Background: Blepharoplasty is one of the most commonly
performed facial cosmetic procedures and can play a vital
positive role in facial harmony and the perception of aging.
Lysis of the orbicularis retaining ligament and of the orbicularis
oculi insertion has been proposed to smooth the lid-cheek
junction and tear trough. We aim to assess the usefulness and
hazards of this procedure in comparison to the standard lower
eye lid blepharoplasty.
Methods: 20 patients seeking lower eyelid rejuvenation;
10 having trans-cutaneous lower blepharoplasty with lysis of
the orbicularis retaining ligament and of the orbicularis oculi
insertion performed (group A) and the other 10 patients having
standard trans-cutaneous blepharoplasty (group B). Final
result, patients' satisfaction and complications were compared.
Results: Patients' age ranged between 30 and 65 years.
Follow-up ranged from 2 to 16 months, with an average of 9
months. In group A: All patients reported excellent satisfaction
with the aesthetic outcome, one patient developed early lower
eye lid retraction which resolved spontaneously after 15 days
with no other complications. In group B: 7 patients reported
excellent satisfaction, while the other 3 showed mild improvement;
two cases suffered lateral canthus rounding, one case
had lid retraction which required lateral canthopexy.
Conclusion: The procedure seems to improve the harmony
of the lid-cheek junction in the treatment of upper mid-face
aging features