Can An Inferior Box Osteotomy Increase My Interpupillary Distance By 5mms?

Q: Dr. Eppley, I recently saw a post about the inferior orbital box osteotomy. I’ve seen the normal orbital box osteotemy but it is too complex and extreme in my opinion. How does the inferior orbital box osteotemy differ from the normal orbital box osteotemy. Can I still expect the same results? I want my Intercanthal distance widened about 5mm and Ipd widened 5mm. Is that possible with the inferior orbital box osteotomy? If not what is the limit on the amount of intercanthal distance and interpupillary distance one can get with the proceducre.

A:Those ICD and IPD changes are likely beyond what an inferior orbital box osteotomy can achieve. While the inferior orbital box osteotomy is a lesser surgery than a full 360m degree orbital box osteotomy as a result it produces less significant  changes. (less than 5mms)

Dr. Barry Eppley

World-Renowned Plastic Surgeon