Lack of development of the bones of the mid portion of the face including the eye sockets can decrease the room available for the eyes to sit in the skull. This can cause the eyes protrude. Orbital decompression can open up the bones of the eye socket and allow the eyes to settle back into the skull. This addresses the protrusion, however, it does nothing for the overall balance of the face. A more predictable and less invasive approach may be to augment the cheekbones with implants. This approach can mask the protrusion and can provide better balance between the upper and lower parts of the face. A detailed exam and possibly a cone beam CT scan may be helpful. A formal consultation with a plastic surgeon would be the next best step.