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Aesthetic Plastic Surgery

, Volume 22, Issue 5, pp 349–351 | Cite as

Treatment of Orbicularis Oculi Muscle Hypertrophy in Lower Lid Blepharoplasty

  • Claudio  Bernardi
  • Stefano  Dura
  • Pier Luigi  Amata

Abstract.

Treatment of orbicularis oculi muscle hypertrophy during conventional lower eyelid blepharoplasty is presented. Horizontal resection of a strip of the hypertrophic muscle is carried out, which allows flattening of the muscular bulge in an anteroposterior direction. Since no full-thickness vertical reduction is performed, this simple procedure is ``free'' from the risk of ``scleral show'' deformity, due to excessive muscle shortening, leaving a pleasant contour in the lower eyelid. The technique has been successfully employed in 27 cases of blepharoplasty, with separate skin and muscle flaps.

Key words: Lower blepharoplasty—Orbicularis oculi muscle hypertrophy 

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Copyright information

© Springer-Verlag New York Inc. 1998

Authors and Affiliations

  • Claudio  Bernardi
    • 1
  • Stefano  Dura
    • 1
  • Pier Luigi  Amata
    • 1
  1. 1.Rome, ItalyIT

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