Can My Orbital Dystopia Be Corrected To Give Me Symmetric Well Shaped Eyes?

Q: Dr. Eppley, I am interested in your orbital dystopia surgery. You can see my right eye is much lower positioned than the left one on the side view photo you can also see I don’t have prominent cheek bones. They’re really “hollow” and on the photo where I lift up my lower lids is how I kind of would like them to be (just bigger as on the photo) a lifted almond shape but you still can see that the right eye is positioned too low… so If I would just do lower lid tightening or something like that I can already tell you I won’t be happy because I’m just a perfectionist..I think my right eye needs to move up and then I need lower and upper eyelid correction and maybe some cheek implants or filler. what would you recommend me to get even, beautiful well shaped eyes?

A: Thank you for sending your pictures and I can clearly see the lower right eye. Orbital dystopia is a difficult problem to successfully treat and the concept of changing from your orbital dytopia problem to one of ‘beautiful well shaped eyes’ is not going to happen. You can not make that type of dramatic change in one surgery and have it perfect. You focus first and improving the orbital dystopia by raising the right eye and making some lid adjustments on that eye. Thereafter you focus on any additional adjustments that are needed and other cosmetic periorbital/cheek changes. As you can see this will require a series of operations but even in the end, perfectly symmetric and well shaoed eye  results are not going to be possible.

Dr. Barry Eppley

Indianapolis, Indiana