Re: Different surgery types

[Guest guest]

lisa obrien wrote:

> Hi Everyone,

Hi ,

> I am just wondering, what are the different types of surgery that are

> offered. For example - if the eyes are not opening wide, I have seen

> the sling surgery, so many of you have been kind enough to share

> photos and information on. So I am wondering, maybe I missed it!!

> (sorry!) but what surgery is offered - if any for widening the eyes

> towards the nose?? And lastly... is the widening surgery if offered,

> the same deal as the slings - in that if they are done early on, the

> results are temporary, and that they might have to be repeated in

> later life???

The two most common surgeries for BPES are, as you describe, the

frontalis sling for ptosis and the canthoplasty (widening at inner

corners) for bleph. Some folks have some wiring through the nose bone,

to pull the canthi closer, but that's not always done (usually not?).

Those are the two main 'pure' BPES surgeries. Some BPES-enhanced folks

have some other ophthalmic issues that need surgical attention, such as

squints (alignments), tear-duct moves, scar-tissue removal, etc, but

these are incidental.

As far as I'm aware, the widening is almost always done later in life

(just before or after starting school), and usually only needs to be

done once, as the facial growth at that time is sufficient for a good

result (and precision is less important than with ptosis repair). I

vaguely recall mine was done twice, but only because my face grew a lot

during healing and required minor adjustment, which is unusual.

Sometimes a very early 'temporary' ptosis repair is done because vision

is obstructed. (Vision is not usually as affected as much by bleph

itself, so its repair can wait). Later, the canthal widening can affect

the sling's effectiveness, or provide opportunity to improve it (more

lid to work with), so a second ('final') sling is done then. Now, as to

whether another sling adjustment is needed again later in life, I'll let

you know, but mine's still holding up OK after nearly 40 years (left

lid's getting a little droopy, but not enough to notice). Given that the

sling ptosis repair was only developed in the '60s, it's too early to say.

Enough of my wild guessing and outrageous bluffing.

Rob W

Oz

[Guest guest]

> > Hi Everyone,

>

> Hi ,

>

> > I am just wondering, what are the different types of surgery that

are

> > offered. For example - if the eyes are not opening wide, I have

seen

> > the sling surgery, so many of you have been kind enough to share

> > photos and information on. So I am wondering, maybe I missed it!!

> > (sorry!) but what surgery is offered - if any for widening the

eyes

> > towards the nose?? And lastly... is the widening surgery if

offered,

> > the same deal as the slings - in that if they are done early on,

the

> > results are temporary, and that they might have to be repeated in

> > later life???

>

> The two most common surgeries for BPES are, as you describe, the

> frontalis sling for ptosis and the canthoplasty (widening at inner

> corners) for bleph. Some folks have some wiring through the nose

bone,

> to pull the canthi closer, but that's not always done (usually

not?).

>

> Those are the two main 'pure' BPES surgeries. Some BPES-enhanced

folks

> have some other ophthalmic issues that need surgical attention,

such as

> squints (alignments), tear-duct moves, scar-tissue removal, etc,

but

> these are incidental.

>

> As far as I'm aware, the widening is almost always done later in

life

> (just before or after starting school), and usually only needs to

be

> done once, as the facial growth at that time is sufficient for a

good

> result (and precision is less important than with ptosis repair). I

> vaguely recall mine was done twice, but only because my face grew a

lot

> during healing and required minor adjustment, which is unusual.

>

> Sometimes a very early 'temporary' ptosis repair is done because

vision

> is obstructed. (Vision is not usually as affected as much by bleph

> itself, so its repair can wait). Later, the canthal widening can

affect

> the sling's effectiveness, or provide opportunity to improve it

(more

> lid to work with), so a second ('final') sling is done then. Now,

as to

> whether another sling adjustment is needed again later in life,

I'll let

> you know, but mine's still holding up OK after nearly 40 years

(left

> lid's getting a little droopy, but not enough to notice). Given

that the

> sling ptosis repair was only developed in the '60s, it's too early

to say.

>

> Enough of my wild guessing and outrageous bluffing.

>

> Rob W

> Oz

>

Hi Rob W,

Well said. I don't get on this website as much as I'd like but

wanted to share with you that this was encouraging to hear, that your

slings have been going strong for 40 years. I am going for my

frontalis sling surgery Dec 7. My first sling surgery. I am 36 and

my picture is posed as Ekittycat/a Glass. That photo was taken

after my first surgery (for ptosis but non-sling). But it is time

again to lift the lid as it would be nice to see better. I hope to

post an updated photo after the surgery.

This Group is a GREAT support. Thank you, a