Septo-orbitoperiostoplasty for the Treatment of Palpebral Bags: A 10-Year Experience

Downward Rotation of the Capsulopalpebral Fascia, Orbital Septum, and Orbital Fat Complex: A New Technique for Lower Eyelid Rejuvenation

“…Third, lengthening of the capsulopalpebral fascia helps the capsulopalpebral fascia, orbital septum, and orbital fat complex achieve tear trough and lid-cheek junction to fill the depression fully, resulting in a minor youthful convexity of the eyelid. But according to the reports of Plaza, 15 Mendelson, 16 and Sensoz et al, 24 this minor youthful convexity cannot be achieved by suturing the CPF to the arcus marginalis or the septum to the orbital periosteum. Finally, rotation of herniated orbicularis preseptal fat to the inferior position of the orbital rim reduces either the lower lid palpebral bulge or the pressure of fat pads to the anterior wall, resulting in a decreased risk of recurrence of palpebral bulge.…”

“…22 de la Plaza and Arroyo, 15 Mendelson, 16 and Camirand et al 23 described the approach of suturing the capsulopalpebral fascia to the arcus marginalis to relocate the herniated fat pads. Sensoz et al 24 reported the approach of suturing the septum to the orbital periosteum to ameliorate the fat pad protrusion. However, it is not possible to reconstruct the periorbital region with herniated fatty tissue relocation, which should lead to the consideration of other fat-preserving techniques.…”

Orbi̇ta İçeri̇si̇nde Yağ Dokusu (Corpus Adi̇posum Orbi̇tae): Anatomi̇k Kadavra Çalişmasi

“…Orbital yağların ileriye fıtıklaşmasını ön-lemek içinde Lockvvood ligamentini güçlendirmeye çalışmışlardır. Bazı otörler ise orbital yağın önündeki septum orbitale'nin zayıfladığını ve bu yapının yeniden kuvvetlendirilmesi gerektiğini savunmuşlardır (12). Ancak bu görüşler tamamen destek bulmamıştır (13).…”