S
saiko
Iron
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- May 21, 2025
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I have a question for you. I’ve read in several sources that OBO can allow the eye to move back into the orbit, specifically with lateral expansion. Is that true? And if so, do you think it’s a good surgery to treat bulging eyes caused by shallow orbits?Before me, the only way to perform OBO was to use a craniotomy, exposing and retracting the brain off the skull base to make the cuts in the orbital roof. The risk of death or brain injury is about 1 in 100. Too high for cosmetic cases without syndromic or post traumatic deformity.
In 2023 I introduced my modified way, which uses a patent-pending guide which does not touch or expose the brain at all. This puts the risk at about 1 in 10,000 since the surgery is comparable to other similar major, but sub cranial skull shaping procedures like Facial Feminization Surgery, which is done safely and routinely with an open coronal approach and osteotomies in the same exact region.
The risk of blindness is almost 0. I have never heard of it. The 360-degree infraorbital osteotomies give an escape for blood collection so retrobulbar hematoma are very rare in craniofacial surgery. We are not operating close to the optic nerves, we aren't going that far back into the orbit, so direct injury to the optic nerve is very unlikely or not possible.
The risk of minor medical complications & aesthetic complications are much higher, same with jaw surgery, implants, rhinoplasty etc.
You've never seen any leaked "results" only leaked healing pictures 5 days post op, which judgements cannot be made from.
Tripod is equal risk and recovery to obo.