A New Approach: Resection and Suture of Orbicularis Oculi Muscle to Define the Upper Eyelid Fold and Correct Asymmetries
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Upper-eyelid blepharoplasty is a very common procedure in aesthetic plastic surgery. Among all the literature in favor of orbicularis muscle resection, there are no commentaries associated with orbicularis muscle suture and its convenience. This article discusses a new approach: independent resection of the orbicularis oculi muscle similar in size to the resected skin and the subsequent suture of the orbicularis muscle after its resection. This results in a fine reconstruction of the upper-eyelid crease, achieves a good definition of this anatomical structure, and allows correction of asymmetries with the contralateral upper eyelid. The results obtained (98 % of patients satisfied) and no complications with this procedure make it a safe alternative for upper blepharoplasty.
Level of Evidence IV
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KeywordsBlepharochalasis Blepharoplasty Rejuvenate Upper eyelids Upper-eyelid crease
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