Orbital Tumor Removal in NYC

Expert Surgical Care for Orbital Masses

Orbital tumor removal is a delicate and highly specialized surgical procedure that involves removing abnormal growths within the eye socket (orbit). These tumors—benign or malignant—can cause symptoms such as eye bulging (proptosis), pain, double vision, or even vision loss. Successful treatment requires expert anatomical knowledge, surgical precision, and aesthetic sensitivity to preserve both eye function and facial appearance.

Dr. Robert Schwarcz, a double board certified oculofacial plastic and reconstructive surgeon in NYC, is a leading authority on orbital tumor removal. With over 20 years of experience in treating complex orbital conditions, Dr. Schwarcz performs this procedure with the precision of a microsurgeon and the finesse of a facial aesthetics expert, ensuring safe, effective outcomes for every patient.

What Is Orbital Tumor Removal?

Orbital tumors are abnormal growths found in the tissues surrounding the eye. They may be:

• Benign tumors, such as dermoid cysts, hemangiomas, or lacrimal gland tumors

• Malignant tumors, including orbital lymphomas or metastatic lesions

• Inflammatory or infectious lesions, which may mimic tumors but require different treatment

Orbital tumor removal involves a tailored surgical approach based on the tumor’s size, type, and location within the orbit. Depending on these factors, surgery may involve removal of only the tumor or a portion of the surrounding tissue as well.

Who’s a Good Candidate?

You may be a candidate for orbital tumor removal if:

• You’ve been diagnosed with an orbital mass after imaging (MRI or CT scan)

• You’re experiencing bulging of the eye, double vision, eye pressure, or vision changes

• The tumor is affecting your eye movement, comfort, or appearance

• A biopsy has confirmed that removal is necessary for diagnostic or treatment purposes

Dr. Schwarcz performs a full diagnostic evaluation, often in collaboration with radiologists and pathologists, before recommending surgery.

When It Might Not Be Right for You

In some cases, orbital tumors do not require immediate surgical removal, especially if:

• The tumor is small, benign, and stable over time

• You are medically unfit for surgery

• The tumor responds better to radiation, chemotherapy, or other non-surgical treatment

If surgical removal is not the best option, Dr. Schwarcz will guide you toward alternative treatments and coordinate with specialists for comprehensive care.

Preparing for Surgery

Before surgery, Dr. Schwarcz will create a personalized plan and walk you through every step:

• Imaging Studies: CT or MRI scans will determine the exact location, size, and characteristics of the tumor.

• Medical Clearance: You may need bloodwork and clearance from your primary care physician.

• Medication Review: Blood thinners, aspirin, and certain supplements should be discontinued 1–2 weeks prior.

• Logistics: Surgery typically takes place in a hospital setting with access to multidisciplinary care.

You’ll receive specific pre-operative instructions to ensure a smooth and safe procedure.

What to Expect During Surgery

Orbital tumor removal is performed under general anesthesia in a hospital operating room, especially when deep or complex structures are involved.

Depending on the tumor’s location, Dr. Schwarcz may access it through:

• A transconjunctival incision (inside the lower eyelid)

• A transcutaneous incision hidden within the natural eyelid crease

• A lateral orbitotomy (through the side of the eye socket) for deep or posterior tumors

The goal is to completely remove the tumor while preserving eye movement, vision, and aesthetics. If a biopsy is needed during surgery, frozen section analysis may be performed to guide further treatment.

Surgery typically lasts 1 to 3 hours, depending on the complexity.

Recovery & Healing

Healing from orbital tumor removal varies by case, but most patients experience:

• First 3–5 Days: Swelling, bruising, and mild discomfort around the eye, easily managed with cold compresses and medication.

• 1–2 Weeks: Bruising subsides. Most sutures are absorbable or removed within 5–7 days.

• 4–6 Weeks: Eye swelling and vision disturbances (if any) typically resolve.

• 3 Months+: Final cosmetic and functional results become visible as the tissues fully heal.

You’ll return for several follow-up visits to monitor healing and discuss pathology results if applicable.

Results

Depending on the tumor type and its impact on your eye and vision, outcomes of orbital tumor removal may include:

• Resolution of eye bulging (proptosis)

• Improved vision and/or reduced double vision

• Restored comfort and appearance of the eye

• Accurate diagnosis (via biopsy) to guide future treatment if needed

Dr. Schwarcz’s meticulous technique ensures minimal scarring and optimized orbital symmetry, even in cases requiring deep dissection or reconstruction.

Complementary Treatments

Some patients may benefit from additional procedures post-recovery, including:

• Eyelid Surgery (Blepharoplasty) – If eyelid contour or position is altered by the tumor or surgery

• Strabismus Correction – If eye alignment is affected

• CO2 Laser or Fillers – To refine skin texture or restore lost facial volume after treatment

These treatments are typically staged after initial healing is complete.

Alternatives

While surgical removal is often the best course for orbital tumors, some patients may benefit from:

• Steroid therapy or immunosuppressants – For inflammatory pseudotumors

• Radiation therapy – For orbital lymphomas or metastatic lesions

• Observation – For small, stable, benign tumors not impacting vision or function

Dr. Schwarcz will help you weigh the benefits and risks of surgery versus nonsurgical management.

Why Choose Dr. Robert Schwarcz?

Orbital tumor surgery demands advanced knowledge of facial and ocular anatomy—along with precise, confident surgical skill. Dr. Robert Schwarcz brings both to the table. With double board certification in oculofacial plastic and reconstructive surgery and decades of experience treating orbital conditions, he’s uniquely qualified to deliver results that are medically sound and aesthetically refined.

His care is thoughtful, collaborative, and patient-centered—whether you're managing a benign mass or navigating a complex diagnosis.

Have you or your doctor discovered an orbital tumor or growth?Click the Request an Appointment button below to schedule a consultation with Dr. Robert Schwarcz, and begin your journey toward expert evaluation, treatment, and peace of mind.