title: Extended blepharoplasty.
abstract: Extended blepharoplasty involves extending the dissection of the skin-muscle flap used in standard lower eyelid blepharoplasty to a level below the infraorbital rim. This technique is useful in the management of infraorbital, or malar, bags that are seen in as many as 10% of blepharoplasty candidates. A concomitant eyelid shortening procedure is frequently needed to treat horizontal eyelid laxity. Achievement of satisfactory results depends on the proper suspension of the skin-muscle flap to the lateral canthal periosteum. Extended blepharoplasty is an innovative way to improve infraorbital pouching, which is otherwise beyond the reach of the standard blepharoplasty procedure.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Ontario, Canada.
authors.forename: P A
authors.initials: PA
authors.lastname: Adamson
authors.forename: G J
authors.initials: GJ
authors.lastname: Tropper
authors.forename: B L
authors.initials: BL
authors.lastname: McGraw
mesh_terms: D000328:Adult; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods