Orbital Rim Implants, Lateral Cantho Plasty and -Plexy - In What Order?

if one had round eyes and scleral show due to BOTH a recessed orbital rim area AND lax under eye, and wanted to get both procedures, which one should be done first generally to a produce a more predictable aesthetic variable?

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combination scleral show

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7 Doctor Answers | Asked by radicalcad in Los Angeles

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Recessed orbital rims

I would seek second and third opinions regarding a diagnosis of "recessed orbital rim" from board - certified plastic surgeons. This is not a common finding. The use of implants in the face often results in disappointing results. Very few surgeons in the country can use implants in the face without distorting one's appearance. Make sure you are seeing a surgeon certified by the American Board of Plastic Surgery. Samer W. Cabbabe, M.D. Board -... more

Orbital Rim Implants and Tightening the loose lower lid

Regarding: "Orbital Rim Implants, Lateral Cantho Plasty and -Plexy - In What Order? if one had round eyes and scleral show due to BOTH a recessed orbital rim area AND lax under eye, and wanted to get both procedures, which one should be done first generally to a produce a more predictable aesthetic variable?" Without a photograph much less an essential physical examination, we'll assume that you absolutely require orbital rim implants to correct a bulging eye... more

Periorbital Rejuvenation

I would recommend that both procedures can be done if needed at the same operation. Whether a canthopexy or canthoplasty is needed is determined on the amount of lower eyelid laxity. Dr. ES

Difficult eyes

I am assuming that you have a proptotic eye with a very recessed orbital rim. I recommend that you consult with an experienced oculoplastic surgeon. These are the surgeons most qualified to handle your eyelids. If you are in LA, UCLA has an excellent oculoplastic department.

Orbital Rim Implants, Lateral Cantho Plasty and -Plexy - In What Order

You need an extensive orbital soft tissue, bony workup before an intelligent answer to your question can be determined. With that stated I agree with Dr Wallach in details to extensive and reasons to involved to explain here. seek ONLY in person evaluations.

Canthal surgery alone will never address these issues.

WIth few exceptions, the syndrome your are describing is caused by damaging lower eyelid surgery coupled with midface ptosis. Poor cheek bone and therefore orbital rim projection contribute to the issues. It would be very unusual to need this time of work as a primary aesthetic surgery. If that is your situation, unless you have some type of craniofacial abnormality, you will be talking yourself into way more surgery than you need! Canthal surgery alone, such as... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Orbital rim implants and eye lid support

If you have scleral show and rounded eyelids, you may just want this corrected with a canthoipexy or canthoplasty without adding another dimension like an implant which may make you prone to a worse condition.