Hypertelorism

Hypertelorism is a craniofacial condition where there is an abnormally increased distance between the eyes. It may be present at birth (congenital) and often occurs as part of a syndrome or skull development disorder. While primarily cosmetic in nature, it can also affect vision, nasal structure, and self-confidence.

Surgical correction of hypertelorism helps restore facial symmetry, improves eye positioning, and supports psychosocial development, especially in children.

What We Do

Our craniofacial surgery team performs orbital box osteotomy or facial bipartition surgery, depending on the severity and associated conditions. These procedures involve carefully repositioning the eye sockets (orbits) by cutting and realigning facial bones using precision surgical techniques.

Who Needs This Surgery?

• Children diagnosed with true orbital hypertelorism

• Patients with craniofacial syndromes such as Crouzon, Apert, or frontonasal dysplasia

• Individuals with nasal deformities and wide-set eyes

• Those who experience social discomfort or facial asymmetry

Types of Surgical Techniques

• Orbital Box Osteotomy – Moving both orbits inward and stabilizing with plates

• Facial Bipartition – Used when midface and dental alignment correction is also needed

• Forehead Remodeling – In some cases for improved forehead and orbital contour

• Combined Nasal & Orbital Surgery – To achieve overall facial harmony

Benefits of Surgery

• Brings eyes to a more natural position

• Improves facial symmetry and balance

• Enhances self-image and social interaction

• Can improve vision-related issues in certain cases

• Long-term, life-enhancing cosmetic and psychological results

Ideal Age for Surgery

• Typically between 5 to 8 years of age, when facial growth allows safe correction

• May vary based on associated syndromes or functional concerns

Risks and Recovery

• Temporary swelling and bruising around the eyes

• Risk of infection, bleeding, or relapse (rare with expert care)

• Need for postoperative observation and sometimes further cosmetic refinement

• Hospital stay of 5–7 days, followed by rest and gradual return to normal activity

Post-Surgical Care

Patients will be closely monitored with follow-up visits, imaging, and, if needed, psychological counseling or speech therapy support to ensure a holistic recovery.