Orbital Bone Contouring

 

684. <Orbital Bone Contouring>
Orbital bone contouring is a surgical procedure that adjusts the bones surrounding the eyes to move the eyeball forward, backward, or correct its position for aesthetic or functional improvement.

A common case is protruding eye correction (Exophthalmos Correction). This is often related to Graves’ disease, where overactivity leads to muscle and fat expansion behind the eye, pushing it forward. In serious cases, it may compress the optic nerve and affect vision. To relieve pressure, a procedure called orbital decompression surgery is performed, reducing the volume within the orbit.

Even without thyroid issues, some people naturally have prominent eyes due to narrow orbital cavities. For these cases, a cosmetic orbital expansion surgery is done by accessing the orbit through the conjunctiva and gently expanding the medial, inferior, or lateral orbital walls to create more space, allowing the eye to settle deeper.

On the other hand, if the eye is sunken (Enophthalmos), correction involves adding volume behind the eye. Causes include genetics, past trauma like a blowout fracture, or previous orbital surgery. Depending on the case, the sunken eye is corrected using implants—either artificial bone, autologous bone, or rib cartilage—inserted through a conjunctival incision. In revision cases, previous implants may need removal before recontouring.

When orbital trauma also involves zygoma (cheekbone) fractures, the orbital floor may drop, causing one eye to sit lower. In these cases, both zygomatic reconstruction and orbital repositioning are needed.

In essence, orbital bone contouring aims to move one or both eyes forward, backward, or upward to enhance balance and symmetry around the eyes.

🧠 [Orbital bone contouring adjusts the bone housing the eyeball to refine the periorbital area.]

—684mm Growing Pine—