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Treacher Collins Syndrome. Second Opinion on Treatment? (photo)

PollyBeakOct 11, 2012
Hello i've had an appointment with ps today. He told me i have treacher collins syndrome (anti mongoloid slant downward eyes) and i need a canthoplasty and malar fillers to make the area below the eye look fuller. He says i dont need a blepharoplasty but what about the dark circles under the eyes that i have under the eyes?shouldnt it be addressed?are there any more improvements you can advise? He also says that i dont have eyelid ptosis even if they eyes look assymetric. thanks in advance

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Barry L. Eppley, MD, DMD
Board Certified Plastic Surgeon
Answered on Oct 15, 2012
Answer
Dr. Richard P. Rand, MD, FACS (retired)
Board Certified Plastic Surgeon
Answered on Oct 11, 2012
Answer

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Asif Pirani, MD, FRCS(C)

In order to offer you specific advice, I would have to examine you and assess your entire face (full face picture). Without that ability, I will simply say that in general, the appearance of your eyes can be altered so that the canthal tilt appears more positive.  A lateral canthoplasty is...

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Amiya Prasad, MD - Account Suspended

Considering the surgery was done approximately 1 month prior to your posting of your questions, it is important to realize that full healing after eyelid surgery requires approximately 6 months or up to 1 year for healing. In my practice I observe my patients on approximately every1 to 2 month...

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Brett S. Kotlus, MD, MS, FACS

Hello, From your photo, it appears that your right upper eyelid is droopy (blepharoptosis) and this is creating an asymmetry in the amount of visible eyelid "shelf". Canthoplasty will not likely correct this problem.  Removal of upper eyelid skin is probably not going to be helpful...

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Kenneth D. Steinsapir, MD

A cathopexy is a weaker version of a canthoplasty.  A canthoplasty is a deep reconstruction of the lateral canthal angle.  It is the strongest form of canthal surgery.  The problem is most likely that the "mild ectropion" you have is a more profound structural issue than...

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Leo Kim, FRACS(Plast), MS(Plast), MBBS(Hons)

First of all, names can be confusing so let's sort that out. Canthopexy is when your edge of your eyes is fixed usually only with sutures, sometimes with a small hole made in the bone to reposition your lateral eyelid position. CanthoPLASTY is when you manipulate the lateral eyelid so that you...

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Aaron Stone, MD

Being a good candidate for a procedure has a physical and psychological component to it. Your requests are appropriate for your submitted photo and barring any health/physical problems you should be a good candidate for surgery. The question is what exactly should the surgery consist of. That...

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