I used to have big eyes when I was very young but started developing scleral show(now 3mm) and mild ptosis after that(maybe from nine, looking at old photos), am still not sure why. It got worse after I started wearing contact lenses. My entire lower face is also sagging, could could be worsening my scleral show. I am only 21. Can hyaluronic fillers under my eyes/on cheeks help?
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September 15, 2010
Answer: Scleral show in the absence of previous surgery
You have had two prior lower eyelid surgeries. This means that your subsequent repair will be more complicated because resources have been used. Still, I have successfully repaired very complex lower eyelids which have been subject to much more eyelid surgeries. Each situation is unique....
Negative vector morphology, where the globe protrudes beyond the cheekbone, can lead to lower lid retraction due to inadequate midface support. Treatment options include:
- midface lifting with SOOF or deep-plane suspension
- infraorbital rim implant
- lower eyelid spacer grafts (such as hard...
Neither canthoplasty nor canthopexy will help.
I trained with Dr. Norman Shorr, the inventor of the Madame Butterfly procedure, a revolutionary approach to lower eyelid retraction. People from all over the world would fly in to have surgery. Since then we have modified this procedure to address...
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