9010-682 May
May JW Jr, Fearon J, Zingarelli P.6: Plast Reconstr Surg. 1990 Oct;86(4):682-9. Retro-orbicularis oculus fat (ROOF) resection in aesthetic blepharoplasty: a 6-year study in 63 patients. PMID: 2217582 [PubMed - indexed for MEDLINE]
Comment in:
Plast Reconstr Surg. 1991 Jul;88(1):177-8.
Plast Reconstr Surg. 1991 Jul;88(1):178.
Plast Reconstr Surg. 1991 Jun;87(6):1141-2.
Department of General Surgery, Massachusetts General Hospital, Boston.
Sixty-three nonconsecutive patients have undergone resection of the
retro-orbicularis oculus fat (ROOF) in conjunction with aesthetic
blepharoplasty. In these patients, a consistent and useful ability to soften and
flatten heaviness and bulkiness in the lateral upper orbital region was seen.
Two patients developed postoperative hematoma, and two different patients had
transient dry-eye symptoms following blepharoplasty. Twenty percent of patients
had a transient degree of numbness in the lateral supraorbital nerve region, and
all patients noted some transient numbness over the lateral upper brow region.
No patient demonstrated significant paralysis of the orbicularis oculus or
corrugator muscle. From this experience, retro-orbicularis oculus fat resection
would appear to be a useful adjunct to standard blepharoplasty techniques in
selected patients.
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