OOM-ORL-ROOF Composite Flap Suspension (ORRCS) to the Lateral Orbital Thickening for Lateral Hooding.
A new suspension technique markedly improved lateral upper-eyelid hooding severity in patients.
OOM-ORL-ROOF Composite Flap Suspension (ORRCS) to the Lateral Orbital Thickening for Lateral Hooding.
Lateral hooding of the upper eyelid is a common yet frequently undertreated aspect of periorbital aging in East Asians.
This study aimed to investigate the roles of the orbicularis oculi muscle (orbicularis oculi muscle), retro-orbicularis oculi fat (retro-orbicularis oculi fat), orbicularis retaining ligament (orbicularis retaining ligament), and lateral orbital thickening (lateral orbital thickening) in the pathogenesis and to evaluate the novel orbicularis oculi muscle-orbicularis retaining ligament-retro-orbicularis oculi fat composite suspension (ORRCS) technique.
Clinical outcomes of the ORRCS procedure were retrospectively reviewed in 85 East Asian patients with lateral dermatochalasis (LDC grade ≥1).
eyelid drooping severity dropped sharply after surgery, showing marked improvement
Brow position remained stable ( p >0.05).
Scars were inconspicuous, with no major complications and high patient satisfaction (4.7/5).
Lateral hooding primarily results from the descent of the OOM-ORL-ROOF composite unit due to the attenuation of the deep ORL-lateral orbital thickening retaining complex.
The ORRCS technique corrects this deformity by re-suspending the complex to the robust lateral orbital thickening, providing a promising anatomy-guided deep-plane approach with favorable early outcomes in this cohort while restoring a natural contour and preserving brow dynamics.
LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article.