TY - JOUR
T1 - Use of a novel orbicularis oculi muscle overlap method for correction of tear-trough deformity
AU - Komuro, Yuzo
AU - Koizumi, Takuya
AU - Matsumoto, Shigeru
N1 - Publisher Copyright:
© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2014.
PY - 2014/8
Y1 - 2014/8
N2 - Background: Although the fat-pad-sliding method reported by Loeb and the ‘‘arcus marginalis release with preservation of orbital fat’’ method reported by Hamra are useful techniques for correcting tear trough deformity in the Asian population, including Japanese patients, occasional cases of tear-trough deformity have persisted even after surgery. To solve this problem, the authors developed a novel orbicularis oculi muscle overlap method, which has enabled them to obtain good results.Methods: The orbicularis oculi muscle overlap method was performed for 10 patients (9 women and 1 man) with prominent tear-trough deformity. The average of these patientswas 52 years (range, 34–72 years). The origin of the orbicularis oculi muscle was elevated at its adherence to the maxillary bone, and the innermost portion of the origin of the orbicularis oculi muscle was excised by a width of 6 to 7 mm to reduce the muscle tension. This muscle flap was overlapped relative to the orbital fat, which was repositioned over the orbital rim and sutured in place.Results: Tear-trough deformity improved in all cases, and the patients were highly satisfied with their flat lower eyelids.Conclusion: The orbicularis oculi muscle overlap method is effective for thin eyelids with prominent tear-trough deformity.
AB - Background: Although the fat-pad-sliding method reported by Loeb and the ‘‘arcus marginalis release with preservation of orbital fat’’ method reported by Hamra are useful techniques for correcting tear trough deformity in the Asian population, including Japanese patients, occasional cases of tear-trough deformity have persisted even after surgery. To solve this problem, the authors developed a novel orbicularis oculi muscle overlap method, which has enabled them to obtain good results.Methods: The orbicularis oculi muscle overlap method was performed for 10 patients (9 women and 1 man) with prominent tear-trough deformity. The average of these patientswas 52 years (range, 34–72 years). The origin of the orbicularis oculi muscle was elevated at its adherence to the maxillary bone, and the innermost portion of the origin of the orbicularis oculi muscle was excised by a width of 6 to 7 mm to reduce the muscle tension. This muscle flap was overlapped relative to the orbital fat, which was repositioned over the orbital rim and sutured in place.Results: Tear-trough deformity improved in all cases, and the patients were highly satisfied with their flat lower eyelids.Conclusion: The orbicularis oculi muscle overlap method is effective for thin eyelids with prominent tear-trough deformity.
KW - Baggy eyelids
KW - Lower blepharoplasty
KW - Nasojugal groove
KW - Orbicularis oculi muscle
KW - Tear trough deformity
UR - https://www.scopus.com/pages/publications/84912047743
U2 - 10.1007/s00266-014-0363-x
DO - 10.1007/s00266-014-0363-x
M3 - 記事
C2 - 24938691
AN - SCOPUS:84912047743
SN - 0364-216X
VL - 38
SP - 648
EP - 652
JO - Aesthetic Plastic Surgery
JF - Aesthetic Plastic Surgery
IS - 4
ER -