Arcus Marginalis Release and Orbital Fat Preservation in Midface Rejuvenation

Hamra, Sam T.

doi:10.1097/00006534-199508000-00014

Cited by 350 publications

(143 citation statements)

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“…Tear trough deformity can be addressed with orbital fat repositioning along the medial infraorbital rim and/or septal reset [37]. In the septal reset, the orbital septum and the herniated fat pads are redraped over the maxilla through a subperiosteal plane following the release of the arcus marginalis [37].…”

Section: Baggy Eyelidsmentioning

confidence: 99%

Age-related eyelid changes

et al. 2017

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Aging is a natural process where changes occur in multiple tissues, resulting in aesthetic and functional effects. Aging eyelids lead to a tired or sleepy appearance. Progressive changes continue throughout life; these may eventually affect the ocular surface and cause visual impairment. Objective is to report the pathophysiology of the common age-related eyelid disorders and the current management concepts. This article presents the pathophysiology and the surgical procedures of eyelid disorders, such as blepharoptosis, dermatochalasis, entropion, ectropion, baggy eyelids, epicanthus, and lateral canthal aging. In general, most agerelated eyelid changes are corrected due to its to its associated cosmetic and functional problems. Management is based on anatomic factors contributing to the eyelid disorder. Conclusion is the choice of surgical procedure is based on the exact localisation of the eyelid pathology.

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Section: Baggy Eyelidsmentioning

confidence: 99%

Age-related eyelid changes

et al. 2017

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“…The premise behind these newer techniques is that the natural course of aging results in skeletonization and hollowing of the orbit. 2,4,20 Conventional methods of blepharoplasty, in which varying amounts of skin, muscle, and fat are excised, merely remove manifestations of the gravitational and aging process. 20 On the other hand, the skin-muscle suspension technique has been a tried-and-true procedure to rejuvenate the lower eyelid.…”

Section: Commentmentioning

confidence: 99%

Long-term Results of Lower-Lid Suspension Blepharoplasty

Honrado

Pastorek

2004

Archives of Facial Plastic Surgery

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Background: Muscle suspension blepharoplasty remains a reliable method to tighten the loose skin and muscle of the lower eyelid.Objective: To evaluate the 30-year experience of the senior author (N.J.P.) with the skin-muscle suspension technique for lower-lid blepharoplasty.Patients and Methods: Of 4395 patients who underwent lower-lid blepharoplasty, 3988 had muscle suspension blepahroplasty performed with adequate follow-up.Results: Results of the 30-year review showed that most patients were very satisfied with the procedure. There were 67 complications (2 hematomas, 1 poor scar, 24 cases of scleral show Ͻ1 mm, and 40 cases of chemosis). Chemosis resolved in 2 to 8 weeks, and there were no cases of ectropion, scleral show greater than 1 mm, dry eye, or vision loss. Revision surgery was needed in 41 patients, all of whom were satisfied after the secondary procedure. Conclusion:Despite the recent drift toward orbital fat preservation for lower-lid blepharoplasty, conventional lower-lid muscle suspension offers the surgeon a reliable method to tighten the loose skin and muscle of the lower eyelid and give the patient a more attractive, youthful appearance.

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“…In early 1980's Loeb [17] described a technique that involved sliding of a vascularized fat pad into the cheek, by means of a sub-ciliary approach, to correct the naso-jugal depression (tear trough). Loeb's technique was then further modified by Hamra [18] in 1995 and 2004 [16] and described as the ''septal reset'' technique; a subciliary technique that was aimed at overcoming the shortcomings of the earlier techniques. Hester et al [19] , later described an approach assisted by an endoscope consisting of subperiosteal dissection of the midface and elevation of the orbicularis muscle based on "passive septal tightening".…”

Section: Introductionmentioning

confidence: 99%