Fig. 31. A. Infant with inferior orbital mass causing supraplacement of the right globe. B. Coronal CT scan demonstrating a diffuse mass involving the entire orbital floor. C. Lower lid crease incision through skin and orbicularis allows dissection inferiorly to the orbital rim and then through orbital septum to expose the mass. D. Postoperative appearance of the patient after debulking of a capillary hemangioma and intralesional steroid injection. E. Same patient 1 year later. Note the excellent scar camouflage afforded by lower lid crease incision. F. Postoperative CT scan shows dramatic response of capillary hemangioma to intralesional steroid injection.