title: Liposuction and suspension of the orbicularis oculi for the correction of persistent malar bags: description of technique and report of a case.
abstract: BACKGROUND
  The purpose of this study was to present an alternative surgical procedure for the correction of persistent malar bags and to review the literature.
  
  
  METHODS
  A 45-year-old female patient with persistent malar bags, secondary to previous blepharoplasty, was admitted. Liposuction of the edema and suspension of the orbicularis muscle to the temporal region was performed through a lateral canthal incision.
  
  
  RESULTS
  A successful malar bag removal was demonstrated, exhibiting stable results at the 6-month follow-up.
  
  
  CONCLUSIONS
  Persistent malar bags resulting from previous blepharoplasty may be difficult to correct with conventional treatment. The combination of liposuction and suspension of the orbicularis oculi is proposed as an efficient alternative for the correction of persistent malar bags.
authors.affiliation: OpsisClinical, Plastic and Reconstructive Surgery, 48 Anogion str, Therissos, 71304, Heraklion, Crete, Greece.
authors.forename: Ioannis E
authors.initials: IE
authors.lastname: Liapakis
authors.forename: Eleftherios I
authors.initials: EI
authors.lastname: Paschalis
mesh_terms: D019882:Blepharoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D015187:Lipectomy; D008875:Middle Aged; D009801:Oculomotor Muscles