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Liposuction and Suspension of the Orbicularis Oculi for the Correction of Persistent Malar Bags

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Liposuction

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Abstract

The authors discuss the cause of eyelid bags, malar bags, and festoons that result from aging and loss of tissue elasticity. Conventional medications may be useful and a variety of surgeries have been recommended. The authors describe an alternative surgical approach for the correction of persistent malar bags that consists of liposuction and suspension of the orbicularis oculi. This technique provides stable correction of malar bags, especially in complicated cases with previous blepharoplasties, and is associated with few postoperative complications.

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References

  1. Mitz V. The superficial musculoaponeurotic system: a clinical evaluation after 15 years of experience. Facial Plast Surg. 1992;8(1):11–7.

    Article  CAS  PubMed  Google Scholar 

  2. Yousif NJ, Mendelson BC. Anatomy of the midface. Clin Plast Surg. 1995;22(2):227–40.

    CAS  PubMed  Google Scholar 

  3. Stuzin JM, Baker TJ, Gordon HL. The relationship of the superficial and deep facial fascias: relevance to rhytidectomy and aging. Plast Reconstr Surg. 1992;89(3):441–51.

    Article  CAS  PubMed  Google Scholar 

  4. Rosenberg GJ. Correction of saddlebag deformity of the lower eyelids by superficial suction lipectomy. Plast Reconstr Surg. 1995;96(5):1061–5.

    Article  CAS  PubMed  Google Scholar 

  5. Hobar PC, Flood J. Subperiosteal rejuvenation of the midface and periorbital area: a simplified approach. Plast Reconstr Surg. 1999;104(3):842–53.

    Article  CAS  PubMed  Google Scholar 

  6. Mendelson BC. Extended sub-SMAS dissection and cheek elevation. Clin Plast Surg. 1995;22(2):325–39.

    CAS  PubMed  Google Scholar 

  7. Furnas DW. Festoons of orbicularis muscle as a cause of baggy eyelids. Plast Reconstr Surg. 1978;61(4):540–6.

    Article  CAS  PubMed  Google Scholar 

  8. Goldberg RA, McCann JD, Fiaschetti D, Ben Simon GJ. What causes eyelid bags? Analysis of 114 consecutive patients. Plast Reconstr Surg. 2005;15(5):1395–402.

    Article  Google Scholar 

  9. Pessa JE, Garza JR. The malar septum: the anatomic basis of malar mounds and malar edema. Aesthet Surg J. 1997;17(1):11–7.

    Article  CAS  PubMed  Google Scholar 

  10. Rossarie R, Leyder P. Which treatment for the malar bags? Ann Chir Plast Esthet. 2009;54(1):57–70.

    Article  CAS  PubMed  Google Scholar 

  11. Ellenbogen R, Wethe J, Jankauskas S, Collini F. Curette fat sculpture in rhytidectomy: improving the nasolabial and labiomandibular folds. Plast Reconstr Surg. 1991;88(3):433–42.

    Article  CAS  PubMed  Google Scholar 

  12. Carriquiry CE, Seoane OJ, Londinsky M. Orbicularis transposition flap for muscle suspension in lower blepharoplasty. Ann Plast Surg. 2006;57(2):138–41.

    Article  CAS  PubMed  Google Scholar 

  13. Glasgold M, Lam SM, Glasgold R. Volumetric rejuvenation of the periorbital region. Facial Plast Surg. 2010;26(3):252–9.

    Article  CAS  PubMed  Google Scholar 

  14. Barton Jr FE, Kenkel JM. Direct fixation of the malar pad. Clin Plast Surg. 1997;24(2):329–35.

    PubMed  Google Scholar 

  15. Hoenig JF, Knutti D, De La Fuente A. Vertical subperiosteal mid-face-lift for treatment of malar festoons. Aesthet Surg J. 2011;35(4):522–9.

    Article  Google Scholar 

  16. Small RG. Extended lower eyelid blepharoplasty. Arch Ophthalmol. 1981;99(8):1402–5.

    Article  CAS  PubMed  Google Scholar 

  17. Adamson PA, Tropper GJ, McGraw BL. Extended blepharoplasty. Arch Otolaryngol Head Neck Surg. 1991;117(6):606–10.

    Article  CAS  PubMed  Google Scholar 

  18. Hamra ST. Repositioning the orbicularis oculi muscle in the composite rhytidectomy. Plast Reconstr Surg. 1992;90(1):14–22.

    Article  CAS  PubMed  Google Scholar 

  19. Hamra ST. The zygorbicular dissection in composite rhytidectomy: an ideal midface plane. Plast Reconstr Surg. 1998;102(5):1646–57.

    Article  CAS  PubMed  Google Scholar 

  20. Hinderer UT, Urriolagoitia F, Vildosola R. The blepharo-periorbitoplasty: anatomical basis. Ann Plast Surg. 1987;18(5):437–53.

    Article  CAS  PubMed  Google Scholar 

  21. Hester Jr TR, Codner MA, McCord CD, Nahai F, Giannopoulos A. Evolution of technique of the direct transblepharoplasty approach for the correction of lower lid and midfacial aging: maximizing results and minimizing complications in a 5-year experience. Plast Reconstr Surg. 2000;105(1):393–406.

    Article  PubMed  Google Scholar 

  22. Tessier P. Subperiosteal face-lift. Ann Chir Plast Esthet. 1989;34(3):193–7.

    CAS  PubMed  Google Scholar 

  23. Psillakis JM, Rumley TO, Camargos A. Subperiosteal approach as an improved concept for correction of the aging face. Plast Reconstr Surg. 1988;82(3):383–94.

    Article  CAS  PubMed  Google Scholar 

  24. Ramirez OM, Maillard GF, Musolas A. The extended subperiosteal face lift: a definitive soft-tissue remodeling for facial rejuvenation. Plast Reconstr Surg. 1991;88(2):227–36.

    Article  CAS  PubMed  Google Scholar 

  25. Ramirez OM. The subperiosteal rhytidectomy: the third-generation face-lift. Ann Plast Surg. 1992;28(3):218–44.

    Article  CAS  PubMed  Google Scholar 

  26. Gunter JP, Hackney FL. A simplified transblepharoplasty subperiosteal cheek lift. Plast Reconstr Surg. 1999;103(7):2029–41.

    Article  CAS  PubMed  Google Scholar 

  27. Kpodzo DS, Nahai F, McCord CD. Malar mounds and festoons: review of current management. Aesthet Surg J. 2014;34(2):235–48.

    Article  PubMed  Google Scholar 

  28. Le Louarn C. The concentric malar lift: malar and lower eyelid rejuvenation. Aesthet Surg J. 2004;28(6):359–72.

    Article  Google Scholar 

  29. Liapakis IE, Paschalis EI. Liposuction and suspension of the orbicularis oculi for the correction of persistent malar bags: description of technique and report of a case. Aesthet Surg J. 2012;36(3):546–9.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. OpsisClinical, Plastic and Reconstructive Surgery, 48 Anogion str, Therissos, 71304, Heraklion, Crete, Greece

    Ioannis E. Liapakis M.D.

  2. Massachusetts Eye and Ear Infirmary, Boston Keratoprosthesis laboratory, Harvard Medical School, 243 Charles St., Boston, MA, 02114, USA

    Eleftherios I. Paschalis MSc, Ph.D

Authors
  1. Ioannis E. Liapakis M.D.
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  2. Eleftherios I. Paschalis MSc, Ph.D
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Corresponding author

Correspondence to Ioannis E. Liapakis M.D. .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

  2. Department of Plastic Surgery, Regional Hospital-Ancona, Ancona, Italy

    Alberto Di Giuseppe

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Liapakis, I.E., Paschalis, E.I. (2016). Liposuction and Suspension of the Orbicularis Oculi for the Correction of Persistent Malar Bags. In: Shiffman, M., Di Giuseppe, A. (eds) Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48903-1_41

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  • DOI: https://doi.org/10.1007/978-3-662-48903-1_41

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48901-7

  • Online ISBN: 978-3-662-48903-1

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