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Plastic Surgery Case Study – Comprehensive Vertical Orbital Dystopia Correction With A Six Step Approach

Background: When evaluating facial asymmetries I divide them into two basic types, craniofacial and aesthetic. Some many view this distinction as minor vs major but the terms craniofacial and aesthetic is more meaningful as it differentiates how they are treated. Major facial asymmetries are often syndromic (e.g., hemifacial microsomia), usually involve earlier intervention in childhood Read More…

Box and U-Shaped Osteotomies for Hypertelorism Repair Book Chapter

In the new textbook OPERATIVE TECHNIQUES IN CRANIOFACIAL SURGERY I co-wrote a chapter on craniofacial-based orbital reconstruction entitled ‘Box and U-Shaped Osteotomies’. In this chapter is described the basic techniques for the surgical correction of orbital dystopias. This is a bony orbital condition where the entire orbital box and its contents are displaced in a Read More…

Aesthetic Vertical Orbital Dystopia Correction Strategies

  Vertical orbital dystopia is a frequent feature of many facial asymmetry patients. When facial asymmetry affects the midface region most of the time some form of globe dystopia will be present. It is perceived most easily by the difference in the horizontal level of the pupils. Orbital dystopia is always most clearly seen in Read More…

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