Aesthetically speaking, sunken eye sockets can make one appear aged and lackluster, sometimes conveying a stern or intimidating impression. With today's advanced medical technology, many seek eye socket filler procedures to achieve more vibrant and captivating eyes. How is this procedure performed? We'll explain in detail below.
Eye Socket Filler Procedure Methods:
1. Utilizing both the lower and upper orbicularis oculi muscles to fill upper eyelid hollows
Begin with lower eyelid bag correction. Make an incision along the planned line through the skin and orbicularis oculi muscle down to the tarsal plate. Do not sever the orbicularis oculi muscle at the lateral canthus. Elevate the deep layer of the orbicularis oculi muscle and perform a pure dissection toward the orbital rim.Make a loose incision in the lower eyelid skin and orbicularis muscle from the medial canthus to the lateral canthus, approximately 5-8mm wide. Remove the skin from the muscle flap to create an orbicularis muscle flap with its pedicle at the superior canthus.Set aside temporarily. Following the method for filling upper eyelid depressions, subcutaneously transpose the lower eyelid orbicularis muscle flap from the lateral canthus to the upper eyelid. Suspend and secure it to the inferior orbital rim. Suture the double eyelid incision and the lower eyelid skin incision.
2. Utilizing the Upper Eyelid Orbicularis Muscle and Orbital Fat Pad for Filling
Design the double eyelid crease. Incise the skin along the crease line. Dissect the muscle flap anterior to the tarsal plate from the lateral canthus toward the medial canthus. The pedicle is at the medial canthus. The superior border of the muscle flap corresponds to the upper edge of the double eyelid crease.Position the muscle flap 2mm below the eyelid margin. Typically 5-8mm wide, then dissect deep to the orbicularis muscle toward the orbital bone down to its inferior margin.After exposing the orbital margin, ensure thorough hemostasis. Suspend and secure the orbicularis muscle flap to the periosteum of the orbital rim at two to three points. If lateral orbital fat prolapse is present, simultaneously suspend the lateral orbital septal fat above the periosteal margin of the orbital bone. Then flatten the tissue and assess whether adequate filling has been achieved. Once the desired effect is confirmed, close the skin in stages as in double eyelid surgery.
3. Utilizing subbrow soft tissue to fill upper eyelid depressions, performed concurrently with browplasty
Browplasty is a cosmetic procedure to remove poorly shaped or tattooed brows, alter brow shape, and eliminate crow's feet. First, design the desired brow shape. Incise skin along the design line down to the subcutaneous layer. Remove all layers of skin within the design line.The incision is sutured layer by layer. This method involves creating a soft tissue flap from the subcutaneous fat, orbicularis oculi muscle, and part of the frontalis muscle beneath the brow incision during brow reduction. The flap is mobilized from the outer brow toward the glabella. The pedicle is positioned 1.5 cm from the inner brow corner.Approximately 10mm wide and 2mm thick, it elevates the lower edge of the incision. A pure, extensive dissection is performed deep to the orbicularis oculi muscle toward the eyelid margin. The soft tissue flap is trimmed into a semi-feathered shape and placed in the depressed area. It is secured to the orbital periosteum with three sutures. After thorough hemostasis, the subcutaneous tissue is sutured first, followed by the skin.