40 results match your criteria: "Blepharoplasty Subciliary Approach"
Minimal Access Lateral Approach in Lower Eyelid Blepharoplasty for Three-Dimensional Recontouring.
Clin Plast Surg
January 2025
Core Plastic Surgery, Birmingham, AL 35243, USA; Lehigh Valley Hospital - Pocono, 200 Plaza Court, 447 Office Plaza, Suite B, East Stroudsburg, PA 18301-8529, USA.
Lower eyelid blepharoplasty has historically been approached from one of only two techniques, either the anterior subciliary incision or from the posterior transconjunctival approach. Both have been used with subtractive techniques of skin and fat resection in most cases and both have had issues with post operative lower lid retraction with scleral show, albeit less with the posterior approach. Lateral acces recontouring does not transgress either the anterior or posterior functional muscles of the lower lid and avoids damaging the innervation of the lower lid orbicularis.
View Article and Find Full Text PDFLower Lid Blepharoplasty, Selecting Your Approach.
Clin Plast Surg
January 2025
Head, Section of Aesthetic Surgery, Department of Plastic Surgery, 9500 Euclid Avenue, Desk A60, Cleveland, OH 44195, USA. Electronic address:
Successful lower blepharoplasties address patient-specific lower eyelid, canthal, and lid-cheek junction pathology. Various technical procedures have been described to address the lower eyelid lamellae and tarsoligamentous sling. The most appropriate procedure should be tailored for each patient in an algorithmic approach to ensure optimal esthetic outcomes and minimize risk.
View Article and Find Full Text PDFExtending the Indications for Direct Transcutaneous Lower Blepharoplasty With an Infraorbital Incision to Tear Trough Deformities, Suborbicularis Oculi Fat, Festoons, and Revision Blepharoplasty.
Plast Surg (Oakv)
August 2024
Schlosspark Klinik Ludwigsburg, Privatklinik für Plastische und Ästhetische Chirurgie, Ludwigsburg, Germany.
Article Synopsis
- Treating big problems with the lower eyelids can be tough, especially with loose skin and fat pads!
- A new method called direct transcutaneous blepharoplasty uses a specific cut under the eye to fix these issues safely!
- In a study with 21 patients, everyone felt happy with their results after surgery, and the scars looked good too!
Outcomes of Surgical Treatment of Malar Mounds and Festoons.
Aesthetic Plast Surg
August 2023
Napa Solano Plastic Surgery, Napa, CA, USA.
Article Synopsis
- Malar mounds (congenital) and festoons (acquired) are persistent puffiness in the facial area, and this paper discusses a surgical technique to treat these issues, focusing on a study of 89 cases.
- The surgical correction involves a combination of procedures including a subciliary skin-muscle flap and midface lift, with the study analyzing outcomes over a follow-up period of at least six months.
- Results indicate that most patients had acquired festoons and, while some experienced persistent malar edema post-surgery, the condition improved with specific treatments, demonstrating the effectiveness of the surgical approach.
An Update on Subciliary Lower Eyelid Blepharoplasty.
Facial Plast Surg
April 2021
Department of Otorhinolaryngology, Acibadem University, Halkali Merkez Mahallesi Turgut Ozal Bulvari, Istanbul, Turkey.
Article Synopsis
- The subciliary lower eyelid blepharoplasty technique has improved significantly, focusing on achieving a natural look and reducing complications like lower eyelid malposition.
- Key methods to prevent malposition include preserving certain eye muscles, carefully removing excess skin and muscle, and suspending muscles to support the lower lid.
- The article outlines a comprehensive strategy for achieving a smooth eyelid-cheek transition and provides detailed postoperative care guidelines for optimal healing.
Supra-Temporalis Approach for Treating Zygomaticomaxillary Complex Fracture.
J Craniofac Surg
May 2021
Department of Oral and Maxillofacial Surgery, Lanzhou University Second Hospital, Lanzhou, China.
Article Synopsis
- The paper discusses various surgical approaches for treating zygomaticomaxillary complex (ZMC) fractures, highlighting their pros and cons and recognizing a gap in effective techniques for zygomatic arch and body fractures.
- The authors present a new supra-temporalis approach based on a review of eight patients, detailing the minimally invasive technique used for open reduction and internal fixation of these fractures.
- Results showed successful exposure and stabilization of the fractures with minimal incision, positive post-operative outcomes, and the authors conclude that this approach offers an optimal view and is a valuable alternative for complicated cases.
Evaluation of Residual Neuro-Muscular Integrity in the Orbicularis Oculi Muscle After Lower Eyelid Transcutaneous Blepharoplasty According to Reidy Adamson-s Flap.
Aesthetic Plast Surg
October 2020
Plastic and Reconstructive Microsurgery, Careggi University Hospital, Viale Giacomo Matteotti 42, 50132, Florence, Italy.
Article Synopsis
- The aging process affects the skin, muscle, and fat around the eyes differently, requiring tailored surgical techniques like lower eyelid blepharoplasty to address each component effectively.
- This study involved ten patients, examining the functionality of the orbicularis oculi muscle before and after surgery using electroneurography, specifically focusing on Compound Muscle Action Potential (CMAP) as a measure of muscular activation.
- Results showed no significant decrease in muscle functionality post-surgery, suggesting that certain branches of the facial nerve continue to effectively supply the orbicularis oculi muscle despite potential nerve injury during the procedure.
Prediction of Lower Eyelid Malpositioning After Surgical Correction of Orbital Fracture Using the Subciliary Approach Through the Canthal Area and Orbital Vector Analysis.
J Craniofac Surg
August 2020
Department of Plastic and Reconstructive Surgery, Chosun University Hospital, Gwangju, Republic of Korea.
Article Synopsis
- * Researchers reviewed 241 cases to identify risk factors and analyzed the relationship between eyelid malpositioning and orbital vector measurements.
- * Findings indicate that a significant distance between soft tissue and bone in the lateral canthal area may increase the risk of eyelid malpositioning, especially for patients with a negative orbital vector.
Safety and Efficacy of a Trans-Eyelid Facial Rejuvenation Surgery Combining Partial Repositioning of Orbital Fat and Midface Lift in Chinese Patients: A Prospective Case Series.
Ann Otol Rhinol Laryngol
October 2019
1 Department of Plastic Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Article Synopsis
- The study explores a technique combining midface lift and partial release of orbital fat to rejuvenate facial appearance and assesses safety and aesthetic outcomes.
- Conducted on 179 patients over six years, the procedure showed significant improvement in cheek shapes, eyelid joints, and reduction in sunkenness around the eyes with minimal trauma and no major complications.
- Results suggest the combined technique is effective for facial rejuvenation, with only minor post-operative issues noted, indicating it as a safe treatment option.
Three Simple Steps for Refining Transcutaneous Lower Blepharoplasty for Aging Eyelids: The Indispensability of Micro-Autologous Fat Transplantation.
Aesthet Surg J
October 2019
Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Article Synopsis
- Lower blepharoplasty is a cosmetic procedure aimed at rejuvenating lower eyelids, and the study evaluated a new technique involving micro-autologous fat transplantation (MAFT) for improving the tear trough/lid-cheek area.
- A total of 205 patients underwent a 3-step procedure combining skin excision, fat resection, and MAFT, averaging 61 minutes per surgery and showing significant results over a follow-up period of about 5 years.
- The findings indicate that this method is effective with high patient satisfaction and low complication risks, making it a promising option for treating aging lower eyelids.
Direct Excision of the Lower Eyelid: A Safe and Effective Method for Treating Dermatochalasis and Pigmentation.
Facial Plast Surg
August 2018
Department of Otolaryngology - Head and Neck Surgery, Rutgers Robert Wood Johnson Medical School New Brunswick, New Brunswick, New Jersey.
Article Synopsis
- * Direct excision (DE) is a safer and effective method for addressing lower lid issues like dermatochalasis and pigmentation, though it's less commonly used.
- * DE allows for more skin removal without risking complications like lower lid malposition, making it a strong alternative to traditional methods.
Etiology and Treatment of Congenital Festoons.
Aesthetic Plast Surg
August 2018
Department of Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Rd, Livingston, NJ, 07039, USA.
Background: Festoons and malar bags present a particular challenge to the plastic surgeon and commonly persist after the traditional lower blepharoplasty. They are more common than we think and a trained eye will be able to recognize them. Lower blepharoplasty in these patients requires addressing the lid-cheek junction and midcheek using additional techniques such as orbicularis retaining ligament (ORL) and zygomaticocutaneous ligament (ZCL) release, midface lift, microsuction, or even direct excision (Kpodzo e al.
View Article and Find Full Text PDFA Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication.
Aesthet Surg J
June 2018
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.
Article Synopsis
- The text discusses various techniques for lower blepharoplasty, primarily focusing on the modified septal reinforcement method using inverted T-shaped plication to enhance tear-trough appearance while preserving orbital fat.
- A study involving 93 patients, mostly women, highlights the effectiveness of this approach with a follow-up period of approximately 25 months, during which no permanent eyelid complications were reported.
- The findings suggest that this technique effectively reduces the likelihood of postoperative eyelid issues by reinforcing the orbital septum while addressing fat herniation.
Surgical Methods of Zygomaticomaxillary Complex Fracture.
Arch Craniofac Surg
December 2016
Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.
Article Synopsis
- Zygomatic fractures, often resulting from their vulnerable location, are classified based on displacement patterns, with various surgical approaches available for treatment.
- A study of 694 patients over 10 years revealed that the majority had ZMC fractures, with Group IV being the most common type and fixation typically occurring at two points.
- The analysis supports using minimal incision techniques and emphasizes the importance of the surgeon's familiarity with specific approaches and fixation methods.
Midface rejuvenation surgery combining preperiosteal midcheek lift, lower blepharoplasty with orbital fat preservation and autologous fat grafting.
J Stomatol Oral Maxillofac Surg
October 2017
Department of Plastic, Reconstructive and Maxillo-facial Surgery, Henri-Mondor Hospital, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
Article Synopsis
- This study looked at a way to make people's cheeks and under-eyes look younger by using a few special surgery techniques.
- They combined three surgeries: one to remove bags under the eyes, one to lift the cheeks, and one to add fat for more volume.
- The results were really good for the people who had the surgery, with most of them happy long-term, and only a few small problems that went away quickly.
Improvement of Infraorbital Rim contour Using Medpor.
Arch Craniofac Surg
June 2016
Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea.
Article Synopsis
- - Asymmetry of the infraorbital rim can be caused by trauma, congenital issues, or past surgical errors and must be corrected for a balanced midfacial appearance.
- - In a study covering 5 cases, patients had their infraorbital rim's volume restored with polyethylene implants using a subciliary surgical approach, evaluated through CT scans.
- - The surgery led to an average enhancement of 4.6 mm without any postoperative complications over a 30-month follow-up, indicating it’s a safe and effective option for various facial irregularities.
Improvement of Nasojugal Groove and Wrinkles Following a Skin-Muscle Flap Elevation Through a Subciliary Approach to the Orbital Rim.
J Craniofac Surg
May 2016
*Department of Plastic Surgery, Inha University School of Medicine†Department of Plastic Surgery, Inha University Hospital, Incheon, Korea.
Article Synopsis
- The study investigates whether elevating a skin-muscle flap through a subciliary incision can improve the appearance of the nasojugal groove and wrinkles in patients with orbital fractures.
- Fifty-seven patients underwent surgical procedures where the orbicularis oculi muscle was released from its bony attachment, followed by reconstructive techniques at the orbital rim.
- Postoperative assessments showed a significant reduction in nasojugal groove severity on the operated side compared to the unoperated side, indicating that the surgery effectively improved facial aesthetics.
Excision and Redraping Skin and Orbicularis Oculi Muscle Separately during Transcutaneous Lower Eyelid Blepharoplasty.
Klin Monbl Augenheilkd
April 2015
Department of Oculoplastic Surgery, São Geraldo Hospital, Federal University of Minas Gerais, Santa Efigênia Belo Horizonte - MG, Brazil (Chairman: Ana Rosa Pimentel de Figueiredo).
Article Synopsis
- This study introduces a unique lower eyelid blepharoplasty technique that allows for separate excision and redraping of the skin and orbicularis oculi muscle, which is different from conventional methods.
- A small group of patients underwent the procedure, which included creating a skin flap and excising some muscle fibers, with additional steps to address orbital fat prolapse if needed.
- Results showed no significant complications, and both surgeons and patients rated the postoperative outcomes as satisfactory, highlighting benefits such as preserved muscle function and targeted tension during the redraping process.
The transeyelid midface lift.
Clin Plast Surg
January 2015
Texas Oculoplastic Consultants, 3705 Medical Parkway, Suite 120, Austin, TX 78705, USA. Electronic address:
Article Synopsis
- - The transeyelid approach is a refined surgical technique for lifting the midface, ideal for mild sagging of cheek tissue.
- - Among surgeons experienced in facelifts, the subciliary approach is preferred due to its easier execution and widespread use.
- - This midface rejuvenation method combines well with other facial procedures like eyelid surgery (blepharoplasty) and forehead lifts, and complications are rare, typically involving minor issues like lid malposition and temporary nerve impairment.
Redraping of the fat and eye lift for the correction of the tear trough.
J Craniomaxillofac Surg
October 2014
Artion Plastic Surgery Center, 11 D. Vassiliou St., N. Psyhiko, Athens, 15451, Greece.
Article Synopsis
- Tear trough deformity can be challenging to correct and often worsens with age due to loss of skin support; the study proposes a technique involving redraping blepharoplasty and a lateral eye lift for improvement.
- The procedure included precise surgical steps such as excess skin removal, repositioning of fat, and the use of sutures to correct tear troughs and support the lower eyelid.
- Follow-up results from 35 patients showed overall success in correcting the deformity, with minor complications like sclera show and prolonged edema resolving over time; the technique offers promising stability for up to four years.
Triple-layer midface lifting: long-term follow-up of an effective approach to aesthetic surgery of the lower eyelid and the midface.
Aesthetic Plast Surg
August 2014
Bergman Clinics, Private Clinic, Binckhorstlaan 147, The Hague, The Netherlands,
Article Synopsis
- The lower eyelid and midface are interconnected in surgical rejuvenation, with issues like malar bags and volume loss affecting aesthetic results as the orbicularis muscle and midface tissues descend with age.
- A novel triple-layer surgical technique, performed under local anesthesia, was developed to reposition different fat layers and skin around the lower eyelid, showing promising results in over 500 patients.
- With an average patient age of 51, the procedure led to 77 complications among patients, of which 44 required minor surgical interventions; however, the technique proved effective and safe, offering long-lasting results with low complication rates.
Beneficial effects of turnover orbicularis oculi muscle suspension flap for treating facial fractures via subciliary incision.
J Craniofac Surg
July 2014
From the *Department of Plastic and Reconstructive Surgery, Sisli Hamidiye Etfal Research and Training Hospital, Istanbul; and †Department of Plastic and Reconstructive Surgery, Akdeniz University Medical School, Antalya, Turkey.
Article Synopsis
- * The study presents a technique using a turnover orbicularis oculi muscle suspension flap during zygomatic fracture surgeries via a subciliary approach for 98 patients.
- * Results indicate that this method is more effective in preventing lateral canthal rounding and ectropion compared to traditional resuspension methods, making it a reliable option, especially for middle-aged patients.
The versatility of lower eyelid blepharoplasty incision: In open reduction and fixation of zygomatic complex injuries.
J Nat Sci Biol Med
July 2012
Department of Oral and Maxillofacial Surgery, Best Dental College, Madurai, India.
Article Synopsis
- A zygomatic complex fracture disrupts four important sutures and typically affects the orbital floor, highlighting the need for a deep understanding of orbital anatomy for effective treatment.
- The study aimed to assess the effectiveness and limitations of a surgical approach using lower eyelid blepharoplasty incision, which involved six patients who underwent surgery with steroid injections and techniques like tarsorrhaphy.
- Results showed that while some patients experienced mild edema and scarring, the lower eyelid approach proved to be a straightforward and effective method for managing injuries to the infraorbital region linked to zygomatic complex fractures.*