Lower blepharoplasty post-orbicularis approach to the orbit — A prospective study

Incisions for Orbital Floor Exploration

“…9,18,20 Lacy and Pospisil 19 accredits the higher incidence of ectropion to a preorbicularis dissection technique used by Holtmann and Pospisil. 5,21 Furthermore, the presence of edema, lack of Frost suture, and older age appear to increase the incidence of ectropion.…”

“…5,21 Furthermore, the presence of edema, lack of Frost suture, and older age appear to increase the incidence of ectropion. 19 Major advantage to the subtarsal approach is that it is the least technically challenging incision. In addition, it provides direct access to the orbital rim and floor in the shortest time.…”

Lower Eyelid Splinting: An Alternative to the Frost Suture

“…In 1975, C. Horton 3 was the first to report using the Frost suture after blepharoplasty to ensure appropriate healing of the lower orbicularis oculi muscle fibers and to prevent ectropion. Several groups have published similar experience in use with blepharoplasty 3–6 . In recent years, Desciak et al, 7 Hudson et al, 8 Jelks et al, 9 and Okazaki et al 10 have reported its use to prevent ectropion in infraorbital reconstruction after cancer excision or cervicofacial flap transposition.…”

Management Of Zygomatico-Orbital Fractures Using Rigid Internal Fixation With Cosmetic Surgical Considerations - Case Report

“…The development of these smaller screw systems such as the 0.8, 1.0, 1.2, and 1.4 mm systems are meant for use in low stress areas . Internal fixation at the infraorbital rim as well as exploration of the floor of the orbit can be done via the lower eyelid incision or modified blepharoplasty as this gives a rapid approach to the site of fracture (8,9). In this paper, two clinical cases of patients who had sustained zygomatico-orbital fracture and treated using rigid internal fixation with cosmetic surgical considerations, are presented.…”

“…3). To achieve good cosmetic results the lower eyelid or blepharoplasty postorbicularis approach as described by Lacy and Pospisil (9) was performed. This consisted of a skin incision made about 2-3 mm below the grey line of the lower eyelid running parallel and along the whole length of its margin.…”