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Extended Blepharoplasty
Peter A. Adamson, MD, CCFP, FRCSC;
Guy J. Tropper, MD, FRCSC;
Becky L. McGraw, MD
Arch Otolaryngol Head Neck Surg. 1991;117(6):606-609.
Abstract
Extended blepharoplasty involves extending the dissection of the skin-muscle flap used in standard lower eyelid blepharoplasty to a level below the infraorbital rim. This technique is useful in the management of infraorbital, or malar, bags that are seen in as many as 10% of blepharoplasty candidates. A concomitant eyelid shortening procedure is frequently needed to treat horizontal eyelid laxity. Achievement of satisfactory results depends on the proper suspension of the skin-muscle flap to the lateral canthal periosteum. Extended blepharoplasty is an innovative way to improve infraorbital pouching, which is otherwise beyond the reach of the standard blepharoplasty procedure.
(Arch Otolaryngol Head Neck Surg. 1991;117:606-609)
Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Toronto (Ontario).
Footnotes
Accepted for publication September 14, 1990.
Presented in part at the American Academy of Facial Plastic and Reconstructive Surgery Eastern Section, Toronto, Ontario, January 26, 1989.
Reprint requests to PO Box 47, Suite 2707, Toronto Dominion Bank Tower, Toronto Dominion Centre, Toronto, Ontario, Canada M5K 1B7 (Dr Adamson).
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