Abstract

ROJAS BRUZON, Raquel; HECHAVARRIA JIMENEZ, Yulexis; TOIRAC CANTILLO, Isvel  and  PEREZ PUPO, Annarelis. Correction of malar bags with inverted orbicularis muscle flap in transcutaneous blepharoplasty. Medisur [online]. 2022, vol.20, n.6, pp. 1227-1232.  Epub Dec 30, 2022. ISSN 1727-897X.

Lower eyelid deformities are frequently associated with facial aging. Plastic surgery of the eyelids became popular in the second half of the 20th century. Furnas identified the redundancy of the inferior orbicularis muscle, focused on resection of excess flaccid tissue to restore a more youthful appearance. The case of a 40-years-old female patient is presented, who attended the Plastic Surgery consultation requesting correction of her upper and lower eyelids, and with malar bags nonconformity. The defects were corrected with an inverted inferior orbicularis muscle flap, which was fixed to the fascia of the temporalis muscle through a transcutaneous blepharoplasty. The aesthetic results achieved in this patient show that transcutaneous blepharoplasty and the use of an inverted flap of the orbicularis oculi are effective alternatives to achieve eyelid rejuvenation and correction of the malar bags, by conferring a greater harmony of these structures in relation to face.

Keywords : Blepharoplasty; eyelids; rhytidoplasty; reconstructive surgical procedures; rejuvenation.

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