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Updated: Feb 12, 2026

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Manipulation of the Periorbital Musculature
Phillip Langsdon1, Nicholas Karter2
1Division of Facial Plastic Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Tennessee, Germantown, Tennessee.
Facial Plastic Surgery : FPS
|April 10, 2018
Summary
Understanding periorbital muscles is key for facial rejuvenation. Manipulating these muscles, through surgery or other methods, can alter appearance and improve aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Anatomy
- Aesthetics
Background:
- The periorbital region significantly influences perceived age, emotion, gender, race, and overall countenance.
- Knowledge of the intricate periorbital musculature is fundamental for effective facial rejuvenation procedures.
Purpose of the Study:
- To highlight the importance of understanding periorbital muscles for facial aesthetics.
- To discuss the impact of manipulating these muscles on facial appearance.
Main Methods:
- Review of anatomical structures of the periorbital region.
- Analysis of surgical and nonsurgical techniques affecting periorbital muscles.
Main Results:
- Alterations in brow elevation, resting brow position, and dynamic periorbital rhytids can be achieved.
- Both surgical and nonsurgical interventions yield desired aesthetic effects.
Conclusions:
- Comprehensive understanding of periorbital musculature is essential for successful facial rejuvenation.
- Concomitant use of surgical and nonsurgical techniques often leads to optimal aesthetic results.
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