Abstract

Objectives: OMF technique for augmenting (and extra support) of thin anterior lamella in transcutaneous lower blepharoplasty Introduction: Introduction: Orbicularis oculi Muscle Folding (OMF) technique is an innovative surgical method we use in lower blepharoplasty for selected patients having hollow lower eyelids due to thin anterior lamella, by using the excess part of the preseptal orbicularis oculi muscle and folding it inward on itself for auto augmentation. Materials / method: Method: in our technique, we dissect the thin lower lid skin from the preseptal orbicularis muscle then lateral 1/3 of the separated muscle is cut vertically to use as suspension flap and we fold the rest medial 2/3 inward over itself to stitch it in 3 points to the inner surface of the muscle, finally the excess skin is discarded. Results: Results: Through the 18 months follow up of our 25 cases the results were satisfactory and no complications observed. Conclusion: Conclusion: We found that this technique will give the lower eyelid a natural looking tight and full shape addressing lower lid fat bulging or hollowness which is due to thin anterior lamella by the support provided with the muscle flap and it’s filling effect. Method: in our technique, we dissect the thin lower lid skin from the preseptal orbicu