Redraping the inferior orbicularis arc

The surgical technique of redraping of the inferior are of the orbicularis oculi muscle is used primarily to produce lower lid and midfacial smoothing in patients undergoing aesthetic surgery. The midfacial fat compartments, suborbicularis oculi fat and malar fat, are bound to the orbicularis muscle by the superficial muscular aponeurotic system so that redraping the orbic ularis muscle also repositions the midface. Orbicularis are redraping shoul d be accompanied by lateral canthoplasty to ensure stability to the shape o f the eyelid fissure postoperatively. Modifications in orbicularis redrapin g and canthoplasty technique are necessary in patients with prominent eyes and distensible lower lids. Supraplacement of canthal fixation is needed in patients with prominent eyes, and lid shortening is needed in patients who have distensible lower lids. This technique also can be used in patients u ndergoing reconstructive surgery for correction of lower lid retraction bec ause of its ability to recruit periorbital skin upward into the lower lid. For more severe cases of lower lid retraction after aesthetic surgery, adju nctive procedures such as spacer implants in the lower lid and periosteal f lap canthoplasty can be used together with the orbicularis arc redraping to rehabilitate patients.