Technical StrategiesSurgical Management of Lateral Orbital Contour Following Le Fort III DistractionMargulies, Ilana G. MS; Greenberg, Alex M. DDS, PC; Taub, Peter J. MD, MSAuthor Information Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY. Address correspondence and reprint requests to Ilana G. Margulies, MS, 5 East 98th Street, Box 1259, New York, NY 10029; E-mail: firstname.lastname@example.org Received 4 February, 2019 Accepted 30 May, 2019 The authors report no conflicts of interest. Journal of Craniofacial Surgery: January/February 2020 - Volume 31 - Issue 1 - p 286-288 doi: 10.1097/SCS.0000000000005832 Buy Metrics Abstract Le Fort III distraction is indicated for the management of skeletal malocclusions, midface hypoplasia, and exorbitism and has been found to be a safe procedure with predictable results. Although variation in the placement of the lateral orbital osteotomy has been described, the classic osteotomy divides the zygomatic arch, crosses the lateral orbital rim, transverses the orbital floor, and ends in the midline. Distraction of this segment may lead to a palpable, and sometimes visible, step deformity between the lower and upper segments of the lateral orbital wall. The authors present a novel approach to the management of the lateral orbital wall step deformity following Le Fort III distraction. © 2020 by Mutaz B. Habal, MD.