Skin-muscle flap lower lid blepharoplasty: an easier dissection.
Most descriptions of the skin-muscle flap lower lid blepharoplasty, the so-called McIndoe technique, indicate dissection of the flap in a cephalad-to-caudad direction from near the ciliary margin toward the bony orbital rim. However, this report describes a technical variation in which counter-traction and lateral-to-medial blunt dissection "opens up" the potential anatomical space between the orbicularis oculi muscle and the tarsus and septum orbitale. This technique is easier and faster than the McIndoe procedure.
D000273:Adipose Tissue / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques