Tear Trough Treatment with Orbicularis Oculi Muscle Suspension

Area of Science:

• Plastic Surgery
• Ophthalmology

Background:

• Lower blepharoplasty is a popular cosmetic procedure for eye rejuvenation.
• Various techniques exist to address the tear trough deformity.
• The presented technique focuses on releasing the tear trough ligament and orbicularis oculi muscle plication.

Purpose of the Study:

• To describe and evaluate a surgical technique for lower blepharoplasty focusing on tear trough correction.
• To assess the aesthetic outcomes and patient satisfaction with this specific approach.

Main Methods:

• A cohort of 435 patients underwent lower blepharoplasty between July 2014 and January 2020.
• The surgical technique involved releasing the tear trough ligament and suspending the orbicularis oculi muscle.
• A 12-month follow-up period was implemented to assess outcomes.

Main Results:

• High levels of patient satisfaction were reported post-surgery.
• No significant complications were observed in the patient cohort.
• A small percentage of patients (2.2%) required hyaluronic acid fillers 12 months post-operatively.

Conclusions:

• Orbicularis oculi muscle suspension is an effective method for improving long-term aesthetic results in tear trough correction.
• The described surgical technique is straightforward to perform.
• This approach enhances the rejuvenation of the oculopalpebral area.