Treatment of orbicularis oculi muscle hypertrophy in lower lid blepharoplasty

Aesthetic Plast Surg. 1998 Sep-Oct;22(5):349-51. doi: 10.1007/s002669900215.


Treatment of orbicularis oculi muscle hypertrophy during conventional lower eyelid blepharoplasty is presented. Horizontal resection of a strip of the hypertrophic muscle is carried out, which allows flattening of the muscular bulge in an anteroposterior direction. Since no full-thickness vertical reduction is performed, this simple procedure is "free" from the risk of "scleral show" deformity, due to excessive muscle shortening, leaving a pleasant contour in the lower eyelid. The technique has been successfully employed in 27 cases of blepharoplasty, with separate skin and muscle flaps.

MeSH terms

  • Adult
  • Blepharoplasty / methods
  • Eyelids / surgery*
  • Facial Muscles / surgery*
  • Female
  • Humans
  • Hypertrophy / surgery
  • Male
  • Middle Aged
  • Retrospective Studies