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Upper and Lower Blepharoplasty, Tear Trough Correction, Volume Restoration of Facial Fat Compartments. Part 1. A Surgical Video by Rod Rohrich, MD from the 45th Annual Baker Gordon Symposium on Cosmetic Surgery.

Video Author: Baker Gordon Symposium on Cosmetic Surgery
Published on: 05.24.2013

Part 1 of 2. This video demonstrates Dr. Rohrich’s Upper Lid Blepharoplasty and the innovative Five-Step Lower Lid Blepharoplasty eyelid-cheek blending technique. Lower lid blepharoplasty has potential for major long-lasting complications and marginal cosmetic outcomes if performed incorrectly, or if the anatomical aspects of the orbicularis oculi are disregarded. This has detracted many surgeons from performing the technical maneuvers necessary for optimal periorbital rejuevenation which blends the eyelid-cheek junction. A simplified five-step clinical approach based on sound anatomical principles is presented in the video. Aesthetic outcomes in lower lid blepharoplasty can be improved using this five-step technical sequence. The five steps which will be discussed and illustrated by this live surgery include: (1) augmentation of the supportive deep malar fat compartment; (2) preservation of the lower lid orbicularis oculi muscle with minimal transconjunctival fat removal (if at all); (3) selective release of the the main retaining structure (orbicularis retaining ligament); (4) establishment or strengthening of the lateral canthal support (lateral retinacular suspension); and (5) minimal skin removal using a skin pinch technique.

Baker Gordon Symposium on Cosmetic Surgery.

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