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Trimming of Hypertrophic Orbicularis Muscle
Photographed from Start to Finish

Actual surgery photos


Note: The following is provided for archival purposes and because it is still in wide use. We no longer recommend removing muscle in this area as it is important for lower eyelid support.


1. Roll of tissue only when patient smiling

2. Skin incised just below the lashes

3. Dissection of small strip of muscle

4. Orbicularis muscle strip removed

5. Tiny amount of excess skin outlined

6. Excess skin removed; incision sutured


Surgery by Dr. Frank Meronk

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