What is subciliary incision?

In subciliary approach, the incision is placed too close to the margin of the lid which increases the risk of ectropion and epiphora and if it is too far from the margin of the lid there will be an obnoxious scar, depression, and massive edema as a result of impaired lymphatic drainage [4].

What is Transconjunctival approach?

The transconjunctival preseptal approach is most effective surgical access to infraorbital rim and orbital floor and even to medial orbital wall. This approach is surgically similar in providing exposure and access, but aesthetically superior to other approaches and has minimal complications.

What is Orbicularis hypertrophy?

Orbicularis oculi hypertrophy has been described by some authors as thickened pretarsal lower eyelid muscle and redundancy of the overlying skin.

How safe is Transconjunctival blepharoplasty?

As the transconjunctival technique of lower lid blepharoplasty is more widely used and reported, experience suggests that the transconjunctival approach is a safe and effective procedure with minimal complications.

Can eye bags return after blepharoplasty?

Q: Are the results of lower eyelid surgery permanent? A: While your lower lids will continue to age with the rest of your face, the bags that are removed typically do not come back. I have been in practice for 21 years performing lower lid blepharoplasty and I have seen my patient’s results “age” over the years.

Can ectropion be fixed?

If your ectropion is mild, your doctor might recommend artificial tears and ointments to ease the symptoms. Surgery is generally required to fully correct ectropion.

Is ectropion surgery painful?

The surgery is also sometimes done with local anesthetic alone in which case you will feel some stinging for a few seconds as the “freezing injections” are given but the eyelids then become numb and you will not feel any discomfort.

How do I strengthen my orbicularis oculi muscle?

Begin sitting with good posture. Raise the eyebrows up as far as possible and open the eyes widely. Hold this position for ten seconds, release for five seconds, and then repeat ten times. Perform this exercise daily.

Subciliary incision can be nonstepwise or stepwise cutaneous muscle incision. Conceptually the conjunctival fornix incision produces the least cutaneous scarring but the exposure may be restricted by fat prolapsed . Theoretically transorbital approach is useful in releasing the incarceration of the inferior orbital wall. However, in grafting

How is the lateral extension of the subciliary incision planned?

The lateral extension of the subciliary incision always follows the natural crease. If edema obscures the direction of skin creases, one may look at the contralateral eyelid to determine the direction and position of the creases. 3. Marking of skin incision Marking of the incision line is planned just below the eyelashes paralleling the lid margin.

How is the approach to suborbicular dissection performed?

The approach is continued in stepwise fashion. The orbicularis oculi layer is undermined and a dissection plane between the muscle and the septum orbitale is created. The suborbicular undermining begins with a slit-like lateral incision of the muscle over the bony infraorbital rim.

How is the incision carried through the skin layer?

The initial incision is carried through the skin layer only. The underlying orbicular muscle should become visible when the skin incision is completed. A cotton-tipped applicator may be used to elevate the lower eyelashes out of the surgical field while making the incision.