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Orbicularis Revectoring in the Deep Plane Facelift.

Dominic Bray1

  • 1Facial Plastic Surgery, Dominic Bray Facial Plastic Surgery, 70 Harley Street, London W1G 7HF, UK.

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|November 7, 2025
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Summary
This summary is machine-generated.

This deep plane facelift technique extends dissection to improve lower eyelid position and midface aesthetics. It offers a composite flap approach, potentially reducing the need for blepharoplasty or canthal surgery.

Keywords:
Deep plane faceliftLower eyelid malpositionOrbicularis revectoringPeriorbital rejuvenation

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Anatomy

Background:

  • Aging face surgery has evolved with new techniques.
  • Deep plane facelift is a key procedure for facial rejuvenation.
  • Optimizing outcomes in the lower eyelid and midface remains a challenge.

Purpose of the Study:

  • To describe an extended deep plane facelift technique.
  • To evaluate its efficacy in improving lower eyelid position and midface contour.
  • To assess its potential to obviate the need for adjunctive lower blepharoplasty or canthal surgery.

Main Methods:

  • Extended prezygomatic dissection in deep plane facelift surgery.
  • Dissection extended to the suborbicularis space.
  • Release of the orbicularis retaining ligament and revectoring of the orbicularis oculi muscle.

Main Results:

  • Achieved lasting improvement in lower eyelid position.
  • Successfully addressed lower eyelid fat pad herniation.
  • Provided significant midface lift, enhancing overall facial aesthetics.

Conclusions:

  • The described composite deep plane flap technique offers durable aesthetic improvements.
  • This approach can effectively manage lower eyelid and midface aging concerns.
  • It may reduce or eliminate the need for concurrent lower blepharoplasty or canthal procedures.