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Upper blepharoplasty with lateral segmental orbicularis excision.

Alan D Widgerow1

  • 1Department of Plastic Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Annals of Plastic Surgery
|June 7, 2003
PubMed
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This study introduces an exaggerated resection of the lateral preseptal orbicularis oculi muscle during blepharoplasty. This technique effectively prevents persistent lateral eyelid excess in patients undergoing the procedure.

Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Facial Aesthetics

Background:

  • Persistent lateral eyelid excess can be a complication following standard blepharoplasty.
  • The orbicularis oculi muscle plays a role in eyelid contour and function.
  • Addressing lateral brow descent is crucial for aesthetic outcomes in eyelid surgery.

Purpose of the Study:

  • To evaluate the efficacy of an exaggerated segmental resection of the lateral preseptal orbicularis oculi muscle.
  • To determine if this modified technique can prevent persistent lateral eyelid excess.
  • To assess the impact on lateral brow soft tissue support.

Main Methods:

  • An elliptical excision of the lateral preseptal orbicularis oculi muscle, larger than traditional methods, was performed via blepharoplasty incision.

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  • The procedure was conducted on 59 patients over a one-year period.
  • Outcomes were assessed based on the absence of persistent lateral eyelid excess.

    • Main Results:

    • The exaggerated resection technique resulted in a relative advantage for the frontalis muscle.
    • This modification effectively limited the descent of lateral brow soft tissues.
    • None of the 59 patients reported persistent lateral excess after the surgery.

    Conclusions:

    • Exaggerated segmental resection of the lateral preseptal orbicularis oculi muscle is an effective method to avoid persistent lateral eyelid excess.
    • This technique offers improved support to the lateral brow, enhancing aesthetic results.
    • The modified blepharoplasty approach demonstrates a high success rate in preventing a common postoperative complication.