27 results match your criteria Blepharoplasty Subciliary Approach

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An Update on Subciliary Lower Eyelid Blepharoplasty.

Facial Plast Surg 2021 Apr 25;37(2):198-204. Epub 2021 Feb 25.

Department of Otorhinolaryngology, Acibadem University, Halkali Merkez Mahallesi Turgut Ozal Bulvari, Istanbul, Turkey.

The subciliary lower eyelid blepharoplasty has evolved considerably to create a more harmonious natural appearance with a fuller and unoperated look and also to minimize the complications. While lower eyelid malposition was very common in the past, now this complication is significantly reduced by attention to preoperative evaluation, meticulous surgical planning, precise surgical technique, and postoperative care. Various prophylactic maneuvers maintaining/strengthening lower lid support can be utilized to prevent lower lid malposition including preservation of the pretarsal orbicularis oculi muscle, conservative resection of skin and muscle, and suspension of the orbicularis oculi muscle and/or tarsus to the periosteum of the lateral orbital rim. Read More

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Supra-Temporalis Approach for Treating Zygomaticomaxillary Complex Fracture.

J Craniofac Surg 2021 May;32(3):1087-1089

Department of Oral and Maxillofacial Surgery, Lanzhou University Second Hospital, Lanzhou, China.

Purpose: There are multiple approaches described to access the zygomaticomaxillary complex (ZMC) fractures: lateral eyebrow, upper blepharoplasty, coronal, subciliary, subtarsal, infraorbital, transconjunctival, and transoral. All these approaches have their advantages, disadvantages, and indications according to location of fracture, degree of displacement, and surgeon's experience with a specific technique. However, there is not a good approach for treating the zygomatic arch or body fracture. Read More

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Prediction of Lower Eyelid Malpositioning After Surgical Correction of Orbital Fracture Using the Subciliary Approach Through the Canthal Area and Orbital Vector Analysis.

J Craniofac Surg 2020 May/Jun;31(3):e297-e299

Department of Plastic and Reconstructive Surgery, Chosun University Hospital, Gwangju, Republic of Korea.

A subciliary incision has been widely used not only for blepharoplasty but also for facial fracture surgery. However, lower eyelid malpositioning is one of the most common complications after fracture surgery. A limited number of studies have been conducted on the relationships among evaluation of the canthal area, orbital vector analysis, and lower eyelid malpositioning following the subciliary approach for surgical repair of fractures. Read More

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Three Simple Steps for Refining Transcutaneous Lower Blepharoplasty for Aging Eyelids: The Indispensability of Micro-Autologous Fat Transplantation.

Aesthet Surg J 2019 10;39(11):1163-1177

Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Background: Lower blepharoplasty has been used for rejuvenating lower eyelids, and diverse modifications have been used to treat conjunct deformities at the tear trough/lid-cheek junction. Strategies for recontouring prominent tear trough/lid-cheek junctions, including orbital fat manipulation, have been reported with good results in the literature. Micro-autologous fat transplantation (MAFT) is a previously unevaluated, potentially advantageous approach to blending the prominent tear trough/lid-cheek junction. Read More

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October 2019

Etiology and Treatment of Congenital Festoons.

Mokhtar Asaadi

Aesthetic Plast Surg 2018 Aug 18;42(4):1024-1032. Epub 2018 Apr 18.

Department of Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ, 07039, USA.

Background: Festoons and malar bags present a particular challenge to the plastic surgeon and commonly persist after the traditional lower blepharoplasty. They are more common than we think and a trained eye will be able to recognize them. Lower blepharoplasty in these patients requires addressing the lid-cheek junction and midcheek using additional techniques such as orbicularis retaining ligament (ORL) and zygomaticocutaneous ligament (ZCL) release, midface lift, microsuction, or even direct excision (Kpodzo e al. Read More

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A Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication.

Aesthet Surg J 2018 Jun;38(7):707-713

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.

Background: Numerous techniques have been used for lower blepharoplasty. The techniques can be classified into four principles: excision of excess fat, septal reset, orbital fat repositioning, and reinforcement of the attenuated orbital septum.

Objectives: We modified the conventional approach of septal reinforcement to utilize an inverted T-shaped plication with preservation of the orbital fat, repositioning the septum below the arcus marginalis to refine tear-trough deformity. Read More

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Surgical Methods of Zygomaticomaxillary Complex Fracture.

Arch Craniofac Surg 2016 Dec 23;17(4):206-210. Epub 2016 Dec 23.

Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.

Background: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. Read More

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December 2016

Midface rejuvenation surgery combining preperiosteal midcheek lift, lower blepharoplasty with orbital fat preservation and autologous fat grafting.

J Stomatol Oral Maxillofac Surg 2017 Oct 3;118(5):283-288. Epub 2017 Jul 3.

Department of Plastic, Reconstructive and Maxillo-facial Surgery, Henri-Mondor Hospital, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.

Objective: The aim of this study was to describe a technique for midface rejuvenation combining lower blepharoplasty, midcheek lift and autologous fat transfer.

Methods: All patients who underwent a midface rejuvenation procedure performed by the same surgeon and using a classic subciliary blepharoplasty surgical approach were identified. The technique combined three distinct procedures: lower blepharoplasty with use of a transposition flap of orbital adipose tissue in the medial and central compartment to reduce the subpalpebral bags and attenuate the palpebrojugual sulcus; midcheek lift in the preperiosteal plane with trans-osseous fixation exerting traction on the soft tissues of the cheek along several vectors; autologous fat transfer to offset the loss of volume in the target area. Read More

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October 2017

Improvement of Infraorbital Rim contour Using Medpor.

Arch Craniofac Surg 2016 Jun 21;17(2):77-81. Epub 2016 Jun 21.

Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea.

Background: Asymmetry of the infraorbital rim can be caused by trauma, congenital or acquired disease, or insufficient reduction during a previous operation. Such asymmetry needs to be corrected because the shape of the infraorbital rim or midfacial skeleton defines the overall midfacial contour.

Methods: The study included 5 cases of retruded infraorbital rim. Read More

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Improvement of Nasojugal Groove and Wrinkles Following a Skin-Muscle Flap Elevation Through a Subciliary Approach to the Orbital Rim.

J Craniofac Surg 2016 May;27(3):741-4

*Department of Plastic Surgery, Inha University School of Medicine†Department of Plastic Surgery, Inha University Hospital, Incheon, Korea.

The aim of this study is to see whether the nasojugal groove and wrinkles can be improved following a skin-muscle flap elevation through a subciliary approach to the orbital rim.Fifty-seven patients having fractures of the orbital floor, wall, or orbital rim were included. A subciliary incision was made 3 to 5 mm below the cilia. Read More

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The transeyelid midface lift.

Clin Plast Surg 2015 Jan;42(1):95-101

Texas Oculoplastic Consultants, 3705 Medical Parkway, Suite 120, Austin, TX 78705, USA. Electronic address:

The transeyelid approach to midface lift is an elegant approach for mild descent of malar soft tissue. The subciliary approach is the most commonly used and technically less challenging for surgeons experienced in facelift techniques. This technique in midface rejuvenation also has the advantage of ease of combining with other periocular and mid and upper face rejuvenation, such as blepharoplasty and forehead lift. Read More

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January 2015

Redraping of the fat and eye lift for the correction of the tear trough.

J Craniomaxillofac Surg 2014 Oct 10;42(7):1497-502. Epub 2014 May 10.

Artion Plastic Surgery Center, 11 D. Vassiliou St., N. Psyhiko, Athens, 15451, Greece.

Introduction: Tear trough deformity is very difficult to correct. It can appear at relatively young age and it deepens over the years due to laxity and loss of structural support. We describe a technique for the correction of tear trough deformity and mid-face laxity by means of redraping blepharoplasty and lateral "eye lift". Read More

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October 2014

Triple-layer midface lifting: long-term follow-up of an effective approach to aesthetic surgery of the lower eyelid and the midface.

Aesthetic Plast Surg 2014 Aug 18;38(4):632-40. Epub 2014 Jun 18.

Bergman Clinics, Private Clinic, Binckhorstlaan 147, The Hague, The Netherlands,

Background: It is becoming more and more accepted that better aesthetic results can be obtained when the lower eyelid is considered as part of the midface when contemplating surgical rejuvenation. Descent of the orbicularis muscle and midface tissue causes malar bags, loss of volume over the tear-trough, apparent vertical lengthening of the lower eyelid, and an accentuation of the orbit-cheek junction.

Methods: We describe a triple-layer technique that effectively corrects these problems, performed under local anesthesia and via a standard subciliary incision, to separately reposition the postseptal fat, suborbicularis oculi fat, and the musculocutaneous layer of skin and orbicularis oculi. Read More

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Beneficial effects of turnover orbicularis oculi muscle suspension flap for treating facial fractures via subciliary incision.

J Craniofac Surg 2014 Jul;25(4):1465-7

From the *Department of Plastic and Reconstructive Surgery, Sisli Hamidiye Etfal Research and Training Hospital, Istanbul; and †Department of Plastic and Reconstructive Surgery, Akdeniz University Medical School, Antalya, Turkey.

In patients with moderate lower lid laxity, the lower orbicularis oculi muscle becomes atonic or ptotic. Hence, in such patient populations, with periorbital fractures, additional vertical support endorsement either by lateral canthopexy or orbicularis oculi muscle suspension flap must accompany plate and screw fixations. In this report, we shared our experience in applying prophylactic suspension to the lower lid with turnover orbicularis oculi transposition muscle flap in zygomatic fractures treated by subciliary approach in 98 patients. Read More

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The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries.

J Nat Sci Biol Med 2012 Jul;3(2):161-7

Department of Oral and Maxillofacial Surgery, Best Dental College, Madurai, India.

Introduction: A ZYGOMATIC COMPLEX FRACTURE INCLUDES DISRUPTION OF THE FOUR ARTICULATING SUTURES: zygomaticofrontal, zygomaticotemporal, zygomaticomaxillary and zygomaticosphenoidal sutures. All zygomatic complex fractures involve the orbital floor and therefore an understanding of orbital anatomic features is essential for those treating these injuries.

Aims And Objectives: To analyze the efficacy and shortcomings of this approach. Read More

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Staged reconstruction of the lower eyelid following tri-lamellar injury: a case series and anatomic study.

J Plast Reconstr Aesthet Surg 2012 Jan 27;65(1):48-53. Epub 2011 Aug 27.

David Geffen School of Medicine at University of California Los Angeles, Division of Plastic and Reconstructive Surgery, Los Angeles, CA 90095-6960, USA.

Purpose: Lower eyelid scaring and malposition following violation of all three lamellae pose a significant ophthalmologic reconstructive challenge. The purpose of our study was to document a staged approach for this problem using: 1) transconjunctival scar release followed by palatal graft below the tarsal plate and subciliary scar release followed by full-thickness skin graft superficial to the tarsal plate and 2) subsequent autologous fat grafting to the lower eyelid.

Methods: Cadaveric anatomic dissections were performed. Read More

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January 2012

The anatomy of the palpebral branch of the infraorbital artery relating to midface lift.

J Craniofac Surg 2011 Jul;22(4):1489-90

Department of Plastic Surgery, and Center for Advanced Medical Education by BK21 Project, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to elucidate a branch of the infraorbital artery (IOA) crossing the arcus marginalis into the orbit that might be vulnerable during a procedure of midface lift or fat sliding or a transposition in lower blepharoplasty.Eleven orbits of 6 Korean cadavers were dissected after injecting red latex into the external carotid artery. The IOA and nerve were identified. Read More

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Traditional Lower Blepharoplasty: Is Additional Support Necessary? A 30-Year Review.

Plast Reconstr Surg 2011 Jul;128(1):265-273

Rochester, Minn.; and San Antonio, Texas From the Division of Plastic and Reconstructive Surgery, Mayo Clinic, and the Department of Plastic and Reconstructive Surgery, University of Texas Health Science Center.

Background: Several refinements have been made in lower eyelid rejuvenation, and there is now strong belief that the traditional approach places too little emphasis on lower eyelid support. The purpose of this study was to retrospectively review the 30-year experience of the senior author (J.A. Read More

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Vertical enlargement of the palpebral aperture by static shortening of the anterior and posterior lamellae of the lower eyelid: a cosmetic option for Asian eyelids.

Plast Reconstr Surg 2011 Jan;127(1):396-406

Tokyo, Japan From the Ritz Cosmetic Surgery Clinic Tokyo and the Department of Plastic Surgery, University of Tokyo School of Medicine.

Background: Although double eyelid plasty, levator aponeurotic surgery, and epicanthoplasty are well-accepted cosmetic treatments for Asian eyes, some patients are incompletely satisfied with the outcomes and request further surgery. Although lower eyelid descent is generally recognized as a symptom of aging or a complication after blepharoplasty, the authors propose a perceptional change: a lowering the lower eyelid procedure to vertically enlarge the palpebral aperture in selected Asian patients.

Methods: A total of 125 Japanese patients underwent the lowering the lower eyelid procedure between 2005 and 2009. Read More

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January 2011

Vertical plication of attenuated orbital septum: a modification for reduction of lower lid bulge.

Ann Plast Surg 2009 Dec;63(6):592-6

Department of Plastic and Reconstructive Surgery, 15 Khordad Hospital, Shahid Beheshti University Of Medical Science, Tehran, Iran.

Aesthetic surgery for correction of the lower lid bulge can be classified into 3 groups of subtractive surgery, redraping, and repositioning. The authors present a new repositioning technique with vertical plication of the orbital septum for correction of lower lid bulge. This procedure was performed on 30 individuals during a 3-year period between March 2003 and March 2006. Read More

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December 2009

Acquired entropion associated with the transconjunctival incision for facial fracture management.

J Craniofac Surg 2009 Sep;20(5):1412-5

Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Boston, MA 02215, USA.

Transconjunctival incisions are used in cases of orbitozygomatic trauma and elective lower eyelid blepharoplasty. Although this approach has reduced the rates of ectropion, there is a rare but reported incidence of entropion. We review our experience with craniofacial trauma between 1998 and 2008 and our use of the transconjunctival, subtarsal, and subciliary approaches. Read More

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September 2009

Arcus marginalis release in blepharoplasty I: technical facilitation.

Aesthetic Plast Surg 2008 Sep 9;32(5):785-9. Epub 2008 Jul 9.

Department of Plastic Surgery, University Medical Center Freiburg, Freiburg, Germany.

Resection of intraorbital fat compartments in lower-lid blepharoplasty has been widely replaced by their realignment over the orbital rim. For older patients this usually includes an open subciliary approach with skin resection and orbicularis muscle modification. In younger patients this may be done transconjunctivally. Read More

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September 2008

Transconjunctival septal suture repair for lower lid blepharoplasty.

Richard C Sadove

Plast Reconstr Surg 2007 Aug;120(2):521-529

Gainesville, Fla. From the Division of Plastic Surgery, University of Florida.

Background: The need for a safer lower-lid blepharoplasty procedure than the classic subciliary approach has long been recognized. In 1996, de la Plaza and de la Cruz first theorized septal suturing via a transconjunctival approach that preserves both muscle and infraorbital fat. This is the first report of a series of patients treated with this technique. Read More

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[Lower lid blepharoplasty].

P Ritleng

J Fr Ophtalmol 2004 Jun;27(6 Pt 1):651-7

Cabinet de Chirurgie Plastique Ophtalmologique Reconstructrice et Esthétique, Nice, France.

Baggy lower eyelids result from herniated orbital fat, excess skin, hypertrophic or lax orbicularis sometimes associated with lower lid laxity resulting from degeneration of the lateral canthal tendon with age. Two main approaches are used: skin-muscle flap or the transconjunctival approach in younger patients who have herniated orbital fat with minimal or not excessive lower eyelid skin. Preoperative evaluation of the patient is extremely important in lower lid blepharoplasty before any surgical procedure: excessive skin, herniated orbital fat, retraction and laxity must be evaluated. Read More

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Transconjunctival versus transcutaneous lower eyelid blepharoplasty: a prospective study.

Plast Reconstr Surg 1995 Oct;96(5):1053-60

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas, USA.

Debate continues over the relative merits of transconjunctival and the more customary subciliary transcutaneous approaches for lower lid blepharoplasty. Ten consecutive patients presented for blepharoplasty, and in all patients the transcutaneous subciliary musculocutaneous flap approach was used on the left lower eyelid and the transconjunctival preseptal approach was used on the right. Patients served as their own controls. Read More

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October 1995

Subciliary incision and skin-muscle eyelid flap for orbital fractures.

Ann Plast Surg 1983 Apr;10(4):309-13

The lower eyelid skin-muscle flap is now widely used for cosmetic blepharoplasty, primarily because of the ease and speed of dissection it offers. We have used the same technique as a surgical approach in fractures of the orbital floor and rim. In a large clinical series seen over a three and a half-year period, no major complications were noted. Read More

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