Facial trauma. Two Fractures. Sunken eye. 2 months in. Can this be helped? (Photo)

Question

Facial trauma. Two Fractures. Sunken eye. 2 months in. surgeon 1- Didn't want to do surgery didn't think it was worth the risk. Surgeon 2- completely opposite opinion- insurance issues so i could not get surgery I'm told two main fractures: One zygo second is under my eye to the right of my nose. I'm told this one is hard to access for surgery. My question: Can my Face be returned to normal? It was symmetric. I am an actor and this is very important to me. I attached photos.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. I am so sorry to hear about your dilemma. Facial trauma in the form of a zygomatic-maxillary complex fracture and orbital floor fractures are common and treatment is common. There's very little downside to treating these fractures unless there are other life-threatening injuries that need to be addressed first. The opportune time to treat these fractures is with in 7 to 10 days of injury. Your fractures two months old which makes it very difficult to treat but not impossible. Treatment could include osteotomy of the zygoma, bone graft of the orbit and cheekbone to restore symmetry. In my 25 year plus history of treating facial trauma it is difficult to restore facial contours back to pre-injury levels if the facial fracture repair has been delayed especially if it has been months since the original fracture. I would recommend seeking the opinion plastic surgeon with craniofacial or oral and maxillofacial surgery training or seeking the opinion of an oral and maxillofacial surgeon. Best wishes.

Robin T.W. Yuan, MD · Answer

You possibly have a tripod fracure with fracture of the orbital floor. Displaced facial fractures are generally best repaired within the first few hour of injury before significant swelling occurs but when the bones are more easily mobilized. After that, once the swelling subsides, surgery should be done before bones heal in a fixed displaced position. You should see a plasic surgeon specializing in craniomaxillofacial surgery since your injury has already healed in improper position.

Facial trauma. Two Fractures. Sunken eye. 2 months in. Can this be helped? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Facial Reconstructive Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Facial trauma. Two Fractures. Sunken eye. 2 months in. Can this be helped? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Facial Reconstructive Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.