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Extended blepharoplasty.

P A Adamson1, G J Tropper, B L McGraw

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Ontario, Canada.

Archives of Otolaryngology--Head & Neck Surgery
|June 1, 1991
PubMed
Summary
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Extended blepharoplasty addresses infraorbital (malar) bags, improving lower eyelid appearance. This technique suspends the skin-muscle flap to enhance results for specific eyelid concerns.

Area of Science:

  • Plastic Surgery
  • Ophthalmology

Background:

  • Infraorbital (malar) bags affect up to 10% of blepharoplasty candidates.
  • Standard blepharoplasty may not fully address significant infraorbital pouching.
  • Horizontal eyelid laxity often accompanies lower eyelid concerns.

Purpose of the Study:

  • To describe the extended blepharoplasty technique.
  • To highlight its utility in managing infraorbital bags.
  • To emphasize the importance of flap suspension for optimal outcomes.

Main Methods:

  • Extended blepharoplasty involves dissecting the skin-muscle flap below the infraorbital rim.
  • Often combined with an eyelid shortening procedure for horizontal laxity.
  • Requires suspension of the flap to the lateral canthal periosteum.

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Main Results:

  • Successfully improves infraorbital pouching beyond standard blepharoplasty.
  • Addresses malar bags effectively.
  • Proper flap suspension is crucial for satisfactory aesthetic results.

Conclusions:

  • Extended blepharoplasty offers an innovative solution for infraorbital concerns.
  • It expands the scope of lower eyelid blepharoplasty.
  • Achieving good results relies on meticulous surgical technique and flap suspension.