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As long as the commonly known medical causes have been ruled out, bulging eyes may present in several ways for cosmetic correction. The position of the globe relative to the orbital rim is the first thing surgeons will evaluate, then, there is the relationship of the cheek fat to the orbital fat. The muscular support must be evaluated as well as the amount of fat surrounding the eye, and the laxity of supporting ligaments, and finally, don't forget the skin conditions. Because there are so many variables to consider, several consultations are recommended to learn about your specific anatomic structure and how these issues will be addressed.
Bulging eyes first must be evaluated for medical conditions, such as thyroid problems or allergies. Once medical conditions have been evaluated and you are considering cosmetic improvement, then facial plastic surgery for bulging eyes have many options. One may either add volume to the area below the lower eyelids or cheeks. Volume enhancement may be with silicone implants, facial fillers, or fat grafting. Volume may need to be removed from the eyes with fat removal of the bulges or bags. Alternatively, the eye itself can be set back by giving it more room within the skull. Standard blepharoplasty or eyelid surgery alone may not the best option, and could potentially make the eyes appear to bulge more. Only after a comprehensive evaluation by a plastic surgeon specialist can he/she help determine appropriate options for you.
Cheek implants can improve the appearance of bulging eyes. If the area below the eyes over the cheek is extremely flat or depressed, cheek implants combined with a lower blepharoplasty vs a lower blephraoplasty alone can give an enhanced aesthetic appearance. Lower blepharoplasty alone may lead to a hollowed out appearance to your lower lid region if the cheek is not addressed.
In your case fillers like Radiesse applied in sufficient volume subperiostealy in the malar region may be an option instead of hard implants. Trimming of the lower lid fat pads by trans conjuctival approach will reduce or eliminate the bulging look with out the potential complications of an open approach lower lid bleph. However be aware that the Radiesse filler is not permanent and may have to be repeated after it gets absorbed in several months
Yes there can be a very slight camouflage of the bulge. But you must be evaluated in person so to determine whether additional orbital re positioning is really needed.
Sadly, no. You should consider lower Blepharoplasty for the removal of the lower eyelid bags. I have performed this procedure using an incision on the inside of the lower eyelid for over 20 years and published a paper on this technique in 1990.
Cheek implants are a possibility for improving the genetic tendency towards bulging of the eyes. I'd recommend a consultation with a board certified plastic surgeon for his or her recommendation regarding your exact situation.
Adding volume to the cheeks or chin can alter the relative balance of the face. Although cheek implants are not typically used to change the prominence of the nose, they can improve facial balance and harmony. Depending on your particular issues, it may, in fact, alter the perception of...
Hard to say anything without photos. You are very early on in the course. It is too early to say anything about a final result. Commonly there is swelling for a significant time after surgery. Please continue to follow up with your plastic surgeon. Let him/her know your concerns.
Patients who come in for early eye bags or hollow eye sockets are because the bony rims of the eye sockets are under developed. This is what we call negative vector orbits. The bony rim of the eye sockets are behind the eyeball, instead of a neutral position. The eye sockets therefore appear...
Yes a cheek implant can not only augment your cheeks but can also help with the prominence of the nasolabial fold. An alternative approach is to perform fat transfer to your cheeks. This will produce a similar result to the implant but will use your own tissue. It typically loks more natural,...
The average down time after cheek implants is about three weeks for the noticeable swelling to resolve. The numbness from placing the implants can last several months or so. As far as eating and drinking normally, we typically restrict our patients to a soft diet for one week. You might get by...
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