Can Orbital Box Osteotomies Lower A High Eye?

Q: Dr. Eppley, I feel my eyes are quite high on my face, and lend to an overly long midface, and compressed brow-eye region. I’m not interested in brow lift because it will lengthen the face even more, which is the opposite of my visual goal. After a lot of research I’ve found some information on orbital bone repositioning (orbital box osteomies) and I’m curious as to if it would be effective in moving the eyes lower on the face, around 2-4mm. As well I’m aware this is ann extremely invasive procedure, I am currently just gathering as much information as possible.

A: Orbital box osteotomies can move the eyes from side to side and even raise up an asymmetrical lower eye. But it is not an effective technique  for lowering the eyes.

Dr. Barry Eppley