vector then I'd get infra implants first and then go to the oculoplastic for llrr. I'd skip the lift.

But if you don't actually have significant negative vector then the plan of combining llrr + pexy + fat graft + midface lift will probably work. So it depends on what your side profile looks like, whether you have infra rim deficiency. From the one pic you posted it looks like you do have negative vector.

 

[Lefor3Laser]

It's not either or, barring ageing etc. in most cases the whole reason for lower lid retraction is infra deficiency. If that is your case then you need infra implants, but you also need llrr (spacer graft) to fix the lid. Because the implants are needed to give support to the llrr and prevent it from relapsing, but won't perfectly fix the retracted lid by themselves.

This is why some oculoplastics - I think those who don't offer implants themselves - decline to work on cases that have negative vector as they know their lid work won't last or be as effective. Ideally you need an oculoplastic who will do infra implants + llrr/cantho in the same surgery. But many oculoplastics are averse to implants and want to do facelifts and so on.

If you can't find someone to combine but you have negative vector then I'd get infra implants first and then go to the oculoplastic for llrr. I'd skip the lift.

But if you don't actually have significant negative vector then the plan of combining llrr + pexy + fat graft + midface lift will probably work. So it depends on what your side profile looks like, whether you have infra rim deficiency. From the one pic you posted it looks like you do have negative vector.

From the images he attached, if you look closely, his eyes don't bulge as much as you think, and spacer grafts and fat grafts would be enough, what do you think?

Talking about the side profile one, it shows you the depth where his bones relatively sit to the eyes.

 

[Nahorscend]

From the images he attached, if you look closely, his eyes don't bulge as much as you think, and spacer grafts and fat grafts would be enough, what do you think?

Talking about the side profile one, it shows you the depth where his bones relatively sit to the eyes.
View attachment 5012128

I mean he doesn't have proptosis for sure, it's about whether he has negative vector. If you have proptosis that increases your negative vector but you can have negative vector without proptosis.

To me it looks like the infra is slightly shallow but clearly not a very severe case either. Hard to say, should be evaluated by professionals. I think probably he would benefit from implants if he wanted the best result but might also be able to get away without them. Maybe if he overfills fat in the infra it will suffice.

 

[zemult]

Thanks for the answer yall @lurking truecel @Adee @Lefor3Laser @shedontluv-U @zemult
I think you're right about LLRR

So i've contacted a very good occuplastic surgeon in my country Dr. Ferron, and he pretty much agreed with your ideas.

He proposed:

• Subperiosteal Midface Lift: Deep cheek elevation anchored directly to the orbital bone via transosseous fixation (drilled holes).
• Lower Lid Spacer Graft: Insertion of a graft (palate or cartilage) to vertically lengthen the lid.
• Drilled Bone Lateral Canthopexy: Securely anchoring the outer corner tendon into a drilled bone hole to support the new structure without cutting the tendon.
• Nanofat/Lipofilling: Fat injection to thicken the skin, camouflage the graft, and boost healing.

That is some article he made about his midface lift btw: View attachment 5011341
I'll have a consultation with him in a couple of days.

But iam looking at minimum 6-8k€, which is far from 2k€ canthoplasty in turkey, or 3k€ pexy+fatgraft in thailand.

ATP i could even consider doing a set of infra implants instead, with my previous trimax surgeon.
What yall think?

I don't know about the subperiosteal midface lift. I don't think that will address anything really. Everything else seems fine though

You're better off with infras at that point

 

[LackEmpathyTherefor]

I mean he doesn't have proptosis for sure, it's about whether he has negative vector. If you have proptosis that increases your negative vector but you can have negative vector without proptosis.

View attachment 5012161
To me it looks like the infra is slightly shallow but clearly not a very severe case either. Hard to say, should be evaluated by professionals. I think probably he would benefit from implants if he wanted the best result but might also be able to get away without them. Maybe if he overfills fat in the infra it will suffice.

Yes I’d say it’s probably recessed but far from this case of Eppley for example

I will ask the surgeon about that during the consult.

But the whole point of the midfacelift would be to give support to the rest of the procedures just like implant does. I think it could hold up pretty well considering he will anchor everything with bone drill technique + I’m young so good skin elasticity

Also the lift will likely solve my horrible nasojugal/hitachi lines

But that means I need to cancel the fatgraft in Thailand cuz I prolly can’t do an overfill after doing allat

 

[LackEmpathyTherefor]

I don't know about the subperiosteal midface lift. I don't think that will address anything really. Everything else seems fine though

You're better off with infras at that point

Hmm yes if the quote goes up to 8k then I’d replace the lift with implants.

But don’t you think the lift in itself (moving the whole muscle-fat complex in malar region upwards) can help support the undereye and the rest of the procedures ?