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Khan et al.                                                                                                                                                                            Modified lower eyelid blepharoplasty


            A                                 B                                C













            D                                 E                                F














           Figure 3: Orbicularis suspension and opposition, reconstruction and immediate postoperative results. (A) Two orbicularis suspension
           sutures; (B) third orbicularis suture; (C) excess skin excision; (D) lateral contouring suture; (E) immediate postoperative result (antero-
           posterior view); (F) immediate postoperative result (lateral view)


                         A               Preoperative             B          Preoperative















                                         Postoperative                     Postoperative
















           Figure 4: Postoperative outcomes. (A) Pre- and postoperative appearance (antero-posterior view); (B) pre- and postoperative appearance
           (lateral view)

           were the postoperative aesthetic appearance, patient   the Garcia-McCollough scale for Lower Eyelid
           satisfaction, and complications.                   Appearance. Postoperative photos at long-term follow
                                                              up (1 year) are shown in Figures 4-7. All patients
           The aesthetic appearance was assessed using        demonstrated a satisfactory aesthetic appearance.
            232                                                                                    Plastic and Aesthetic Research ¦ Volume 4 ¦ December 29, 2017
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