Hi dear doctors.My name is Farzona and i am 20 years old.I have lateral scleral show.white part of my eyes shows.It bothers me a lot.I want to get surgery done or anything to fix it.I heard about canthoplasty that can help to fix scleral show.But i want to have almond shaped eyes still but without scleral show.How much it cost canthoplasty?canthoplasty or canthopexy good option for me?or derma fillers?and how much the surgery canthoplasty cost?can u answer me sooner plz...
February 1, 2016
Answer: Scleral show Thank you for the question. This is a complicated issue, and I agree with others that there is not an ideal solution. Fillers would have a very minimal effect unless a lot is used -- and then you are likely to look over-filled or puffy all the time. Canthal repositioning is possible but very difficult to get exactly right. And if your eyelid/eye socket anatomy isn't suitable for the procedure, it can make the scleral show worse. It would be my recommendation to do nothing.
Helpful
February 1, 2016
Answer: Scleral show Thank you for the question. This is a complicated issue, and I agree with others that there is not an ideal solution. Fillers would have a very minimal effect unless a lot is used -- and then you are likely to look over-filled or puffy all the time. Canthal repositioning is possible but very difficult to get exactly right. And if your eyelid/eye socket anatomy isn't suitable for the procedure, it can make the scleral show worse. It would be my recommendation to do nothing.
Helpful
February 1, 2016
Answer: In certain patients, scleral show may be improved with fillers. Your scleral show is not distracting, so it may be best to live with it, or consider an approach less invasive than surgery. We do not offer canthoplasty in our practice, but surgical repositioning of your lateral canthi may lead to a less desireable aesthetic appearance, and there is always risk, uncertainty and expense with a delicate oculoplastic surgery.We have seen improvement in scleral show using Silikon-1000, an off-label filler for permanent results. The majority of our experience is in patients who developed scleral show and lower eyelid malposition after lower eyelid Blepharoplasty. Your photos appear to show some lower eyelid hollowing, so depending on your examination, fillers may be considered. Thank you.Dr Joseph
Helpful
February 1, 2016
Answer: In certain patients, scleral show may be improved with fillers. Your scleral show is not distracting, so it may be best to live with it, or consider an approach less invasive than surgery. We do not offer canthoplasty in our practice, but surgical repositioning of your lateral canthi may lead to a less desireable aesthetic appearance, and there is always risk, uncertainty and expense with a delicate oculoplastic surgery.We have seen improvement in scleral show using Silikon-1000, an off-label filler for permanent results. The majority of our experience is in patients who developed scleral show and lower eyelid malposition after lower eyelid Blepharoplasty. Your photos appear to show some lower eyelid hollowing, so depending on your examination, fillers may be considered. Thank you.Dr Joseph
Helpful
