Arcus marginalis release in blepharoplasty I: technical facilitation.

Area of Science:

• Plastic Surgery
• Ophthalmic Plastic Surgery
• Facial Aesthetic Surgery

Background:

• Lower blepharoplasty techniques have evolved from fat resection to fat repositioning.
• Traditional fat repositioning methods face challenges with unpredictable outcomes and potential complications like ectropion.
• Current fixation techniques for repositioned orbital fat are debated regarding efficacy and ease of use.

Purpose of the Study:

• To introduce and evaluate a novel, safe, and effective method for fixing repositioned intraorbital fat during lower blepharoplasty.
• To assess the speed and reliability of fat adherence using the proposed transcutaneous suture technique.

Main Methods:

• A technique utilizing a monofilament, double-armed, polypropylene suture on bent straight needles was employed.
• The suture was used to transfix the three intraorbital fat compartments across the maxilla and zygoma.
• Transcutaneous pullout sutures were secured externally with steri-strips.

Main Results:

• The transcutaneous suture technique proved safe for fixing orbital fat compartments.
• Sufficient adherence of the repositioned orbital fat to its new location was observed within two days post-procedure.
• The method offers a predictable and potentially less tedious alternative to existing fixation techniques.

Conclusions:

• This double-armed polypropylene suture technique provides a safe and effective method for orbital fat repositioning in lower blepharoplasty.
• The rapid adherence of fat suggests this technique offers predictable and stable aesthetic results.
• Further studies may explore long-term outcomes and patient satisfaction with this innovative approach.