Will Inferior Orbital Box Osteotomies Increase My Intercanthal Distance?

Q: Dr. Eppley, I am 25 years old, my IPD is about 6.5mm, and my ICD is 37mm. This is the average value corresponding to the Korean average of 34mm~37mm. However, as you know, I am Asian, so I have Mongolian folds, which are characteristic of Northern Asians, and unlike Westerners, my inner canthus is covered by skin, which makes my eyes look stuffy. That is why inner canthal surgery is often performed in Korea. However, I need to excise my outer canthus to reveal more than 2mm of my inner canthus on both sides, which makes my ICD look extremely crowded, which is less than 3.3mm… But I heard that you are very famous on Google. But I am worried because 360-degree orbital box fracture is so invasive. But I am asking you because I think you are familiar with lower orbital box fracture. Are there any restrictions on the surgery? I think you don’t have to worry about scars because you are Asian and your dermis layer is so thick. I think it would be enough if my IPD and ICD increased by more than 5mm. If you are able to have surgery or are willing to do it well, I would really like to get it done right away. I am so stressed.In Korea, Lefort 1 is widely performed. However, some surgeons do not accept Lefort 2 or higher surgeries, and some have already retired. I feel like this surgery will be my last hope… Thank you for reading

A: The key question is not whether inferior orbital box osteotomes can be done but whether they could really increase your IPD by more than 5mms. That may or may not occur but what I do know is that it will definitely not increase the ICD by that amount if at all as the problem does not include the medial orbital wall. (only a 360 orbital box osteotomies does which is more invasive than you should undergo)

Dr. Barry Eppley

World-Renowned Plastic Surgery