Definitive treatment for crow's feet wrinkles by total myectomy of the lateral Orbicularis Oculi.

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.