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June 1991

Extended Blepharoplasty

Arch Otolaryngol Head Neck Surg. 1991;117(6):606-609. doi:10.1001/archotol.1991.01870180042008

• 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.

(Arch Otolaryngol Head Neck Surg. 1991;117:606-609)