[The palpebromalar suspension by the use of the orbicularis oculi muscle].

The usual techniques of lower blepharoplasty do not include the treatment of the palpebromalar junction. The various options of vertical facelift of the average third of the face in general require a temporal or temporofrontal approach. The technique of suspension of the orbicularis oculi muscle within the framework of a blepharoplasty of the four eyelids, described by Adamson in the USA and conveyed by Botti in Europe, allows a treatment of the ageing of the eyelids and a vertical rise of the malar area. This muscular suspension ensures a solidity in the fixing of soft tissues, authorizing a cutaneous section higher than that authorized in a traditional blepharoplasty. It does not require any orbital perished osseous gesture. The operational continuations are comparable with those of the other techniques, but it is essential to respect the stages described by the authors and the indications selected to avoid complications which tarnish the interest of this process.