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Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi

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Abstract

Background

A common dissatisfaction after rhytidoplasty are the remaining lateral eyelid wrinkles also known as crow’s feet.

Methods

This article presents an analysis of the enlarged myectomy of the orbicularis oculi muscle used for the definitive treatment of crow’s feet in 105 patients during face lifting. Myectomy involved all the lateral portion of the orbicularis oculi muscle exposed after the undermining of the face, corresponding to about one third of the whole orbital extension of the muscle. To avoid depression in the area of the excision, a free graft from the superficial musculoaponeurotic system was performed with the blepharoplasty.

Results

The reduction of the crow’s feet was significant during the subsequent 5 years of follow-up.

Conclusion

The enlarged myectomy allowed the treatment of a larger area in the wrinkled region without increasing the complications and with excellent results.

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Acknowledgment

We thank Alessandra Inácio Silva Vieira for the final revision of the text.

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Authors and Affiliations

  1. Plastic and Reconstructive Surgery Service, Instituto Doutor José Frota de Fortaleza (IJF), Rua Barão do Rio Branco, Fortaleza, CE, Brazil

    Francisco de Assis Montenegro Cido Carvalho, Valderi Vieira da Silva Jr, André Alencar Moreira & Fabrício Oliveira Viana

  2. Avenida Dom Luís, 1233 Sala 1006, Meireles, CEP 60160-230, Fortaleza, CE, Brazil

    Francisco de Assis Montenegro Cido Carvalho

Authors
  1. Francisco de Assis Montenegro Cido Carvalho
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  2. Valderi Vieira da Silva Jr
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  3. André Alencar Moreira
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  4. Fabrício Oliveira Viana
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Corresponding author

Correspondence to Francisco de Assis Montenegro Cido Carvalho.

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de Assis Montenegro Cido Carvalho, F., Vieira da Silva, V., Moreira, A.A. et al. Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi. Aesth Plast Surg 32, 779–782 (2008). https://doi.org/10.1007/s00266-008-9206-y

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  • DOI: https://doi.org/10.1007/s00266-008-9206-y

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