I want to remove scleral show without making my eyes look completely different. What would you recommend?(Photo)

Question

The surgeon's preference would be retractor recession and lengthening the lower eyelid with a lateral periosteal flap for my "euryblepharon" eye configuration. I was thinking that maybe I could have a midface lift to lift the eyelids a bit instead. Or maybe canthopexy or canthoplasty instead. Not sure if these are long lasting. I had cheek implants 4 weeks ago as my cheeks were flat, negative vector and made my eyes bulge. Do different procedures achieve same results? Thanks!

A.J. Amadi, MD · Answer

A more predictable and long lasting solution would be a hard palate graft to elevate the eyelids. You can augment results by adding an orbital rim implant. That would increase complexity and possible complications....high risk but high reward.

Kenneth D. Steinsapir, MD · Answer

You will be disfigured. Please do not do that to yourself. Currently you lateral canthal angles extend to the bone. The surgery being proposed will compromise this. I personally think you would benefit from a low profile rim implant and a hard palate graft in the back of the lower eyelid to control the shape of the eyelid without tension. Your eyes can be your best feature.

I want to remove scleral show without making my eyes look completely different. What would you recommend?(Photo)

Answers (2)

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