Is Orbicularis Oculi Muscle Resection Necessary in Upper Blepharoplasty? A Systematic Review

2021 ◽  
Author(s):  
Osama A. Samargandi ◽  
Neetin Prabhu ◽  
Colton Boudreau ◽  
Jason Williams
Keyword(s):  
Systematic Review ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
Upper Blepharoplasty

Upper Blepharoplasty With or Without Resection of the Orbicularis Oculi Muscle: A Randomized Double-Blind Left-Right Study

2011 ◽  
pp. 1 ◽  
Author(s):  
Renato Wendell Damasceno ◽  
Angelino Júlio Cariello ◽  
Emmerson Badaró Cardoso ◽  
Giovanni André Viana ◽  
Midori Hentona Osaki
Keyword(s):  
Orbicularis Oculi Muscle ◽  
Double Blind ◽  
Orbicularis Oculi ◽  
Upper Blepharoplasty

Effect of Orbicularis Muscle Resection during Blepharoplasty on the Position of the Eyebrow

2018 ◽  
Vol 34 (02) ◽  
pp. 178-182 ◽  
Author(s):  
Lucas Patrocinio ◽  
Jose Patrocinio ◽  
Tomas Patrocinio
Keyword(s):  
Peripheral Vision ◽  
Standard Procedure ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Muscle ◽  
Upper Eyelid ◽  
Orbicularis Oculi ◽  
Excess Skin ◽  
Skin Excess ◽  
Functional Defect ◽  
Upper Blepharoplasty

AbstractDermatochalasis is a skin excess in the upper eyelid which may be associated with either an aesthetic and functional defect, blocking the peripheral vision. Upper blepharoplasty is the gold standard procedure for correction of dermatochalasis and to restore youthful contours to the periorbita. It is one of the most commonly performed procedures in aesthetic plastic surgery; however, there is still a lack of consensus about this procedure. The excess skin is sometimes removed alone or in conjunction with a strip of orbicularis oculi muscle. The rationale for both muscle and skin resection or skin alone preserving the muscle is uncertain. Some authors have studied the aging influence in brow position, and a few studies pointed out the influence of the upper blepharoplasty on brow height. The true effects, regarding the position of the eyebrow, of both techniques, with or without resection of the preseptal orbicularis oculi muscle, are unclear. The authors present a review of the literature to find the rationale for resecting or preserving the orbicularis oculi muscle in upper eyelid blepharoplasty and its relation to eyebrow position.

Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds

2020 ◽  
Author(s):  
Jiuzuo Huang ◽  
Shouyun Feng ◽  
Ruijia Dong ◽  
Hefei Wang ◽  
Sam T Hamra ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Orbicularis Oculi Muscle ◽  
High Patient Satisfaction ◽  
Muscle Flaps ◽  
Orbicularis Oculi ◽  
Satisfaction Rate ◽  
Orbicularis Oculus ◽  
Upper Blepharoplasty ◽  
Double Eyelid ◽  
Tissue Defects

Abstract Background For the patients seeking secondary upper blepharoplasty, a static double-eyelid fold featuring an immobile lower flap and depression of the fold is common. Objectives In this study, the authors propose a novel technique of reconstructing pretarsal tissue defects (PTDs) to converting static folds to dynamic folds. Methods Two hundred three patients with static folds underwent revision surgery. After complete adhesion release of the lower flap, a PTD was identified, which was defined as an area deficient of orbicularis oculi muscle in front of the tarsal plate. If the width of the PTD was over 2 mm tissue transfer was performed to reconstruct the PTD, usually with a free retro-orbicularis oculus fat (ROOF) graft or a pretarsal orbicularis oculi flap. Results Among the 105 patients with severe static folds, 67 received ROOF grafts, and 38 received orbicularis oculi muscle flaps. This technique converted a static fold into a dynamic fold. The surgery had a satisfaction rate of 86.7%. Complications included partial fold loss (n=7, 3.4%), complete fold loss (n=3, 1.5%), sunken upper eyelids (n=5, 2.5%), multiple folds (n=3, 1.5%), an unnatural curve of the double fold (n=5, 2.5%), and asymmetric folds (n=4, 2.0%). Conclusions To convert a static fold to a dynamic fold, we devised a technique that releases adhesion of the lower flap and reconstructs the PTD with ROOF graft or an orbicularis oculi muscle flap. Our study achieved a high patient satisfaction rate, and the resulting fold mimicked the dynamics of the congenital double-eyelid fold.

scholarly journals Orbicularis Oculi Muscle Size and Function: Exploring the Influence of Aging and Exercise Training

Cosmetics ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 29
Author(s):  
Takashi Abe ◽  
Jeremy P. Loenneke
Keyword(s):  
Older Adults ◽  
Exercise Training ◽  
Muscle Hypertrophy ◽  
Peak Velocity ◽  
Muscle Thickness ◽  
Muscle Size ◽  
Sphincter Muscle ◽  
Orbicularis Oculi Muscle ◽  
Orbicularis Oculi ◽  
And Function

The orbicularis oculi muscle is the sphincter muscle of the eyelids that blinks and closes the eyes. In this review, our aim was threefold: (1) to introduce the performance characteristics of blinking activity in young and older adults, (2) to discuss the influence of aging on the orbicularis oculi muscle in healthy adults, and (3) to provide information about the effect of facial exercise training on the orbicularis oculi muscle. To achieve the purpose of this review, a search using two electronic databases (PubMed and Scopus) and a search engine (Google Scholar) was conducted. The amplitude and peak velocity of spontaneously blinking behavior, which is an index of muscle function of the orbicularis oculi, appear to be affected by aging. The muscle thickness of the orbicularis oculi tends to be low in older adults, but there are issues that need to be examined further, such as differences in sex and measurement positions. There was no study on the effect of exercise training; however, the results of a highly trained man indicate that the orbicularis oculi muscles might elicit muscle hypertrophy through non-traditional resistance exercise.

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