Orbital Dystopia Correction

Q: Dr. Eppley, I am interested in orbital dystopia correction. I am writing to enquire about the correction of my severe facial asymmetry that has been bothering me for quite long. I did not even think it was possible to correct uneven set eyes until I saw the before and after photos of the black gentleman you treated with orbital correction.

Please allow me to ask some questions: Did the former mentioned patient also receive a brow lift?  What procedures next to orbital correction will I additionally require if I want to achieve the best possible eye symmetry? Is the reduction of only one cheekbone reasonable in my case?

I look forward to hearing from you.

A: Your right orbital dystopia is associated with a low right globe, right upper eyelid ptosis and lower right lateral canthal position. But the brow position above the lower eye is not lower but symmetric to the opposite side.

Therefore the treatment approach would be orbital floor augmentation, right lateral canthoplasty and right upper eyelis ptosis repair. Whether the cheek on the affected side would benefit from augmentation as well can not be determined based on your submitted pictures. At the least it is less important than the other mentioned orbital dystopia procedures.

Dr. Barry Eppley

Indianapolis, Indiana