Would Periorbital Fat Grafting Fix my Tung Tung Tung Sahur Eye Area? (Pictures)

[crimson297]

Long-time lurker, first-time poster.

I believe that my most pressing flaws and accompanying fixes are as follows, but I would really appreciate any insight as far as the order to do said procedures and if I have them ranked by ROI appropriately.

1. Periorbital fat grafting

Both upper and lower-eye. I currently have extensive UEE exposure and discoloration + deep tear troughs, which really helps me to Tung Tung Tung Sahurmaxx. However, I notice that when I squint like an idiot it looks substantially healthier. After seeing some great fat-grafting results on the site I am wondering if this alone would be enough to fix my eye area and if this is the #1 ROI procedure for me?

2. Rhinoplasty

Dorsal hump and excessive nasal flare, I think it looks alright from the front and 3/4 angle, but my side profile is poor.

3. Sliding Genioplasty

I believe I have some chin retrusion going on, though I feel like this may be lower priority.

Do I have the right idea? Any other alternative procedures you would suggest? Would I need implants to achieve the eye-area I am going for or would the fat-grafting alone be sufficient?

Of course, I am still working on soft-maxxes as well by getting leaner with Retatrutide, MT-1 to tan, will re-perm (Asian salon botched it jfl), neck training + improve posture, etc.

 

[Saint.]

Someone correct me if I’m wrong, but I think you may need lower lid retraction repair, along with under eye fat grafting, to achieve the lower lid position shown in the photo where you’re squinting.

I could be wrong tho

 

[crimson297]

Someone correct me if I’m wrong, but I think you may need lower lid retraction repair, along with under eye fat grafting, to achieve the lower lid position shown in the photo where you’re squinting.

I could be wrong tho

Ah, I suspect you might be right since I'm not sure just fat grafting alone would be enough for lower-lid support. I'll try and look into it further, thanks for the suggestion.

 

[mistermogsalot]

you are a grown ass man talking bout sum tung tung tung sahur

 

[crimson297]

you are a grown ass man talking bout sum tung tung tung sahur

It got you to click on the post tho, so mission accomplished

 

[mistermogsalot]

 

[LTN]

Long-time lurker, first-time poster.

I believe that my most pressing flaws and accompanying fixes are as follows, but I would really appreciate any insight as far as the order to do said procedures and if I have them ranked by ROI appropriately.

1. Periorbital fat grafting

Both upper and lower-eye. I currently have extensive UEE exposure and discoloration + deep tear troughs, which really helps me to Tung Tung Tung Sahurmaxx. However, I notice that when I squint like an idiot it looks substantially healthier. After seeing some great fat-grafting results on the site I am wondering if this alone would be enough to fix my eye area and if this is the #1 ROI procedure for me?

2. Rhinoplasty

Dorsal hump and excessive nasal flare, I think it looks alright from the front and 3/4 angle, but my side profile is poor.

3. Sliding Genioplasty

I believe I have some chin retrusion going on, though I feel like this may be lower priority.

Do I have the right idea? Any other alternative procedures you would suggest? Would I need implants to achieve the eye-area I am going for or would the fat-grafting alone be sufficient?

Of course, I am still working on soft-maxxes as well by getting leaner with Retatrutide, MT-1 to tan, will re-perm (Asian salon botched it jfl), neck training + improve posture, etc.

1. If it's a bone deficit (negative orbital vector), it's best addressed with an implant. If it's a soft tissue deficit, it's best addressed with undereye fat grafting. If it's both, it's best addressed with both. How do we know which deficits exactly ... we need a 3D CT head scan

2. Nose looks harmonious with your pheno, meaning that best case, the improvement is marginal, worst case it nukes your harmony. I would worry about this last. Your side profile is mostly held back by your lack of brow bone / supraorbital projection and periorbital projection.

3. Chin height looks fine. Should be one of the last things to worry about.

But the most useful advice, you already look like you have strong niche appeal. Probably best to learn how leverage it instead of betting everything on the perfect outcome of a handful of hardmaxxes

 

[LTN]

Someone correct me if I’m wrong, but I think you may need lower lid retraction repair, along with under eye fat grafting, to achieve the lower lid position shown in the photo where you’re squinting.

I could be wrong tho

Also avoid eyelid procedures until you verify/address a potential negative orbital vector. Most uncanny results come from attempting soft tissue work on a negative orbital vector base imo

 

[Mumbai_HTN]

"joined 2021" holyy

 

[Prøphet]

Also avoid eyelid procedures until you verify/address a potential negative orbital vector. Most uncanny results come from attempting soft tissue work on a negative orbital vector base imo

Do you think Supra fat graft would have high roi for him


I have a similar issue with my upper eyelid looking heavy like his

 

[LTN]

Do you think Supra fat graft would have high roi for him


I have a similar issue with my upper eyelid looking heavy like his

The issue is that side profile is extremely overrated for appeal irl, and when it looks good, it gets dominated by forward growth and lower third angularity / light reflection more than anything else.

Also, the brow projection is dominated by the depth of the brow bone shelf more than the fat deposits in the supras in the cases of needing > 2mm of added projection (given that the brow bone looks near flat here), so the answer would be a brow bone implant if anything (opposite of high roi provided the procedure involves literally flapping open half of the face)

 

[Prøphet]

The issue is that side profile is extremely overrated for appeal irl, and when it looks good, it gets dominated by forward growth and lower third angularity / light reflection more than anything else.

Also, the brow projection is dominated by the depth of the brow bone shelf more than the fat deposits in the supras in the cases of needing > 2mm of added projection (given that the brow bone looks near flat here), so the answer would be a brow bone implant if anything (opposite of high roi provided the procedure involves literally flapping open half of the face)

I mean for this

 

[LTN]

I mean for this

View attachment 5314304

Yeah, would help, but nothing crazy by itself. I would consider eyebrow grooming (maybe darkening as well, looks a bit patchy), ptosis repair, and botox brow lowering first to see if it's enough. Issue is that fat grafting the hooding is a one-way door and can give asian hooding if the bone support isn't there, so risky with lower relative award.

Fixing the negative orbital vector would be higher immediate roi ... maybe fat grafting in two stages, first for undereyes and hooding, then a touch up (50% of the grafted undereye fat would die anyway). If it were me, I'd get a 3D CT scan and get supra + infra implants first if there's a bone deficit (kinda looks like there is).

 

[Prøphet]

Yeah, would help, but nothing crazy by itself. I would consider eyebrow grooming (maybe darkening as well, looks a bit patchy), ptosis repair, and botox brow lowering first to see if it's enough. Issue is that fat grafting the hooding is a one-way door and can give asian hooding if the bone support isn't there, so risky with lower relative award.

Fixing the negative orbital vector would be higher immediate roi ... maybe fat grafting in two stages, first for undereyes and hooding, then a touch up (50% of the grafted undereye fat would die anyway). If it were me, I'd get a 3D CT scan and get supra + infra implants first if there's a bone deficit (kinda looks like there is).

Thank you for the knowledge

 

[IDontBlameAnybody]

Fat grafting is great but only shitty thing is that how much fat survives is kind of luck, some people literally hold onto to most of the fat grafted, some only to 50%.

 

[crimson297]

1. If it's a bone deficit (negative orbital vector), it's best addressed with an implant. If it's a soft tissue deficit, it's best addressed with undereye fat grafting. If it's both, it's best addressed with both. How do we know which deficits exactly ... we need a 3D CT head scan

2. Nose looks harmonious with your pheno, meaning that best case, the improvement is marginal, worst case it nukes your harmony. I would worry about this last. Your side profile is mostly held back by your lack of brow bone / supraorbital projection and periorbital projection.

3. Chin height looks fine. Should be one of the last things to worry about.

But the most useful advice, you already look like you have strong niche appeal. Probably best to learn how leverage it instead of betting everything on the perfect outcome of a handful of hardmaxxes

Thanks a ton for the well-thought out responses. Good point regarding negative orbital vector, I took a look at a few posts afterward and believe mine is neutral but with poor fat-pads: https://looksmax.org/threads/orbital-vector-basics-and-importance.821556/

I took another front and side shot in bathroom lighting, and I feel like the malar prominence is neutral? (Photos attached, very bad photographer so angles might not be the best for a breakdown, can retake if needed).

This leads me to believe it may not be a bone issue and could be due to aforementioned fat pad issue, or brows being too high, or ptosis (or some combination). Basically, I would like to get rid of the tired and forlorn/sad appearance I have with a neutral expression, wherein when I smile it immediately improves the eye area substantially due to the lids being hidden/support improved. I'd definitely like to try and get a CT scan sometime in the future for a more definitive idea.

I agree with 2 and 3 being lower priority and don't think they hurt my front profile all that much, it mainly seems to harm my side. Chin does not go past lips, and the appearance of a longer ramus could be beneficial. Also not sure it would actually be worth for me to try and darken + thicken eyebrows, feel like any more would push me into Ben Shapiro territory lol.

 

[BronzeSpartan2]

Long-time lurker, first-time poster.

I believe that my most pressing flaws and accompanying fixes are as follows, but I would really appreciate any insight as far as the order to do said procedures and if I have them ranked by ROI appropriately.

1. Periorbital fat grafting

Both upper and lower-eye. I currently have extensive UEE exposure and discoloration + deep tear troughs, which really helps me to Tung Tung Tung Sahurmaxx. However, I notice that when I squint like an idiot it looks substantially healthier. After seeing some great fat-grafting results on the site I am wondering if this alone would be enough to fix my eye area and if this is the #1 ROI procedure for me?

2. Rhinoplasty

Dorsal hump and excessive nasal flare, I think it looks alright from the front and 3/4 angle, but my side profile is poor.

3. Sliding Genioplasty

I believe I have some chin retrusion going on, though I feel like this may be lower priority.

Do I have the right idea? Any other alternative procedures you would suggest? Would I need implants to achieve the eye-area I am going for or would the fat-grafting alone be sufficient?

Of course, I am still working on soft-maxxes as well by getting leaner with Retatrutide, MT-1 to tan, will re-perm (Asian salon botched it jfl), neck training + improve posture, etc.

You need orbital decompression bro

Don’t go to any surgeon who wants to do medial or floor decompression though

 

[Public Enemy]

Also avoid eyelid procedures until you verify/address a potential negative orbital vector. Most uncanny results come from attempting soft tissue work on a negative orbital vector base imo

Does that count for infra fat grafting aswell? And I thought negative vector is not neccesary a flaw on a guy?

 

[crimson297]

You need orbital decompression bro

Don’t go to any surgeon who wants to do medial or floor decompression though

That surgery has an exceedingly high botch rate relative to other procedures though, I'm not sure it's worth the risk/money/time tbh

 

[BronzeSpartan2]

That surgery has an exceedingly high botch rate relative to other procedures though, I'm not sure it's worth the risk/money/time tbh

(1) Its not as risky as a procedure as you might think. The “botch rate” (you mean complication rate) is high for patients with have Thyroid Eye Disease, and not all complications are botches.

The risk is high when you decompress the medial and floor. When you do lateral decompression (and/or fat) it’s not risky. So you have to be careful with surgeon choice, and ask what technique they would do. To be fair, there are probably only 3 doctors I would trust with doing it

(2) Cost and downtime for recovery aren’t bad.

You have good potential for sure, maybe you could get away with supras and fat grafts to smooth the transition from the lid cheek junction to the infras, but I think your eye area would still hold you back. You can DM me if you want more info

 

[LTN]

(1) Its not as risky as a procedure as you might think. The “botch rate” (you mean complication rate) is high for patients with have Thyroid Eye Disease, and not all complications are botches.

The risk is high when you decompress the medial and floor. When you do lateral decompression (and/or fat) it’s not risky. So you have to be careful with surgeon choice, and ask what technique they would do. To be fair, there are probably only 3 doctors I would trust with doing it

(2) Cost and downtime for recovery aren’t bad.

You have good potential for sure, maybe you could get away with supras and fat grafts to smooth the transition from the lid cheek junction to the infras, but I think your eye area would still hold you back. You can DM me if you want more info

Lol, no one trusts orbital decompression after what happened to Frank ... although the botch rate is on the lower side, if you do get botched, it's completely over as the revision surgery is niche asf.

Also, the operation itself is pulling on the wrong lever. The aesthetics of deepset eyes come mostly from the orbital bone and soft tissue projection as opposed to simply the orbital socket depth (as the indicator of attractiveness itself comes from the theory that deepset eyes were evolutionarily selected as dimorphically attractive as they provided natural eye protection in hunting/combat).

Another thing to consider is that pfl gets significantly reduced, putting a permanent ceiling on how striking the eyes can look.

I'd rather just get an aggressive supraorbital, infra, and brow bone implant than an orbital decompression.

 

[BronzeSpartan2]

Lol, no one trusts orbital decompression after what happened to Frank ... although the botch rate is on the lower side, if you do get botched, it's completely over as the revision surgery is niche asf.

Bro you must be a complete retard if you rule out a surgery after one botch. Botches happen all the time for lots of different surgeries, including jaw surgery.

Does this guy getting botched from bimax mean that no one should trust jaw surgery either?

If you get lateral wall decompression, you won't get enopthalmos like Frank and need orbital reconstruction. The main functional risk is double vision, which is low if you do lateral wall and fat decompression only. Also if you get double vision it can be corrected via strabismus surgery, which has very high rates of success

Also, the operation itself is pulling on the wrong lever. The aesthetics of deepset eyes come mostly from the orbital bone and soft tissue projection as opposed to simply the orbital socket depth (as the indicator of attractiveness itself comes from the theory that deepset eyes were evolutionarily selected as dimorphically attractive as they provided natural eye protection in hunting/combat).

Looks like someone has been binge watching FaceIQ and FaceMetrics and parroting their advice to others on .org lmao. How deepset your eyes look comes from BOTH structural support and the depth of the eye socket. So both are valid approaches to getting a more aesthetic eye area.

PFL does not reduce with orbital decompression, that's a myth spread by Titbot. In his post, he says orbital decompression collapses the floor, which apparently reduces PFL. Even if that was true (which it isn't), then don't go to a surgeon who does floor decompressions? I recommended to OP to get a lateral wall decompression only + maybe fat if needed (no other walls)

I'd rather just get an aggressive supraorbital, infra, and brow bone implant than an orbital decompression.

Aggressive implants is a valid approach for sure, so is OD + implants or in some cases OD alone. Whether huge implants or a conservative OD + normal sized implants lead to the most aesthetic result is up for debate.

(as the indicator of attractiveness itself comes from the theory that deepset eyes were evolutionarily selected as dimorphically attractive as they provided natural eye protection in hunting/combat).

Dnr