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EFIL Plastic Surgery Center

EFIL GROUP PLASTIC CENTER

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Blog & Review
  • Bulgy Eye Surgery - Orbital Decompression VS. Orbital Expansion: What
  • EFIL Staff | 2019-12-27 17:36 Hit : 360


What is bulgy eye surgery? What's different about our bulgy eye 

surgery? In order to understand what makes EFIL unique, 

a basic understanding of what bulging eyes are.



Orbital bone is the bone that makes up what is commonly referred 

to as the eye socket. When the eye socket is shallow, usually a 

result of congenital factors, due to the lack of sufficient space 

the eyeball can be forced outward, slightly protruding. 

This eye protrusion is called many things: bulgy eyes, 

exophthalmos, proptosis, among others.


Shallow orbits (shallow eye sockets) are not the only cause of eye protrusion. 

Eye protrusion can also be an indirect result of thyroid disorder.


When problems occur in the thyroid glands, orbital tissue swelling is common. 

The thyroid glands produce more thyroid hormone than is necessary leading 

to a condition called thyrotoxicosis. One of the symptoms of thyrotoxicosis 

is the swelling of tissue in the orbit, pushing the eyes outwards and 

making the eyes protrude.



The main objective is the lowering of the dangerously high intraocular pressure

For this reason, orbital decompression surgery has been considered an 

"emergency" operative procedure. As orbital bone is broken, there 

tends to be a lot of bleeding, and the procedure itself is known to take 

between 5-6 hours. Because of its invasive nature, unlike other eye 

surgeries, a week-long stay in the hospital is not unheard of.



When intraocular pressure is not a factor, and the procedure is 

purely aesthetic, expansion of the space in the orbital room 

becomes the main purpose. The ethmoid bone (the bone that separates 

the sinus and the brain) may be convex in shape, and the actual 

orbital room may be shallow. When this is the case, bone is not 

cut out, it is cut and simply pushed in. Orbital tissue is likewise 

removed. Since the tissue is not swollen, the procedure is safer as 

there are less risk factors, less bleeding and less invasiveness. 

Since there is less to remove, the procedure is much shorter 

when compared to orbital decompression, and recovery time is faster.



To sum up the difference between two procedures, 

orbital decompression surgery is an invasive surgical 

procedure with the aim of cutting away at orbital bone 

and swollen orbital tissue for the purpose of lowering 

dangerously high intraocular pressure.


Orbital expansion surgery removes orbital tissue and pushes 

orbital bone inwards to expand the orbital room and make 

room for the eye to be set more appropriately in the eye 

and improve aesthetic proportion in the face.



We have more than 10 years of experience in facial contour 

and corrective eye protrusion surgery. 


We're here to help you. Don't hesitate contact us with questions or concerns.


EFIL Staff