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Is the Arcus Marginalis Always Released when Placing a Tear Trough Implant Through an Incision Inside the Lower Eyelid?

asked 10 months ago by Sugarplummy in Victoria, BC
Latest answer by Julian Henley, MD
Question viewed 112 times
Tags: tear trough

3 answers to Is the Arcus Marginalis Always Released when Placing a Tear Trough Implant Through an Incision Inside the Lower Eyelid?

+2

Arcus release for implant

If the implant is placed appropriately in the subperiosteal space then yes the arcus marginalis must be released. The arcus is a band of what we call connective tissue which is a condensation of bone lining from the floor of the orbit and the bones of the face. When it is incised an implant can be securely placed between it and bone. Best Dr. Massry
Guy Massry, MD

Los Angeles Oculoplastic Surgeon
+2

There are much better alternatives than a tear trough implant for most people.

If you are going to have a tear trough implant place from an incision behind the eyelid, then yes the arcus marginalis must be releases. Generally for the purpose of this surgery, what we are talking about is incising the periosteum at the orbital rim and making a subperiosteal dissection onto the face of the cheek bone. The acrus is not actual cut in that case. Note that the arcus is simply the condensation of the orbital septum where it fuses with the periosteum of the... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Correction of tear trough defect (depressopm at lower orbital rim)

Tear trough implants and seperation of the orbital septum from the orbital perisostum has lost favor and popularity in the last decade. I have had a good experience with use of "Biomatrix" tissue regeneration placed under the orbicularis muscle orbital rim retraction. This strengthtens and fills the transition between orbital septum and anterior maxillary wall rejeuvinating this difficult area.
Julian Henley, MD

New Haven Facial Plastic Surgeon

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