SEPTO-ORBITOPERIOSTOPLASTY FOR THE TREATMENT OF PALPEBRAL BAGS - A 10-YEAR EXPERIENCE

The orbital region is sensitive to the undesirable effects of any surg ical intervention, because of its anatomical location and the importan ce of the eyelids in facial sign language. The procedures performed fo r correction of baggy eyelids may have remarkable undesired results. I n recent years, we have made a special effort to analyze the causes, t o minimize these undesirable effects, and to be able to offer patients more natural and safer results. We have designed a new technique call ed septo-orbitoperiostoplasty for the treatment of baggy eyelids, base d on preservation of orbital fat and correction of the supportive laye r. This technique consists of placing the orbital fat back into the or bital cavity and its retention by suturing the lax septum to the perio steum of the orbital rim. Neither an incision on the orbital septum no r an excision of the orbital fat is performed. It can be performed for both upper and lower eyelids. This paper describes the surgical proce dure and shows the results obtained from 74 patients who had been trea ted with this technique over a 10-year period. All patients were follo wed up for an average of 5 years.