title: Definitive treatment for crow's feet wrinkles by total myectomy of the lateral Orbicularis Oculi.
abstract: BACKGROUND
  A common dissatisfaction after rhytidoplasty are the remaining lateral eyelid wrinkles also known as crow's feet.
  
  
  METHODS
  This article presents an analysis of the enlarged myectomy of the orbicularis oculi muscle used for the definitive treatment of crow's feet in 105 patients during face lifting. Myectomy involved all the lateral portion of the orbicularis oculi muscle exposed after the undermining of the face, corresponding to about one third of the whole orbital extension of the muscle. To avoid depression in the area of the excision, a free graft from the superficial musculoaponeurotic system was performed with the blepharoplasty.
  
  
  RESULTS
  The reduction of the crow's feet was significant during the subsequent 5 years of follow-up.
  
  
  CONCLUSIONS
  The enlarged myectomy allowed the treatment of a larger area in the wrinkled region without increasing the complications and with excellent results.
authors.affiliation: Plastic and Reconstructive Surgery Service, Instituto Doutor José Frota de Fortaleza, Fortaleza, CE, Brazil. drcidocarvalho@yahoo.com.br
authors.forename: Francisco
authors.initials: F
authors.lastname: de Assis Montenegro Cido Carvalho
authors.forename: Valderi
authors.initials: V
authors.lastname: Vieira da Silva
authors.forename: André Alencar
authors.initials: AA
authors.lastname: Moreira
authors.forename: Fabrício Oliveira
authors.initials: FO
authors.lastname: Viana
mesh_terms: D019882:Blepharoplasty / Q000379:methods; D004954:Esthetics; D005152:Facial Muscles / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D015361:Rhytidoplasty / Q000379:methods*; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D015595:Skin Aging; D016896:Treatment Outcome