Cosmetic blepharoplasty

Bosniak, Stephen; McDevitt, Timothy F.

doi:10.1097/00055735-199110000-00013

Cited by 5 publications

(6 citation statements)

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“…In the above studies, the relationship of the CPF with the orbital septum might be searched for and measured on the midpupillary line (Hornblass 1988; Bosniak 1990; Dortzbach 1994). Hawes took the specimen between the midpupillary and lateral limbus line (Hawes & Dortzbach 1982).…”

Section: Retractor Of the Lower Eyelid: Capsulopalpebral Fasciamentioning

confidence: 99%

“…However, the relation of the two structures is absurd and controversial. Some authors reported that the CPF blended with the OS beneath the lower border of the tarsal plate ( Hawes & Dortzbach 1982 ; Hornblass 1988 ; Bosniak 1990 ; Dortzbach 1994 ). Others contended there is no clear blending of the CPF and the OS ( Ellis & Zide 1995 ; Lim et al, 2004 ; Standring 2005 ).…”

Section: Retractor Of the Lower Eyelid: Capsulopalpebral Fasciamentioning

confidence: 99%

“…Bosniak said that the lower lid retractors insert at or slightly below the inferior tarsal border after fusing with the orbital septum. More inferiorly, the orbital septum is separated from the lower lid refractors by the preaponeurotic fat pad ( Bosniak 1990 ).…”

Section: Retractor Of the Lower Eyelid: Capsulopalpebral Fasciamentioning

confidence: 99%

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Surgical anatomy of the lower eyelid relating to lower blepharoplasty

Hwang

2010

Anat Cell Biol

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The aim of this review is to familiarize the reader with the critical lower eyelid anatomy as is related to lower blepharoplasty or a midface lift. The contents include 1) the lacrimal canaliculus in the lower eyelid: the depth and width (diameter) of the vertical portion were 2.58±0.24 mm and 0.44±0.07 mm, respectively. A vertical portion of the canaliculus was about 1 mm (1.11±0.16 mm) deep, and the horizontal portion was about 2~3 mm (2.08±2.74 mm) long 2 mm below the mucocutaneous junction, which is where an incision may be made when performing epicanthoplasty. 2) Motor innervation to the lower orbiculis oculi muscle: the pretarsal and preseptal OOMs were innervated by five to seven terminal twigs of the zygomatic branches of the facial nerve that approached the muscle at a right angle. The mean horizontal distance between the lateral canthus and the zygomatic branch was 2.31±0.29 cm (range: 1.7~2.7 cm) and the vertical distance was 1.20±0.20 cm (range: 0.8~1.5 cm). 3) Sensory innervation of the lower eyelid skin: the majority of the terminal branches (93.8%) of the ION were distributed to the medial to the lateral canthus. Most (99.4%) of the terminal branches of the ZFN were distributed to lateral to the lateral canthus. 4) Retractor of the lower eyelid; capsulopalpebral fascia (CPF): the orbital septum blended with the CPF most closely at 3.7~5.4 mm beneath the lower tarsal border and differently at 3.7±0.7 mm on the medial limbus line, 4.3±0.8 mm on the midpupillary line and 5.4±1.0 mm on the lateral limbus line. 5) Arcuate expansion (AE): The AE was a fibrous band expanding from the inferolateral orbital rim to the medial canthal ligament. A sector (fan-shaped) of the AE originated in the angle of 5 to 80 degrees at the circumference of the inferolateral orbital rim circle, falling within the range of 3 to 5.5 o'clock, and then it tapered and attached to the inferior border of the medial canthal ligament. 6) Suborbicularis oculi fat (SOOF) in the lower eyelid: the SOOF was located in the inferolateral side of the orbit within a range between medial +15 and lateral -89 degrees to a vertical midpupillary line. Histologically, the SOOF was situated deep to the Orbicularis oculi muscle and superficial to the orbital septum and periosteum. The SOOF consisted more of fibrofatty tissue rather than being the pure fatty nature like orbital fat. I hope surgeons can achieve desirable outcomes with the knowledge reviewed in this article.

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Section: Retractor Of the Lower Eyelid: Capsulopalpebral Fasciamentioning

confidence: 99%

Section: Retractor Of the Lower Eyelid: Capsulopalpebral Fasciamentioning

confidence: 99%

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Surgical anatomy of the lower eyelid relating to lower blepharoplasty

Hwang

2010

Anat Cell Biol

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“…There should be minimal, if any, scleral show between the lower lid and iris. 1 Lower lid margin. It should bow gently from medially to laterally, with the lowest point between the pupil and the lateral limbus.…”

Section: The Female Attractive Eyementioning

confidence: 99%

“…The distance between the lateral and medial canthus. The average length is 30-40 mm[1]. Hypertrophic orbicularis oculi muscle.…”

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confidence: 99%