Combined medial wall and floor fractures, especially those that involve the maxilloethmoidal strutMaxilloethmoidal strut pose reconstructive challenges. Restoration of the natural support and contour inferomedially is essential to prevent enophthalmos, hypoglobus, or diplopia. Although different orbital implants are available, nonporous implants are preferred since they are associated with good results, low complications and low cost. In this chapter, the authors describe a nylon foil wraparound techniqueWraparound technique for combined orbital floor and medial wall fractures.