Thoughts about eye area?

[Mexaneeke]

Hi, I'm new here and I'd like an opinion from people who've researched surgeries a fair amount and have a good understanding overall of what is possible/works and what not. Anyway, aside from the rest of my face I could improve, I mainly want to focus on my eye area as aesthetically, that's where the beauty of the face stems.

Anyway, here's me and the last pictures are what I'd like to achieve in the end, so basically hooded/model type eyes and would like to know if such an eye area is possible with a combination of various surgeries and procedures such as cantho-plasty/-pexy, orbital implants, grafts or such for under eye support, brow ridge plant etc...

Also please excuse the unkept hair, it's a lot better atm

http://imgur.com/a/6Jo6t

[Mexaneeke]

Bump, did I perhaps post this in a wrong section?

[tjarrr]

You have a negative orbital vector, meaning that your eyeball projects out more than your cheekbone's most frontal point (called the malar eminence). A positive orbital vector (cheekbone projects more than the eyeball) is ideal. Usually this is part and parcel of an entire recessed midface, which you appear to have (no offense) - recessed maxilla as well. Recessed eye area is known as an infraorbital rim deficiency, and you would need infraorbital rim implants at the very least - and malar (cheekbone) implants would make the eye area even more pleasing but may not be necessary for everyone depending on the severity of recession.

Symptoms of having an infraorbital rim deficiency - negative orbital vector (which you have), negative canthal tillt where your eyes slant downwards (this you do not appear to have), and scleral show - whites of your eyes visible above and below your iris (this you do not appear to have, and if you do, it would be very minimal). So I would say you do have an infraorbital rim deficiency but definitely not the most severe case. Look up before pictures of people who had infraorbital rim implants and you'll see what I mean.

I'm in the same situation - a bit more recessed than you, I have very slight scleral show (.5 mm) and am planning to get infraorbital rim implants. People on these forums don't like the implant route however because in their opinions the material used (medpor) often leads to inferior results and is very hard to remove once implanted because it starts to surround your facial soft tissues. I'm giving a very rough, very oversimplified explanation and people can chime in if they feel I've missed anything! Personally I don't mind infraorbital rim implants though. The only other route to fix the amount of recession you have is to get a LeFort III which is still rare even for this forum because so few surgeons are willing/able to perform it. Cosmetic fillers just won't give you the results you're looking for because they can't be placed in the exact spot infraorbitally where you have a deficiency. In the vast majority of cases, there is not enough soft tissue there.

BTW, in all the models' pictures you attached, the models are wearing eye makeup.   And only the second one is attractive. The first and the third just look kinda weird because their cheekbones are set so low.

[Mexaneeke]

You have a negative orbital vector, meaning that your eyeball projects out more than your cheekbone's most frontal point (called the malar eminence). A positive orbital vector (cheekbone projects more than the eyeball) is ideal. Usually this is part and parcel of an entire recessed midface, which you appear to have (no offense) - recessed maxilla as well. Recessed eye area is known as an infraorbital rim deficiency, and you would need infraorbital rim implants at the very least - and malar (cheekbone) implants would make the eye area even more pleasing but may not be necessary for everyone depending on the severity of recession.

Symptoms of having an infraorbital rim deficiency - negative orbital vector (which you have), negative canthal tillt where your eyes slant downwards (this you do not appear to have), and scleral show - whites of your eyes visible above and below your iris (this you do not appear to have, and if you do, it would be very minimal). So I would say you do have an infraorbital rim deficiency but definitely not the most severe case. Look up before pictures of people who had infraorbital rim implants and you'll see what I mean.

I'm in the same situation - a bit more recessed than you, I have very slight scleral show (.5 mm) and am planning to get infraorbital rim implants. People on these forums don't like the implant route however because in their opinions the material used (medpor) often leads to inferior results and is very hard to remove once implanted because it starts to surround your facial soft tissues. I'm giving a very rough, very oversimplified explanation and people can chime in if they feel I've missed anything! Personally I don't mind infraorbital rim implants though. The only other route to fix the amount of recession you have is to get a LeFort III which is still rare even for this forum because so few surgeons are willing/able to perform it. Cosmetic fillers just won't give you the results you're looking for because they can't be placed in the exact spot infraorbitally where you have a deficiency. In the vast majority of cases, there is not enough soft tissue there.

BTW, in all the models' pictures you attached, the models are wearing eye makeup.   And only the second one is attractive. The first and the third just look kinda weird because their cheekbones are set so low.

Thanks for your extensive answer! Unfortunately, I don't think I'd be able to get LeFort3 nor want to have all my facial bones broken in order to fix my recessed face, but I'll gladly look into orbital implants and cheekbone implants. Could the recessed maxilla be why my facial skin is so loose, in a sense it sags and if I pull it from the sides towards me, my face looks a lot better? Would a midface lift fix this?

[PloskoPlus]

Thanks for your extensive answer! Unfortunately, I don't think I'd be able nor want to have all my facial bones broken in order to fix my recessed face, but I'll gladly look into orbital implants and cheekbone implants.

One famous oculoplastic surgeon who AFAIK invented infraorbital implants, no longer does them. Another big name who championed them on realself 5 years ago now only does them when nothing else is possible ie botched eye surgery revisions.  A local big name surgeon says when he used to do them people would complain about their eyeball being impeded when looking down, so he no longer does them (but tbh he is a bit of a charlatan).

IOW, I would be very careful with the.