R Brow Lift (Browpexy)

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Procedure

Here are the procedural steps to completing an upper and lower blepharoplasty cosmetic surgery procedure.

Incision & Dissection

Orbicularis suspension and opposition, Reconstruction and immediate post-operative results

  • The lateral skin incision marking.

  • Subcutaneous undermining.

  • Sub-ciliary incision.

  • Incision of the orbicularis oculists muscle.

  • dissection of the sub-muscular plane releasing the fascia over the SOOF.

  • Orbito-malar ligament release and lateral pocket dissection.

 

Volume Augmentation

Volume augmentation over the inferior orbital rim and, malaria tissue lift and lateral canthopexy.

  • Volume augmentation over the inferior orbital rim and, malaria tissue lift and lateral canthopexy.

  • The post septal fat in all three compartments is teased into a uniform apron.

  • Plication of the inferior orbital septum and redrawing of the post septal fat over the infraorbital margin (first layer of volume augmentation).

  • SOOF double-breasting over the post septal fat on the infraorbital margin (second layer of volume augmentation whilst simultaneously lifting malaria tissues) see arrow.

  • Three to four similar sutures are used from medial to lateral.

  • Excision of excess muscle.

  • Lateral canthopexy suture.

 

Orbicularis Suspension & Results

Orbicularis suspension and opposition, Reconstruction and immediate post-operative results.

  • Two orbicularis suspension sutures

  • Third orbicularis opposition suture

  • Excess skin excision

  • lateral conturing suture

  • Immediate post-operative result (antero-posterior view)

  • Immediate post-operative result (lateral view)