Eye Asymmetry Surgery

Q: Dr. Eppley, I am seeking eye asymmetry surgery. I added pictures and you can clearly see on it my eyes are not right. Also I know my jaw is not right but will have consultation in August about that. I am not worry about my jaw beacuse I know is possible to fix it but I am worry about my eyes. It is hard to accept. I am always trying avoid any pictures or selfie with my friends, wife etc. Is any help for mm ? Is any chance to fix it ? If yes how much will it cost? Thank you for reply and your help. 

Kind regards

A: Thank you for your inquiry and sending your pictures. As you know you have vertical orbital dystopia as part of your overall left facial asymmetry. In appears to be in the range of less than 5mms by your own horizontal line measurement in your pictures. That puts it in the range of being very improvable whose management is based on how it looks in a 3D CT scan. When it comes to eye asymmetry surgery, usually a custom infraorbital floor-rim implant is made to provide optimal skeletal symmetry to the other side. Whether the lower upper eyelid and brow should also be managed is a considerations as you don’t want to lift the eyeball only to have the iris and pupil further buried up under the upper eyelid margin.

Dr. Barry Eppley

Indianapolis, Indiana