Clinical application of orbicularis flap for eyelid groove deformity

Abstract

To discuss the correction of lower baggy eyelid with severe tear trough and eyelid sulcus (groove deformity) and its therapeutic effect. Through incision at the lower eyelid margin, the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum. The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum. If the depression was not completely corrected, the extra orbicularis fixed with periosteum. If the depression was not completely corrected, the extra orbicularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity. 60 cases were treated with no depression or unsmooth deformity. All the cases were followed up for 3-12 months with satisfactory aesthetic effect. Orbicularis flap combined with orbital fat reposition is a simple and effective method for correction of tear trough and eyelid sulcus deformity.