Orbital surgery; Is it possible to get surgery to move my left eye up to be more even with my right eye?

Question

Is it possible to get surgery to move my left eye up to be more even with my right eye? An implant on my left orbital floor, perhaps? My uneven eyes are causing me to be depressed and feel really self concious and i'd do anything to look ''normal'' and have more symmetry. I am having trouble uploading photos, but one eye is noticeably higher than the other, and it looks a little deformed. Is this type of surgery possible?

Mehryar (Ray) Taban, MD, FACS · Answer

Yes that is possible but it depends on exactly what is causing the asymmetry. Best to see an oculoplastic specialist. Would also need orbital CT scan.

Hayley Brown, MD, FACS · Answer

Everyone has asymmetries of their facial features so I would not be depressed over it. We don't routinely move orbits up or down as that is a big surgery with risk. The only exception would be if there was trauma or a severe deformity.

Barry L. Eppley, MD, DMD · Answer

Orbital floor augmentation may be beneficial for raising the lower eye. A 3D CT scan should be to look and measure the differences between the orbital floor levels. When having orbital floor augmentation it is also important to adjust the height of the lower eyelid/outer corner of the eye so more white of the eye does not show.

Tracy E. McCall, MD · Answer

One of the problems with moving eyes is that you can give a person permanent double vision. I wouldn't recommend this surgery for you. You shouldn't be feeling depressed and self conscious about this. Go talk to your primary care doctor and get a referral to handle the depression. Then, once you are working on this, go see an esthetician to help you work on your appearance. Many people think that they need surgery for something when really all they need is appearance techniques.

William Marshall Guy, MD · Answer

Hello Angelsinthecity,What you are asking about is possible.  But just because something is possible does not mean it should be undertaken.  There are very large surgeries designed to move the position of the orbit.  This type of surgery is reserved for those patients who have had trauma to the face or birth defects creating facial abnormalities as there are many risks associated with it.  With regards to what is bothering you, it is very common for the face to not be completely symmetric.  It is more common than not for asymmetries to be present.  This may be a cheek that is higher, a nose that is slightly off giving the illusion that your eyes are at different heights, a mouth that is turned up to one side, etc.  Although it would not be my recommendation to proceed with anything based on your description, if you would like an evaluation I would recommend you consult with an oculoplastic surgeon, a facial plastic surgeon, or a craniofacial surgeon to discuss these options.  I hope this helps and good luck.

Edwin Ishoo, MD · Answer

Without photos to evaluate, there is really no way for us to give you relevant response. I doubt your eye position is uneven, as it may be lid or cheek position that gives the illusion of orbital asymmetry.Please consult a facial or occuloplastic surgeon for an in-person consultation.

Ira Vidor, MD · Answer

Hi. If you truly have significant orbital asymmetry then you should schedule a consultation with an oculoplastic surgeon. There are many potential causes of orbital asymmetry. An oculoplastic consultation can help determine if you actually have it, and if so, what the cause is. It is possible to perform orbital surgery to raise the position of the eye. However, orbital surgery is complicated and has significant risks, so it is typIcally only performed for significant medical issues or asymmetry. Best regards, Ira Vidor, M.D.

Thomas Guillot, MD (retired) · Answer

There are a number of repairs for  this type of problem but it starts with diagnosing what is causing the unevenness.  You will need an orbital CT scan to determine what is structurally wrong with the levels of your orbital floor.  It can be repaired with a bone graft or inert material.  Please see a board certified plastic surgeon for evaluation and to discuss your options.

Orbital surgery; Is it possible to get surgery to move my left eye up to be more even with my right eye?

Answers (8)

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