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Volume 8, Issue 3 (Suppl) J Clin Exp Dermatol Res, an open access journal
ISSN: 2155-9554 Euro Dermatology 2017
June 07-08, 2017
Page 28
Notes:
conferenceseries .com
June 07-08, 2017 Milan, Italy
16th European Dermatology Congress
Thomas Haffner, J Clin Exp Dermatol Res 2017, 8:3 (Suppl)
DOI:10.4172/2155-9554-C1-056
Blepharoplasty with orbicularis augmentation and orbicularis lifting
Statement of the Problem: Blepharoplasty is thought to be the simplest procedure of the upper eyelid. The resection of
orbicularis muscle to a lesser or greater extent performed usually, without any goal and without consultation with the patient. By
this way, the orbita will be seen much more opened, but also much more empty and hollow. All this cannot promote a youthful
look, than youthful means also “full” that means filled and not hollow. The second great problem in every blepharoplasty is
that the brows are pulled always downward after removing of a large amount of upper eyelid skin.
Method: The standard blepharoplasty is performed by saving and imbricating of the orbicular muscle with which an
augmentation of the hollowed orbita is done. More than 200 cases were operated with this method. In further, five cases an
additional orbicularis lifting blepharoplasty was made, by which the periorbicular, orbicular muscle dissected, elevated and
anchored in a higher position.
Findings: The augmentation blepharoplasty rejuvenates the periorbita region bringing a youthful look in every case and
no cases arise with skeletonized or older look. The scar quality was very good in 96% of the cases. Applying additional
periorbicular myotomy, shifting and re-anchorage of the orbicularis muscle, a further improving of the brow-position and
SOOF is achieved. The upper eyelid and brow region are "opened" with natural and discreet elevation of the brows and with
restoration of the natural and youthful brow-tarsus distance.
Conclusions: The usual practice of simple blepharoplasty, which includes removing of the upper eyelid muscles without
reason, should be reconsidered. Promoting of a skeletonized orbita by a young lady should be avoided and the orbicularis
augmentation should be considered especially by older patients with thin skin envelope, before a blepharoplasty.
Biography
Thomas Haffner is a Board Certified Reconstructive, Vascular and Cosmetic Surgeon in Germany. He was trained in the Reconstructive-Plastic Surgery and Senology
Section at the Semmelweis University, Budapest. He is specialized in Vascular Surgery and has worked as Department Leader in German clinics. He was a Resident
Assistant under Professor Rettinger in Ulm. In 2000, he established his private clinic for vascular-reconstructive and aesthetic surgery in Cologne, Germany. His primary
focus is the breast and facial surgery using minimal invasive and endoscopic methods. He invented the innovative vertical scar free reconstructive 3D mastopexy.
Thomas Haffner
Vascular and cosmetic surgeon, Germany