THE EFFECT OF ORBICULARIS OCULI SLING ON LATERAL CANTHUS AND LOWER LID IN UPPER BLEPHAROPLASTY

Volume 12 , Issue 1 , March 2022 , Pages 23-30

Authors

Paiwand Mahmood Ali 1 ; Ari Raheem Qader 2 ; Hawree Abdulsattar Hasan 3

1 Board Candidate at Kurdistan Board for Medical Specialties, Kurdistan Region, Iraq.

2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

3 Director of Health, Ministry of Health, Burn and Plastic Surgery Hospital in Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10340

Keywords

Abstract

Background
Upper lid blepharoplasty is one of the most commonly performed procedures in aesthetic plastic surgery,
which directly affects facial rejuvenation. The periocular region is the main point of focus in routine face-toface interaction. Understanding the periorbital surgical anatomy, facial analysis, and specific change in the
skin, muscle and fat with preoperative workup and a thoughtfully conceived surgical plan targeted according
to the difference gives a successful outcome.
Objectives
This dynamic region has both functional and aesthetic influence on the face; unfortunately, this area develops
ageing sooner than other regions of the face.
Patient and Methods
A total of 30 patients underwent upper lid blepharoplasty. In the most lateral part, the orbicularis oculi muscle
was divided horizontally. The lower part was suspended to the periosteum of the orbital rim with a single stitch
of the long-standing absorbable suture. The upper part overlapped over the lower part of the muscle and fixed
them by a single stitch in a single stitch pant over vest fashion.
Results
This technique provides more youthfulness to the eye, especially at the region of lateral canthus, as it lifts the
tissue superolateral. It has minimal effect on lateral canthus laxity but shows marked improvement in lateral
lower lid and crowfeet; it also shows valuable improvement of lateral hooding.
Conclusion
The orbicularis oculi muscle suspension procedure is a good technique that reliably corrects and reshapes the
outer portion of both upper and lower eyelids. It is an easy technique, and it would be helpful as an adjunctive
procedure with blepharoplasty in selected cases

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  • Published at21 March 2022

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