Am I a good candidate for Orbital decompression? (Photos)

Hello I have protrude eyes that i really want to fix and i would like to know if im a good candidate for Orbitale decompression ? I don't have thyroid issues as my doctor was concerned about my eyes so he ordered blood tests it's probably genetic since i'm not the only one in my family i would like to travel in the US to do it, where can i find surgeons that do it for non medical reason ?

Doctor Answers 7

Midface hypoplasia

Midface hypoplasia (lack of cheek projection) is common finding which gives the appearance of prominent eyes. Cheek enhancement would most directly address this appearance. Your eyes actually seem to be in a normal position. Filler injection is a good conservative option to give you an idea of what an implant might look like. Be cautious and take your time thinking about your options. Orbital surgery has significant risks and down time - whereas fillers have little or no down time. Best wishes.

Charlottesville Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Cosmetic Orbital Decompression

Orbital decompression is a potentially complicated operation which can involve removal of orbital bone. It is generally done for eyes that bulge from Thyroid conditions. In reviewing your pictures, you do not appear to have protruding eyes so I do not believe that orbital decompression would make you any happier with your appearance. In addition, the risk of complications of bony orbital decompression surgery are greater than that of a traditional blepharoplasty. The area below your eyelids appear to be shallow and could potentially be improved with dermal fillers or cheek implants. You should seek several qualified opinions with Oculoplastic Surgeons before proceeding.

David Schlessinger, MD
Long Island Oculoplastic Surgeon
4.8 out of 5 stars 17 reviews

Am I a good candidate for Orbital decompression?

It is best to obtain personal consultation with an experienced orbital decompression surgery. Orbital decompression can be done for cosmetic purposes, but benefits and risks need to be evaluated. See following link.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Cosmetic Orbital Decompression

The answer to your question is actually quite complex.  You should discuss your concerns with a qualified orbital and cosmetic surgeon who has done hundreds if not thousands of decompressions.  Many times this surgery is done in an aggressive way but there are new minimally invasive techniques which can alter the eye position very well (often without any skin incisions or bone removal).  However, each approach should be customized for each patient.

Raymond S. Douglas, MD, PhD
Beverly Hills Oculoplastic Surgeon

You do not need an orbital decompression.

A number of aggressive surgeons are getting into the orbital decompression as a cosmetic surgery business.  Undoubtedly they will be far more willing to perform an orbital decompression for you you.  Be careful what you look for as you might find it.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Orbital decompression in a patient without thyroid eye disease

Orbital decompression is almost always performed to protect the eye when it has become pushed forward in the eye socket and is drying out or the optic nerve is being compressed or stretched.  It is done occasionally for cosmetic reasons, but given the risks associated, this isn't too common. You need to see a qualified orbital surgeon and discuss all the possible risks before signing up for this kind of surgery.  There may be other treatments that will make your eyes appear less prominent, such as cheek enhancement with fillers or implants, which may be less risky and more predictable.  

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

Bulging Eyes

Thank you for posting about your condition.  I am glad that your primary doctor has already checked for some of the more common causes of bulging eyes.  In many people, this can be a genetic condition.  Orbital decompression is a serious surgery with risks.  You should schedule a consultation with a board certified oculoplastic surgeon to discuss your goals and see if you are a candidate.  Good luck!

Samuel Baharestani, MD
Long Island Oculoplastic Surgeon
4.8 out of 5 stars 31 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.