In this report, we present a novel surgical strategy of “orbital soft-tissue contraction” after facial bipartition mobilization for one of the widest in- terdacryon distances reported in the literature. After narrowing the orbital distance to 41 mm intraoperatively, a distraction device (used in reverse) was placed for postoperative activation. This particular strategy was undertaken for two reasons: (1) to avoid undue pressure on the brain and (2) to avoid excess stretching/trauma to the optic nerves. This successfully allowed for grad- ual reduction to an acceptable interdacryon dis- tance. Distractor removal and fixation with ti- tanium plates was performed, as bony transport has been shown to produce a fibrocartilaginous cap which, if not removed, would prevent bone healing. We offer this report as a viable approach for treatment of patients with excessively wide hypertelorbitism.

