Would ptosis repair, lower eyelid retraction repair and adding volume minimize my eyes bulging, protruding appearance? (photos)

Question

I'm insecure about my slightly protruding eyes but I don't want to get orbital decompression because of the high risks involved, in addiction to the fact I don't have grave disease. Would adding volume to the eye with graft implants and repairing the ptosis and lower eyelid retraction be enough to see significant improvement? Or would the results be disappointing without pushing back the eyeball?

Mehryar (Ray) Taban, MD, FACS · Answer

Eye shape is complex and determined by 3D structures. Proper evaluation and discussion is important to determine appropriate procedures for you with consideration of risks and limitations.

Mats Hagstrom, MD (license on probation) · Answer

The issues you describe are all based on skeletal structure.
There are no easy soft tissue solutions for what your concerns are.
I don’t see a good indication for surgery.
You have a negative canthal tilt which, in my opinion is contributing to issues with your lower eyelid.
Consult with senior oculoplastic surgeons to see what they have to say.
Surgery can make things worse.
With age of become more conservative in my surgical decision-making.
I generally need to see a very clear risk benefit ratio before recommending procedures.
In your case, I don’t think the proposed procedures are going to give you what you’re looking for.
Best,
Mats Hagstrom MD

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