Tear Trough Treatment with Orbicularis Oculi Muscle Suspension
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ORIGINAL ARTICLE
OCULOPLASTIC
Tear Trough Treatment with Orbicularis Oculi Muscle Suspension Ruth Graf1
•
Daniele Pace2
Received: 4 June 2020 / Accepted: 8 August 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background Blepharoplasty is a very requested surgery for aesthetic rejuvenation of the eyes with grateful results. Lower blepharoplasty involving a variety of different techniques can be considered to refresh the oculopalpebral area. The approach of the treatment of the tear trough as releasing the tear trough ligament and plication of orbicularis oculi muscle in the palpebral portion to fill the tear trough concavity is essential in our surgical technique demonstrated here. Methods From July 2014 to January 2020, 435 patients were submitted to blepharoplasty surgery for rejuvenation of the eyes. Lower blepharoplasty was performed with releasing of the tear trough ligament and suspension and fixation of the palpebral part of the orbicularis oculi muscle in the medial part of orbital bone corresponding to the tear trough area. The follow-up was 12 months. Results Patient satisfaction was high, and no complications were observed. Ten patients (2.2%) needed the addition of hyaluronic acid fillers in the tear trough 12 months after the surgery. Conclusion We conclude that the use of the orbicularis oculi muscle suspension improves the long-term aesthetic
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01922-9) contains supplementary material, which is available to authorized users. & Ruth Graf [email protected] 1
Active Member of SBCP, ISAPS, ASAPS, FILACP, Federal University of Parana, Curitiba, Brazil
2
Active Member of Brazilian Society of Plastic Surgery, FILACP, Active Member of Brazilian Society of Laser, Curitiba, Brazil
results for the tear trough and the technique is easy to perform. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Blepharoplasty Orbicularis oculi muscle Tear trough
Introduction The tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues, and the major concern in a lot of individuals seeking for periorbital rejuvenation is to treat this area and decrease the signs of advanced age. A variety of surgical techniques have improved this issue; however the concept of filling the deformity of the tear trough is often not mentioned as a means of complimenting the release of the orbital retaining ligament. A number of cosmetic procedures have been used to correct the tear trough, including fillers. Releasing the tear trough ligament is a maneuver for effective correction of the tear trough deformity and is an essential step in many lower eyelid blepharoplasty techniq
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