Best Procedure to Correct my Slightly Scleral Show? (photo)

I have a slightly scleral show in my eyes. I just want my lower eyelid to be less droopy and be more horizontal. Thanks in advance.

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droopy eye scleral show

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13 Doctor Answers | Asked by Guvenen

Doctor Answers (13)
Community Comments (0)

Minimal scleral show

A canthopexy or canthoplasty would be the best choice. Either one will change the eye horizontally. Best to consult with an oculoplastic surgeon

Best Procedure to Correct my Slightly Scleral Show?

NONE is the best option in your case. Seems like an issue of unrealistic expectations. and no understanding of the risks involved.

Improving Scleral Show

If you really feel that you need improvement of your scleral show this is probably best performed with a lateral canthopexy procedure since you do not appear to have any previous eyelid surgery.

Probably not indicated

Thank you for your question and photo. There have been several interesting posts already, so I won't repeat what has already been said. It’s always difficult to evaluate a two-dimensional photo unless the views are standardized (which is difficult to accomplish without training). The one thing that immediately strikes me is that the photo appears to have been taken with a camera angle from above, with you looking slightly upward. The reflection of the camera flash... more

Eyelid surgery

First, I would recommend no surgery. Your eyes look fine. If you insist on doing something, then, removing a small triangle of your lower lid and pulling the lid tighter should correct what you are seeing.

Treatment for Scleral Show: Canthopexy or Not?

Thank you for the question and your picture. Without examining your eyelids to determine the degree of laxity, it is not possible to say whether or not you need a canthal repositioning procedure. There are many reasons for scleral show: 1) in some people, this is "normal" (i.e., not a result of surgery or any sort of trauma); 2) there could be scar tissue in the lower eyelid, which is limiting its movement or causing the lid to rotate outward; 3) the lower eyelid may be too loose, and it... more

Restylane or Canthopexy

Filler in the lower eyelid is sometimes effective. I will tell you that canthal laxity cannot be determined from a photo, and you will have to be examined. Based upon the exam, further recommendations can be made. Kenneth Hughes, MD Los Angeles, CA

Scleral show (lower eyelid retraction) treatment options

Lower eyelid retraction causing scleral show can be improved using surgical (lower eyelid retraction surgery) or nonsurgical techniques (filler injection into the lower eyelids to lift them). See an oculoplastic surgeon for evaluation.

Complex question really.

Not all inferior scleral show is abnormal. Not all inferior scleral show needs to be fixed. An obvious questions is why do you think it needs to be fixed? It is a problem when there is chronic corneal drying with symptoms that can not be addressed with simple medical treatment. "Repairing" cosmetic inferior scleral show needs to be done thoughtfully recognizing that it is possible to do harm with even the best intentioned surgical procedure. Students of topology... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Lower lid retraction repair

I would NOT recommend a midface or SOOF lift, nor a canthoplasty/canthopexy. Your scleral show is a sign of lower eyelid retraction. This can be repaired using a graft on the inside of the eyelid. There are many different areas the graft can be harvested from, such as the inside of the upper eyelid, the roof of the mouth, or even some "off the shelf" products. Seek a consultation with an ASOPRS trained oculoplastics surgeon. See link below to find one near you. more