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Maury L. Parkes, MD; Cadvan O. Griffiths, Jr., MD

Arch Otolaryngol. 1967;86(2):201-204.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

BAGGY LOWER EYELIDS are most commonly caused by an attenuation of either or both the septum orbitale and the orbicularis oculi muscle, which results in a forward extension of the peripheral intraocular fat through the orifices adipeux of Charpy^1,2 (Fig 1). The occurrence of these fat hernias in association with a variety of conditions has been reported. These include degenerative changes in the epidermis and subcutaneous tissues resulting in skin redundancy;³ allergic conditions, myxedema, or nephrosis that cause intermittent edema and thickening of the lids;^3-5 and pathological states such as neoplastic disease, lipoidosis, and exophthalmic goiter, in which intraorbital pressure is increased.^3,5,6

The present report records a case of bags beneath the eyes caused by either the absence of or hypoplasia of the septum orbitale, or orbicularis oculi, or both, an anomaly which permitted the intraocular fat to extend into the subcutaneous tissues of the lower . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles

From the Department of Plastic Surgery, Midway Hospital, Los Angeles, the departments of rhinology (Dr. Parkes) and surgery (Dr. Griffiths), California College of Medicine, University of California, Los Angeles.

Footnotes
Accepted for publication Nov 8, 1966.

Reprint requests to Beverly-Sunset Medical Center, 9201 Sunset Blvd, Los Angeles 90069 (Dr. Parkes).

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