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Doctor insights on: Down Slanting Palpebral Fissures

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Painless invisible bump deep under eyelid, 45deg down from top of socket. Seed bead size, top eyelid skin moves freely over it. On lid not eyeball. ?

Painless invisible bump deep under eyelid, 45deg down from top of socket. Seed bead size, top eyelid skin moves freely over it. On lid not eyeball. ?

Chalazia/stye: Probably a blocked oil gland. Since it's not attached to overlying skin, and painless try using a warm/hot eyelid compress for 5-10 minutes several times a day. If it doesn't go away, or gets worse, see your primary md or ophthalmologist. ...Read more

Fissure (Definition)

Grooves or clefts in various anatomical structures such as the brain (transverse fissure between cerebrum & cerebellum), the skull (sphenoidal fissure), the liver (for the ligamentum teres), the lung (oblique fissure), the spinal cord (ventral median fissure), or other structures such as the palpebral fissure between upper & lower eyelids. Can also be a tear in a structure ...Read more


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Standing expressionless in front of mirror is one deep horizontal line wrinkle. Can oculoplastic surgeon do this surgery without forehead scarring?

Standing expressionless in front of mirror is one deep horizontal line wrinkle. Can oculoplastic surgeon do this surgery without forehead scarring?

60 years old with : only one horizontal line on your forehead? Congratulations! A variety of "fillers" are available currently. Surgery is not usually required, certainly not as a first step. Be diligent in finding a board-certified plastic surgeon or dermatologist for evaluation & discussion of which product is best for you, depending on how long it lasts & its benefits vs. its risks. ...Read more

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Lateral canthus on left eye inflamed w/white speckles. Area consistent with lacrimal gland seems inflamed too. No firm surface, just bulging. Cancer?

Lateral canthus on left eye inflamed w/white speckles. Area consistent with lacrimal gland seems inflamed too. No firm surface, just bulging. Cancer?

Not Likely: Probably Meibomian glands, not Lacrimal. This is located up away from ther lid margin, under the upper lid. Sounds like clogged meibomian glans. Try warm compresses and massage to open the glands ...Read more

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Two protruding dots on anterior lower leg. They stick out more when flexing leg. Is this common of varicose veins, aneurism, or myofascial hernia?

Two protruding dots on anterior lower leg. They stick out more when flexing leg. Is this common of varicose veins, aneurism, or myofascial hernia?

All possible: All of what you mentioned is possible, along with skin lesions, or more likely cysts under the skin. Best to have them examined by our primary care provider at their next available visit. Hope this helps! ...Read more

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How we can upright lingually tilted molars (36 & 46 ) while doing fix orthodontics .Cusps of upper molars touches buccal surface of lower molars.

How we can upright lingually tilted molars (36 & 46 ) while doing fix orthodontics .Cusps of upper molars touches buccal surface of lower molars.

Multiple methods: Your orthodontic specialist can discuss with you a variety of methods to "upright" lower molars and/or pull upper molars towards tongue (or simply tip them). This may include the use of "coordinated wires, " lower "expander or lingual arch, " elastics or rubber bands, etc., etc. In other words, it's not your job to sort out the biomechanics, that's your orthodontist's. ...Read more

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What could cause eyesight to pulsate? Looks like black tunnel narrowing inward in sync w/pulse? Occurs episodically. Lying down + bending over worsen

What could cause eyesight to pulsate? Looks like black tunnel narrowing inward in sync w/pulse?  Occurs episodically. Lying down + bending over worsen

See a doctor soon: You have too many symptoms together warranting medical attention from your history & chart to guess what's even going on. Tunnel vision of any kind can involved reduced blood flow in your brain, or bending over are not normal variants of good cerebral blood flow. See an eye doctor at the very least and explain the problem & get it resolved. That's the first step! ...Read more

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Can contraction of SCM cause temporary bulging in external jugular vein? Bulge is painless, soft, <1 cm. No bulge when muscle is relaxed.

Can contraction of SCM cause temporary bulging in external jugular vein? Bulge is painless, soft, <1 cm. No bulge when muscle is relaxed.

Not normally: No, not normally. Contracture of the SCM would not really affect the jugular vein unless you contract it to the extent that increases the pressure in the venous system which causes venous distension in general. You may have a sift tissue growth superficial to the SCM that then becomes more prominent as the muscle contracts. Don't hesitate to be seen for it. ...Read more

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Soft spot feels sunken in when holding 6w girl upright not when lying down. Veins on head look visible and feel dented or deep cut. Are these normal?

Soft spot feels sunken in when holding 6w girl upright not when lying down.  Veins on head look visible and feel dented or deep cut. Are these normal?

Probably. : It's normal for the soft spot to flatten, sink and bulge depending on positioning, crying and hydration status. And infants do normally have visible scalp veins. What matters is how is the baby acting? Feeding ok? Sleeping ok? Irritable? Fever? If other issues, contact your pediatrician. ...Read more

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What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

What does slight lateral positioning of the patella and shallow trochlear groove with min. anterior lateral femoral condyle ridge reactive change mean?

Common MRI : It means that your kneecap sits slightly off to the side on the end of the thigh bone( trochlea) @ 90degrees of bend. ( flexion), and your 'groove' ( trochlea) is slightly shallow on your femur. Very common radiologic ' diagnosis' , seen most commonly in patients w/ 'mild' patellar instability or ' kneecap' pain. See your ORS for significance . Best of Luck! ...Read more

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Ear yanked hard 10/8.Tender bump at post opening to canal is like broken nose septum would jut into nostril.Ache.Ear lift yields old canal shape. Do?

Ear yanked hard 10/8.Tender bump at post opening to canal is like broken nose septum would  jut into nostril.Ache.Ear lift yields old canal shape. Do?

See your doctor: This problem can only be solved by seeing your doctor and being evaluated face-to-face. After a thorough examination, your doctor should be able to tell you what's wrong and what to do about it. ...Read more

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Skin Cracking (Definition)

Fissuring in outermost layer of ...Read more