gms | German Medical Science

48. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 55. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 22. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

14.09. - 16.09.2017, Graz, Österreich

The Orbicularis Augmentation-Blepharoplasty

Meeting Abstract

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  • presenting/speaker Thomas Haffner - Privatpraxis Dr.Haffner, Ästhetische, Reconstructive und Gefäßchirurgie, Köln, Deutschland

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 48. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 55. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie, 22. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Graz, Österreich, 14.-16.09.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc018

doi: 10.3205/17dgpraec018, urn:nbn:de:0183-17dgpraec0189

Published: August 16, 2017

© 2017 Haffner.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: The most common way of blepharoplasty is the resection of skin, muscle and more or less prolapsed fat. However a muscle resection followed by tissue loss in a critical region, in which depletion and deep folds develop by aging in any case. The status of rather older look can exist.

Objective: To find an another way of blepharoplasty without iatrogenic diminishing the soft tissue envelope, which serves for youthful covering of the upper eyelid, to avoid side effects of a common blepharoplasty, such as hollow eyes, deep eyes, skeletonisation, dark upper lid rings by diminishing the youthful fullness of the orbita.

Method: The author presents his muscle saving blepharoplasty method, which is performed according to his principles of an orbicular muscle augmentation, instead of the respectively known resection principle of the usual blepharoplasty.

Results: The preservation and doubling of the orbicular muscle fibers helped to achieve more fullness in the upper part of the orbita in any cases, which resulted a pleasing, younger look. Moreover other methods, such as additive lipo-filling or PRP treatment should be considered in case, in which a skeletonisation of the orbita was existent before the blepharoplasty already. But neither fat nor PRP replaces the prevention of iatrogenic hollow eyes. Fat or PRP volume treatment should be applied in any case of peri-orbital aging also with or without blepharoplasty.

Conclusions: The right trend of the plastic surgery today is the prevention and treatment of depletion in any part of the body, especially in the face. The first sign of aging is a depletion in the peri-orbital region. A modern blepharoplasty method should be therefore prevent depletion and/ or support the natural fullness of the orbita. Saving of the natural own muscle covering of the eyelid is therefore highly recommended.

Figure 1 [Fig. 1], Figure 2 [Fig. 2]