Separate skin and muscle flaps in lower-lid blepharoplasty

Area of Science:

• Oculoplastic surgery
• Facial plastic surgery

Background:

• Lower eyelid aging presents challenges like skin laxity, wrinkles, and orbicularis muscle abnormalities.
• Existing blepharoplasty techniques may not fully address complex lower eyelid aesthetic concerns.

Purpose of the Study:

• To present a modified lower-lid blepharoplasty technique.
• To detail a method for managing specific lower eyelid aesthetic deformities.

Main Methods:

• A technique involving wide dissection of separate skin and muscle flaps.
• Individual redraping and resection of the dissected skin and muscle flaps.

Main Results:

• The presented technique is effective for atrophic, wrinkled, or deeply creased skin.
• It successfully manages orbicularis "festoons", orbicularis hypertrophy, and "secondary bags".

Conclusions:

• This approach offers a comprehensive solution for various lower eyelid aging signs.
• It can be considered a routine technique for lower-lid blepharoplasty, improving aesthetic outcomes.