Effectiveness Of Myocutaneous Flap Suspension In Lower Eyelid Blepharoplasty Without Canthopexy

Blepharoplsty is the one of the most common cosmetic procedure performed by plastic surgeons. Lower blepharoplasty remain challenging procedure as it associated with high propensity of postoperative complications especially lower eyelid malposition. Lower eyelid malposition lead to possible lateral rounding, scleral show and ectropion. There is no strict and obvious indications for lower eyelid anchoring procedure, but it might be used for patient with greatest risk include those with positive snap test. Other authors do routine lid tightening procedure in all cases,even transconjuctival approach.1,2,3,4 Muscle suspension technique in lower eyelid blepharoplasty described by many authors which all aimed to improve lower eyelid tone and position 5.In this study we explore the clinical effect of application of modified myocutaneous flap anchoring method in lower blepharoplasty.