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Aesthetics (lifting) of the orbital complex
Last reviewed: 23.04.2024
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The surgeon must evaluate the ophthalmic complex in conjunction with all the structures of the upper zone of the face. It is necessary to pay attention to the position of the eyebrows, the wrinkling of the peri-transference, the degree of displacement of the circumglobular fat and peri-ocular structures, such as the eyebrows, fat, the lateral corners of the eyes, fat under the circular eye muscle, and the zygomatic emargination.
The "classical" eyebrow medially originates from a vertical line drawn through the site of the nose wing transition into the facial tissues. In the lateral direction, it extends along a line drawn from the above-mentioned point through the lateral angle of the eye gap. Lateral and medially the eyebrow should be on the same horizontal level. Usually, in women, the eyebrow arches slightly over the edge of the orbit, while in men it is more horizontal. The man's eyebrow should be located on the upper edge of the orbit, and the female eyebrow is significantly higher, and its highest point should not be at the lateral edge of the cornea, as often described, but at the level of the lateral angle of the eye gap.
A more medial rise forms an unnatural, surprised look. In the gland penis folds should not exist. The infraorbital fat should be located slightly outward from the plane tangential to the edge of the orbit. The lower and lateral edges of the orbit should be supported by the zygomatic fat and fat under the circular eye muscle. When the structure of the middle zone of the face is ptoted and the edge of the orbit is visible, the orbital fat protruding above it and the protruding fat under the circular eye muscle form a double contour. Attempts to correct this with the help of lower blepharoplasty and the removal of excess fat lead to the fact that this area acquires a sunken, sunken appearance. Other therapeutic measures, including infraorbital implantation and redistribution of ocular fat, mask the double contour; However, unlike the braces of the middle zone of the face, they can not return the fallen fat under the circular eye muscle to its early position, giving the face a more youthful appearance.
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