Asymmetrical eyes following an orbital floor augmentation?

Thankyou for your question. Correction of longstanding enophthalmos is a challenging and somewhat risky operation and should only be performed by an expert craniofacial or oculoplastic surgeon who has a lot of experience. If your eyes are currently level with each other and the orbital walls and floor are equal in shape and position it is generally safer to augment the lateral wall of the orbit as this sits behind the eye and will more effectively push the orbital contents forward. Placing an implant below the eye does have a tendency to lift the eye rather than projecting it however if there has been an injury to the orbital floor (such as the relatively common "blowout fracture") then placement of a bone graft or implant in the orbital floor may be appropriate. Having said all that there is a real risk of damaging the eye with late correction of enophthalmos and you need to accept this risk and discuss this with your surgeon in detail before proceeding