Facial Plast Surg 2020; 36(03): 317-328
DOI: 10.1055/s-0040-1712473
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Periorbital Surgical Anatomy

José Carlos Neves
1   MyFace, Clinics and Academy, Lisbon & Coimbra, Portugal
,
Diego Arancibia-Tagle
2   Hospital Son Espases, Palma de Mallorca, Spain
,
Ramón Medel-Jiménez
3   Ophthalmic Plastic Surgery Department, Instituto de Microcirugía Ocular, Barcelona, Spain
,
Luz María Vásquez
3   Ophthalmic Plastic Surgery Department, Instituto de Microcirugía Ocular, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
17 June 2020 (online)

Abstract

This article discusses the periocular anatomy region thoroughly because its knowledge in detail is of paramount importance for any surgeon dedicated to periocular surgery or any practitioner who dedicate their practice to aesthetic medicine. Mastering the anatomical details permits obtaining consistently good results with the minimal amount of complications possible.

 
  • References

  • 1 Larrabee WF, Makielski KH, Henderson JL. . Surgical Anatomy of the Face. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2004
  • 2 Hartstein ME, Massry GG, Holds JB. Pearls and Pitfalls in Cosmetic Oculoplastic Surgery. 2nd ed. New York, NY: Springer-Verlag; 2015
  • 3 Lambros VS. Observations on periorbital and midface aging. Plast Reconstr Surg 2007; 120 (05) 1367-1376 ; discussion 1377
  • 4 Neves JC, Medel Jiménez R, Arancibia Tagle D, Vásquez LM. Postoperative care of the facial plastic surgery patient-forehead and blepharoplasty. Facial Plast Surg 2018; 34 (06) 570-578
  • 5 Cheney ML, Hadlock TA. Facial Surgery, Plastic and Reconstructive. Boca Raton, FL: CRC Press; 2014
  • 6 Lamb JP, Surek C. Facial Volumization. An Anatomic Approach. New York, NY: Thieme; 2017
  • 7 Tyers AG, Collin JRO. Colour Atlas of Ophthalmic Plastic Surgery. 4th ed. China: Elsevier; 2017
  • 8 Jordan DR, Mawn L, Anderson RL. Surgical Anatomy of the Ocular Adnexa. Clinical Approach. 2nd ed. New York, NY: Oxford; 2012
  • 9 Tarbet KJ, Lemke BN. Clinical anatomy of the upper face. Int Ophthalmol Clin 1997; 37 (03) 11-28
  • 10 Nerad JA. Oculoplastic Surgery: The Requisites in Ophthalmology. Philadelphia, PA: Mosby; 2001
  • 11 Stasior GO, Lemke BN, Wallow IH, Dortzbach RK. Levator aponeurosis elastic fiber network. Ophthal Plast Reconstr Surg 1993; 9 (01) 1-10
  • 12 Hawes MJ, Dortzbach RK. The microscopic anatomy of the lower eyelid retractors. Arch Ophthalmol 1982; 100 (08) 1313-1318
  • 13 Meyer DR, Linberg JV, Wobig JL, McCormick SA. Anatomy of the orbital septum and associated eyelid connective tissues. Implications for ptosis surgery. Ophthal Plast Reconstr Surg 1991; 7 (02) 104-113
  • 14 Anderson RL, Dixon RS. The role of Whitnall's ligament in ptosis surgery. Arch Ophthalmol 1979; 97 (04) 705-707
  • 15 Wesley RE, McCord Jr CD, Jones NA. Height of the tarsus of the lower eyelid. Am J Ophthalmol 1980; 90 (01) 102-105
  • 16 Dutton JJ. Atlas of Clinical and Surgical Orbital Anatomy. Philadelphia, PA: Saunders; 1994
  • 17 Anderson RL, Beard C. The levator aponeurosis. Attachments and their clinical significance. Arch Ophthalmol 1977; 95 (08) 1437-1441
  • 18 Gladstone GJ, Brazzo BG, Myint S, Black EH. Oculoplastic Surgery Atlas Cosmetic Facial Surgery. New York, NY: Springer; 2005
  • 19 Sires BS, Lemke BN, Dortzbach RK, Gonnering RS. Characterization of human orbital fat and connective tissue. Ophthal Plast Reconstr Surg 1998; 14 (06) 403-414
  • 20 Massry GG, Murphy MR, Azizzadeh B. Master Techniques in Blepharoplasty and Periorbital Rejuvenation. New York, NY: Springer-Verlag; 2011
  • 21 Yousif NJ, Mendelson BC. Anatomy of the midface. Clin Plast Surg 1995; 22 (02) 227-240
  • 22 Weng C, Quatela V. Achieving a youthful midface: examination of midface anatomy improvement following lower blepharoplasty with fat transposition and transtemporal midface lift with lower lid skin pinch. Aesthet Surg J 2019; 39 (10) NP416-NP428
  • 23 Quatela VC, Antunes MB. Transtemporal midface lifting to blend the lower eyelid-cheek junction. Clin Plast Surg 2015; 42 (01) 103-114
  • 24 Ramirez OM, Pozner JN. Endoscopically assisted supraorbital nerve neurolysis and correction of eyebrow asymmetry. Plast Reconstr Surg 1997; 100 (03) 755-758 , discussion 759–760
  • 25 Quatela VC, Jacono AA. The extended centrolateral endoscopic midface lift. Facial Plast Surg 2003; 19 (02) 199-208
  • 26 Mendelson BC, Muzaffar AR, Adams Jr WP. Surgical anatomy of the midcheek and malar mounds. Plast Reconstr Surg 2002; 110 (03) 885-896 , discussion 897–911
  • 27 Wong CH, Mendelson B. Midcheek lift using facial soft-tissue spaces of the midcheek. Plast Reconstr Surg 2015; 136 (06) 1155-1165
  • 28 Wong CH, Mendelson B. Facial soft-tissue spaces and retaining ligaments of the midcheek: defining the premaxillary space. Plast Reconstr Surg 2013; 132 (01) 49-56
  • 29 Saban Y, Polselli R, Bertossi D, East CA, Gerbault O. Facial layers and facial fat compartments: focus on midcheek area. Facial Plast Surg 2017; 33 (05) 470-482