If one has lower eyelid retraction could orbital rim implants actually raise the lower lids to show less scheral show?

Question

i personally think orbital rim implants can do this. i know for eyelid retraction you can do a canthpexy etc if one has orbital rim implants and canthopexy...is there a chance of further retraction

David Tauber, MD · Answer

Lower lid retraction can due to a number of factors and is
a reflection of the relationship between the globe, the facial skeleton, and
the overlying soft tissues. Prominent globes, a negative skeletal vector, a
lack of eyelid skin, lax lower lids, or excessive downward pull of the cheek
skin can all cause scleral show individually or in combination. Treatment for
scleral show, therefore, is tailored to the cause and can include infraorbital
implants, orbital decompression, skin or mucosal grafts, a canthopexy, and / or a
midface lift. A detailed examination will help delineate the best
option. Follow-up with a plastic surgeon would be the next best step.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Orbital rim in class will not improve lower eyelid retraction. Lower eyelid retraction is due to either a shortage of skin or shortage of the tissue between the skin and the inner eyelid mucosa.

Mehryar (Ray) Taban, MD, FACS · Answer

Yes, the combination of orbital rim implant with soft tissue lifting over them can improve or eliminate scleral show. Best to see an oculoplastic surgeon.

Kenneth D. Christman, MD · Answer

Orbital implants are not needed here.  However, a competent surgeon should reposition the soft tissues in order to reduce scleral show.

Robin T.W. Yuan, MD · Answer

Scleral show is caused by a number of anatomical factors. Lack of skeletal support as evidenced by a negative vector would suggest that implants along the lower orbital rim could provide additional support to eyelids that sag due to lack of support. However, a full examination is required to determine specific additional causes like lack of muscle tone, laxity of the canthal tendon, or soft tissue lid shortening.Robin T.W. Yuan, M.D.

If one has lower eyelid retraction could orbital rim implants actually raise the lower lids to show less scheral show?

Answers (6)

Answer: If one has lower eyelid retraction, can orbital implants reduce scleral show?

Answer: If one has lower eyelid retraction, can orbital implants reduce scleral show?

Answer: Scleral show

Answer: Scleral show

Recommended reading

Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.

If one has lower eyelid retraction could orbital rim implants actually raise the lower lids to show less scheral show?

Answers (6)

Answer: If one has lower eyelid retraction, can orbital implants reduce scleral show?

Answer: If one has lower eyelid retraction, can orbital implants reduce scleral show?

Answer: Scleral show

Answer: Scleral show

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Recommended reading

Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.