Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi

Carvalho, Francisco de Assis Montenegro Cido; Silva, Valderi Vieira da; Moreira, André; Viana, Fabrício Oliveira

doi:10.1007/s00266-008-9206-y

Cited by 10 publications

(18 citation statements)

References 9 publications

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“…This has been shown to prevent crows' feet recurrence more than what would be anticipated by a standard facelift or a facelift with blepharoplasty even with an extended dissection associated with large traction and tension. 35,36 The muscle may also be split laterally, and the cut ends separated without disturbing eyelid function to further reduce mimetic wrinkles of facial expression 35 (Fig. 8).…”

Section: Discussionmentioning

confidence: 99%

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Atiyeh¹,

Dibo

Papazian

et al. 2015

Journal of Craniofacial Surgery

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The minimal access cranial suspension lift, a short-scar facelift, has been described to correct sagging and laxity of the lower and middle third of the face. It does not, however, fully address the neck or the lateral periorbital area frequently needing rejuvenation in most patients. Another shortcoming of the minimal access cranial suspension lift technique is visible scarring anterior to the temporal hairline that usually occurs despite the suggested surgical maneuvers consisting in zigzag beveled incisions. We describe modifications of the standard subcutaneous musculoaponeurotic system lift technique, increasing its indications for full-face and neck rejuvenation (excluding the forehead) and improving final aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Atiyeh¹,

Dibo

Papazian

et al. 2015

Journal of Craniofacial Surgery

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“…There is no longer need to divide and separate the OOM fibers or make more aggressive resection 39 procedures with the drawback of altering the facial expression during movements, and further fat or SMAS graft procedures are not necessary. 40 The OOM elastic flap is a powerful tool that results in the improvement of the lower lid and malar region. Because the septum remains attached to the orbicularis, when the muscle is tractioned superolaterally, the septum is tightened, reducing postseptal fat pads and in many cases eliminating the need for lower lid skin excision or other manipulation of postseptal fat, according to the principle of "passive septal tightening" stated by Hester.…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, some authors have instead focused their attention on the importance of the OOM in periorbital rejuvenation surgery and resection techniques 39,40 for treatment of crow's feet and lower lid rejuvenation have been described. Other described using OOM suspension techniques 17,18,[41][42][43] to provide superior traction to improve the periorbital region.…”

Section: Discussionmentioning

confidence: 99%

“…A portion of the improvement is probably due to the extensive dissection necessary to gain exposure to the muscle. No longer need to divide and separate the OOM fibers or make more aggressive resection 39 procedures with the drawback of altering the facial expression during movements, nor further fat or SMAS graft procedure are necessary 40 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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The Temporal Subcutaneous Brow Lift with Orbicularis Oculi Muscle Elastic Flap: Technical Considerations, Systematic Review, and Terminology Standardization

Pascali

Massarelli

2022

Facial Plast Surg

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Objectives As facial aging occurs, aesthetic changes of the periorbital region include eyebrow ptosis, sagging in lateral temporo-orbital region with superior eyelid hooding, ptosis of orbicularis oculi muscle associated to drooping of malar area with multiple "crow feets", a deeper lid-cheek junction and malar festoons. All theese periorbital structures should be considered as a single anatomical entity Methods Numerous techniques have been described to correct brow aesthetics in facial rejuvenation. We report the senior author’s (M.P.) current approach utilizing a temporal subcutaneous brow lift (TSBL) associated to an orbicularis oculi muscle (OOM) elastic flap. Furthermore, a systematic review of the literature was performed comparing the different surgical approaches striving to clarify its terminology. A total of 298 patients underwent this procedure in 4 years period. Of theese, 230 patients, with at the least 12 months of follow-up, were submitted to subjective and objective methods to evaluate the self perception of scar and their overall aesthetic satisfaction. A Committee of experts, blinded to each other’s assessment, evaluated the same outcomes. A mesure of amount of eyebrow's tail lifting was recorded for each patients. Results The most satisfying aspect of these techniques is dramatic periorbital rejuvenation and preservation of the patient’s original youthful identity. In fact the postoperative results appear very natural and do not suffer from an “operated” look. This aspect is noticeable from both the surgeon’s and the patient’s perceptions. There were no major complications in any of the cases. Conclusions The proposed TSBL with OOM elastic flap technique, in the hands of senior author (M.P.) has emerged as a reliable, effective, and highly reproducible method to treat sagging and aging of the lateral region of the orbit, even without associated blepharoplasties. Keywords ► eyebrow lift ► brow lift ► temporal lift ► orbicularis muscle ► periorbital rejuvenation

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“…2). The myectomy of lateral orbicularis oculi muscle 3,4 was also used for the definitive treatment of crow’s feet in some patients during face lifting.…”

Section: Methodsmentioning

confidence: 99%

Cable-Stayed Face Lift: An Innovative Short-Scar Lift for Better Correction of Nasolabial Folds in East Asians

Qiu

Gao

Yang

et al. 2021

Plastic &Amp; Reconstructive Surgery

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In East Asian patients, patient satisfaction is often limited because of undercorrection of nasolabial folds by using either lateral superficial musculoaponeurotic system rhytidectomy (SMASectomy) or minimal access cranial suspension lift alone. The quest for better results drove us to develop a new technique, termed the "cablestayed face lift," which combines the strengths of both lateral SMASectomy and minimal access cranial suspension lift. It provides more effective nasolabial fold improvement, compared with traditional short-scar face lifts. The purpose of the present study was to introduce this innovative technique.

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Definitive Treatment for Crow’s Feet Wrinkles by Total Myectomy of the Lateral Orbicularis Oculi

Abstract: The enlarged myectomy allowed the treatment of a larger area in the wrinkled region without increasing the complications and with excellent results.

Cited by 10 publications

References 9 publications

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

Overcoming Limitations of Short Scar Minimal Access Cranial Suspension Facelift for Enhanced Rejuvenation

The Temporal Subcutaneous Brow Lift with Orbicularis Oculi Muscle Elastic Flap: Technical Considerations, Systematic Review, and Terminology Standardization

Cable-Stayed Face Lift: An Innovative Short-Scar Lift for Better Correction of Nasolabial Folds in East Asians

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