Complications from Orbicularis Ligament Release

Question

I am 46 and scheduled for a lower bleph with release of the orbicularis ligament and fat transfer, as well as canthopexy. I am pretty nervous about complications and changes to eye shape. What are the potential complications of releasing the orbicularis ligament? How can they be remedied if they occur? And what about complications from the canthopexy?

Mehryar (Ray) Taban, MD, FACS · Answer

Recommend seeing before/after photos of your surgeon. Ligament release should not cause eye shape change but transcutaneous blepharoplasty and possibly canthopexy can. Ideal method to address under eye bags and hollowness is transconjunctival lower blepharoplasty with fat bags repositioning so the existing eye bags are repositioned to fill the hollow area (not taking fat from another body part and injecting which is unpredictable due to blood supply issue). See following link and surgical video.

John J. Martin, Jr., MD · Answer

I'm not sure why your surgeon would have even discussed the release of the tendons with you as that is detailed technical information for the surgeon.  We often release the tendons with lower lid bleph, especially when we are repositioning fat.  When adding fat the cannula will also elevate these tendons.  Release of the tendons is not going to change the shape of your eyes.A canthopexy can make an eye more almond shaped.  However when done correctly it should just help to maintain a nice shape to the eye.

Keith Denkler, MD · Answer

Current techniques in lower lid blepharoplasty often entail release of this ligament to smooth the lower eyelid bags and tear trough depressions.It is quite safe and is an improved technique. It likely will benefit your shape.  Canthopexy is usually with a dissolving suture and is for short term support of your lower eyelid during the healing phase.

Steven Wallach, MD · Answer

The release of the ligament is performed to release soft tissue off the orbital rim.  The canthopexy is more likely to change the shape.

Complications from Orbicularis Ligament Release

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Answer: Eye shape issue

Answer: Eye shape issue

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Complications from Orbicularis Ligament Release

Answers (4)

Answer: Eye shape issue

Answer: Eye shape issue

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Our mission is to create a world where every investment in modern beauty is Worth It.