medigraphic.com
ISSN 1727-897X (Electronic)

2022, Number 6

<< Back Next >>

Medisur 2022; 20 (6)

Correction of malar bags with inverted orbicularis muscle flap in transcutaneous blepharoplasty

Rojas BR, Hechavarría JY, Toirac CI, Pérez PA

Language: Spanish
References: 13
Page: 1227-1232
PDF size: 262.73 Kb.


ABSTRACT

Lower eyelid deformities are frequently associated with facial aging. Plastic surgery of the eyelids became popular in the second half of the 20th century. Furnas identified the redundancy of the inferior orbicularis muscle, focused on resection of excess flaccid tissue to restore a more youthful appearance. The case of a 40-years-old female patient is presented, who attended the Plastic Surgery consultation requesting correction of her upper and lower eyelids, and with malar bags nonconformity. The defects were corrected with an inverted inferior orbicularis muscle flap, which was fixed to the fascia of the temporalis muscle through a transcutaneous blepharoplasty. The aesthetic results achieved in this patient show that transcutaneous blepharoplasty and the use of an inverted flap of the orbicularis oculi are effective alternatives to achieve eyelid rejuvenation and correction of the malar bags, by conferring a greater harmony of these structures in relation to face.


REFERENCES

  1. Alghoul M. Blepharoplasty: Anatomy, Planning, Techniques, and Safety. Aesthet Surg J. 2019;39(1):10-28.

  2. Guerra RM, Ortiz JL, Ramírez MA. Blefaroplastia inferior transcutánea con fijación muscular orbicular externa en pacientes con deformidades palpebrales inferiores. En: Primera Jornada Virtual de CirPlast Sancti Spíritus[Internet]. Sancti Spíritus: Capítulo Espirituano de Cirugía Plástica y Caumatología; 2020[citado 20/09/2021]. Disponible en: Disponible en: http://www.cirplasantisspiritus2020.sld.cu/index.php/crplass/jvccss2020/paper/viewFile/60/33 2.

  3. Cervilla JM, Cervilla M. Blefaroplastia y corrección del surco nasolagrimal con grasa autóloga periorbitaria. Cir Plást iberolatinoam[Internet]. 2019[citado 20/09/2021];45(1):[aprox. 16p]. Disponible en: https://scielo.isciii.es/pdf/cpil/v45n1/1989-2055-cpil-45-01-0019.pdf3.

  4. Park DD. Aging Asian Upper Blepharoplasty and Brow. Semin Plast Surg. 2015;29(3):188-200.

  5. Smith M, Pérez AC, Cedeño S, Cruz I, Rodríguez E. Blefaroplastia: resultados del empleo de dos técnicas en el Centro Oftalmológico de Santiago de Cuba. MEDISAN[Internet]. 2017[citado 16/09/2021];21(11):[aprox. 16p]. Disponible en: http://www.medisan.sld.cu/index.php/san/article/download/1612/pdf5.

  6. Olds C, Most SP. Upper Blepharoplasty. JAMA[Internet]. 2019[citado 16/09/2021];321(13):[aprox. 1p]. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/27293726.

  7. Innocenti A, Mori F, Melita D, Dreassi E, Innocenti M. Effects of orbicularis oculi flap anchorage to the periosteum of the upper orbital rim on the lower eyelid position after transcutaneous blepharoplasty: Statistical analysis of clinic outcomes. J Plast Reconstr Aesthet Surg. 2017;70(3):385-91.

  8. Hooshangi H, Sezavar M, Behnam B, Sarkarat F, Nasrollahi F, Seyedabbaszadeh, S. Comparison of two transconjunctival and transcutaneous approaches in the incidence show during lower eyelid blepharoplasty. Biosci Biotech Res Comm[Internet]. 2017[citado 16/09/2021];10(2):[aprox. 8p]. Disponible en: https://bbrc.in/comparison-of-two-transconjunctival-and-transcutaneous-approaches-in-the-incidence-of-scleral-show-during-lower-eyelid-blepharoplasty/8.

  9. Patel BC, Volner K, Malhotra R. Transconjunctival Blepharoplasty. In: StatPearls[Internet]. Treasure Island (FL): Stat Pearls Publishing; 2021[citado 16/09/2021]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK538152/ 9.

  10. Bernardini F, Devoto M, Skippen B. The ''Eyelid Lift'' Orbicularis Suspension Technique for Lower Blepharoplasty Surgery. Facial Plast Surg Aesthet Med. 2020;22(3):227-8.

  11. Pascali M, Botti C, Cervelli V, Botti G. Vertical midface lifting with periorbital anchoring in the management of lower eyelid retraction: a 10-year clinical retrospective study. Plast Reconstr Surg. 2017;140(1):33-45.

  12. Little J, Hartstein M. Simplified Muscle-Suspension Lower Blepharoplasty by Orbicularis Hitch. Aesthet Surg J. 2016;36(6):641-7.

  13. Burciaga DA, Veas PF. Resultados Estéticos de la Técnica de Blefaroplastia inferior transcutánea (Técnica utilizada por el Dr. Fernando Pedroza)[Tesis]. Colombia: Universidad Ces Medellín;2015[citado 16/09/2021]. Disponible en: Disponible en: https://repository.ces.edu.co/bitstream/handle/10946/2125/Resultados_esteticos_tecnica.pdf?sequence=1 13.




2020     |     www.medigraphic.com