The Blepharo-periorbitoplasty

Abstract
A new combined subperiosteal-subcutaneous musculo-aponeurotic system and subozbicularis technique is described: the “blepharo-periorbitoplasty.” This technique achieves complete mobilization of the forehead and brow, the lower eyelid, the raphe and lateral canthal area, the upper palpebral region, and of the suprazygomatic and in-fiazygomatic soft tissues, including the cheeks. These soft tissues are displaced upward and moderately backward. If a major lateral upward slant of the palpebral fissure is desired, Hinderer's lateral canthoplasty [14] must be added. The blepharo-periorbitoplasty technique can be combined with a facial-cervical rhytidectomy. The technique is also useful for senile preectropion and postoperative “round eye” conditions with scleral show. The safety has been proven both clinically and in anatomical dissections.

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