I have an orbital blowout without entrapment, where can I seek care with the highest chance of restoring symmetry?
Doctor Answers 2
Facial Trauma Care
I will comment on this. I work at the busy (public) Cook County Hospital in Chicago a few days a week covering trauma. I also work at my private cosmetic practice downtown Chicago.
To tell you the truth we do a lot more facial trauma the county hospital than the cosmetic practice. The key is to find someone with high volume facial trauma that will be able to assess your injury and maximize your results.
For orbital blowout fractures without entrapment there is no rush to surgery. Often times there is enough scar tissue to fill the floor and no enophthalmos results (the insetting of the orbit into the orbital cavity giving a smaller eye appearance).
Waiting ~ 2 wks is ideal so that the periorbital swelling can resolve and we can do our best to reach symmetry.
It all depends on where the fracture is located and the volume of bone that is displaced.
I hope this helps.
Best of luck,