Am I A Good Candidate For Vertical Orbital Dystopia Surgery?

Q: Dr. Eppley, Hello, I’m interested in a procedure involving my orbital bone structure. Do you assist with this? My main goal is to address the asymmetry.One eye sits lower than the other. I believe one side of my face is shorter than the other.

A: You are referring to Vertical Orbital Dystopia (VOD) in which one eye is usually lower than the other one and, more times than not, it is associated with an overall vertical facial shortening. There are a variety of VOD techniques to decrease the eye asymmetry by moving the lower eye upward as well as adjusting the soft tissues around the uplifted eye (brows and eyelids) to accommodate the new eye position. (you can’t just move the eye alone as that will create a new aesthetic problem.)

The question is not whether VOD surgery can be done but how much improvement can be obtained and is it worth it. To make a more complete assessment I need a true assessment of what needs to be done a 3D CT scan to assess the underlying orbital bone shape is needed.

Dr. Barry Eppley

World-Renowned Plastic Surgeon