How Can I Fix My Lower Eyelid Exposure?

Q: Dr. Eppley, My midface is flat and downwards and my eyes are prominent having a huge lower scleral exposure.

A:You have classic negative orbital vector which means the infraorbital mailer complex of your upper mid face is horizontally deficient. This is best addressed by a custom made infraorbital-malar implant with lower eyelid lengthening with spacer grafts and a canthoplasty. Each one of these three surgical components not only provides horizontal augmentation but also serves to vertical lengthen and drive up the position of the lower eyelid to decrease the amount of scleral show.

Dr. Barry Eppley

World-Renowned Plastic Surgeon