The combination of releasing and sling of Wang's ligament (fascia ligament of orbital muscle) for lower eyelid ble-pharoplasty

Objective To investigate the dynamic anatomical changes in the orbital areas of aging face. and the function of fascia ligaments in the orbital area. Also to study results of combination of releasing and sling of fascia ligament of orbital muscle (Wang's ligament) for lower eyelid blepharoplasty. Methods Through the cadaver anatomical study and clinical experiences with thousands procedures of lower eyelid blepharoplasty, we study the function of fascia ligament of orbital muscle (Wang's ligament) and other ligaments in lower eyelid, and the procedure of the combination of releasing and sling of Wang's ligament for lower eyelid blepharoplasty, and we also make classification of aging lower eyelid by personal experiences and literature review. Results The skin and muscle are much more laxative than the ligaments on orbital area of the aging face. When making combination of releasing and sling of Wang's ligament for lower eyelid blepharoplasty, it may lift 3 - 5 mm more loose skin of lower eyelid than other procedures. This procedure results are not only for the lower eyelid loose skin lifting but also the malar ptosis. The aging lower eyelid was dassified into four types. Conclusion It is a good choice for lower eyelid blepharoplasty to use the combination of releasing and sling of Wang's ligament and the patients may get minimal trauma and more obvious results.