What's wrong with the right side of my face? (Photo)

Question

My right eye is sunken in and much lower than my left. my right cheek is almost non-existant compared to my beautiful high cheekbone on my left. What I believe is that a year and a half ago i was fooling around and caught a powerful headbut to my zygo/orbital/cheek. i belive it fractured them and left my face asymetrical. Now i didnt care as much until my right eye started sinking. I have double vision when i read stuff on the tv and limited range of motion compared to my left.

Mehryar (Ray) Taban, MD, FACS · Answer

You may have right orbital fracture with resultant right eyeball sunken and down (enophthalmos). You need to get orbital CT scan.  You may be candidate for orbital reconstruction with implant. See link below.

Samuel Baharestani, MD, FACS · Answer

Your photo doesn't seem to tell the full story.  Schedule an appointment with an oculoplastic and/or facial plastic surgeon to discuss your concerns.  There are several great ones in the LA area.  Good luck!

Michael Boggess, MD · Answer

Hello.  Thank you for your question.  The picture provides a limited view of the situation.  However, from what you are describing, it sounds like you likely sustained a zygomatico-maxillary complex fracture with associated orbital floor fracture.  This can result in depression of the zygoma (cheek bone) and potential herniation of the orbital contents into the underlying maxillary sinus, which can allow the eye to sink into the orbit with resulting orbital dystopia (one eye lower than the other) and entrapment of the extraocular muscles that move the eye.  This can certainly lead to double vision.  This is a complex situation that needs to corrected.  I would strongly suggest that you seek consultation with a board certified Facial Plastic Surgeon with experience in managing facial trauma.  I wish you the best.  I hope this information is helpful.

Ronald V. DeMars, MD (Retired) · Answer

Your photo is inadequate for diagnosis but your description is excellent. You may need a surgical procedure to reconstruct the orbital floor. Please make sure to see a surgeon that has a great deal of experience in the procedure, many surgeons do not.

What's wrong with the right side of my face? (Photo)

Answers (4)

Answer: What's wrong with the right side of my face?

Answer: What's wrong with the right side of my face?

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What's wrong with the right side of my face? (Photo)

Answers (4)

Answer: What's wrong with the right side of my face?

Answer: What's wrong with the right side of my face?

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Everything you need to know about Eyelid Surgery

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