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The blepharo-periorbitoplasty: anatomical basis.

U T Hinderer, F Urriolagoitia, R Vildósola

    Annals of Plastic Surgery
    |May 1, 1987
    PubMed
    Summary

    A novel blepharo-periorbitoplasty technique offers comprehensive facial rejuvenation by mobilizing forehead, brow, and cheek tissues. This surgical approach effectively addresses aging signs and corrects eyelid deformities, demonstrating proven safety.

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    Area of Science:

    • Plastic Surgery
    • Oculoplastic Surgery
    • Facial Rejuvenation

    Background:

    • Aging leads to ptosis of facial soft tissues, affecting the forehead, brows, and eyelids.
    • Senile ectropion and postoperative "round eye" deformities with scleral show present reconstructive challenges.

    Purpose of the Study:

    • To introduce and describe a new surgical technique, the blepharo-periorbitoplasty.
    • To detail the comprehensive mobilization and repositioning of facial soft tissues for aesthetic and reconstructive purposes.

    Main Methods:

    • A combined subperiosteal-subcutaneous musculo-aponeurotic system and suborbicularis dissection.
    • Complete mobilization of forehead, brow, periorbital, and cheek soft tissues.
    • Optional addition of Hinderer's lateral canthoplasty for palpebral fissure slant; combination with facial-cervical rhytidectomy is possible.

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    Main Results:

    • Achieves complete mobilization and upward-backward displacement of forehead, brow, eyelid, and cheek soft tissues.
    • Demonstrates utility in correcting senile preectropion and "round eye" deformities.
    • Clinical and anatomical dissection studies confirm the technique's safety.

    Conclusions:

    • Blepharo-periorbitoplasty is an effective technique for comprehensive facial rejuvenation and correction of specific eyelid malpositions.
    • The described method allows for significant soft tissue repositioning, enhancing aesthetic outcomes.
    • The technique is safe and versatile, with potential for combination with other facial procedures.