Manipulation of the Periorbital Musculature

Phillip Langsdon; Nicholas Karter

doi:10.1055/s-0038-1636919

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2018; 34(02): 194-200
DOI: 10.1055/s-0038-1636919

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Manipulation of the Periorbital Musculature

Phillip Langsdon

¹Division of Facial Plastic Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Tennessee, Germantown, Tennessee

,

Nicholas Karter

²AAFPRS Facial Plastic Surgery Fellow, The Langsdon Clinic, Germantown, Tennessee

› Author Affiliations

Abstract

The resting and expressive states of the periorbital region contribute to perceived age, emotion, gender, race, and countenance. A thorough understanding of the periorbital musculature is essential for comprehensive facial rejuvenation. Surgical and nonsurgical manipulation of these muscles can lead to alterations in brow elevation, resting brow position, and dynamic periorbital rhytids. Both surgical and nonsurgical techniques can produce desired effects, and they are often used concomitantly to obtain optimal results.

Keywords

periorbital - glabella - brow - corrugator - procerus

Full Text

References

References
1 Carruthers JD, Glogau RG, Blitzer A. ; Facial Aesthetics Consensus Group Faculty. Advances in facial rejuvenation: botulinum toxin type a, hyaluronic acid dermal fillers, and combination therapies--consensus recommendations. Plast Reconstr Surg 2008; 121 (5, Suppl): 5S-30S , quiz 31S–36S [ quiz:31S–6S]
2 Scheuer III JF, Matarasso A, Rohrich RJ. Optimizing male periorbital rejuvenation. Dermatol Surg 2017; 43 (Suppl. 02) S196-S202
3 Hoenig J, Hoenig D. Minimally invasive periorbital rejuvenation. Facial Plast Surg 2013; 29 (04) 295-309
4 Kinze DM. Galea Aponeurotica and Temporal Facias, Chapter 4. The Forehead and Temporal Fossa. Philadelphia, PA: Lippincott Williams & Wilkins; 2001
5 Karabulut AB, Tümerdem B. Forehead lift: a combined approach using subperiosteal and subgaleal dissection planes. Aesthetic Plast Surg 2001; 25 (05) 378-381
6 Holcomb JD, McCollough EG. Trichophytic incisional approaches to upper facial rejuvenation. Arch Facial Plast Surg 2001; 3 (01) 48-53
7 Drolet BC, Phillips BZ, Hoy EA, Chang J, Sullivan PK. Finesse in forehead and brow rejuvenation: modern concepts, including endoscopic methods. Plast Reconstr Surg 2014; 134 (06) 1141-1150
8 Langsdon PR, Metzinger SE, Glickstein JS, Armstrong DL. Transblepharoplasty brow suspension: an expanded role. Ann Plast Surg 2008; 60 (01) 2-5
9 Langsdon PR, Velargo PA, Rodwell III DW. Surgical manipulation of the periorbital musculature. Clin Plast Surg 2013; 40 (01) 125-131
10 Carruthers J, Carruthers A. The evolution of botulinum neurotoxin type A for cosmetic applications. J Cosmet Laser Ther 2007; 9 (03) 186-192
11 Kaplan JB. Consideration of muscle depth for botulinum toxin injections: a three-dimensional approach. Plast Surg Nurs 2017; 37 (01) 32-38