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In the continued search for increasingly expressive results, plastic surgeons are combining established techniques with new intraoperative times. This article describes a surgical technique associated with rhytidoplasties based on the resection of the lateral portion of the orbicularis oculi muscle, followed by grafting the muscle itself, however inverted, on the resected area. METHOD: In a 5-year period, 54 rhytidoplasties associated with the described technique were performed. RESULTS: The follow-up in the late postoperative period (5 years) was satisfactory, with the permanent disappearance of periocular rhytides due to the neutralization of the forces exerted by the muscle in this area. There was no dissatisfaction on the part of the patients. Consequently, the procedure had excellent results in the resolution of periocular rhytides and in lifting the caudal part of the eyebrow in relation to the orbit. CONCLUSION: The technique described generates permanent and satisfactory results. INTRODUCAO: A cirurgia plastica, sempre em busca de resultados cada vez mais expressivo, vem associando as tecnicas ja consagradas aos novos tempos intraoperatorios. Este trabalho descreve uma tecnica cirurgica para ser associada as ritidoplastias baseada na resseccao da porcao lateral do musculo orbicular, seguida pela enxertia do proprio musculo, porem invertido, sobre a area ressecada. METODO: Em um periodo de 5 anos, foram realizadas 54 ritidoplastias associadas a tecnica descrita. RESULTADOS: O seguimento no pos-operatorio tardio (5 anos) mostrou-se satisfatorio com permanente desaparecimento das ritides perioculares por neutralizar as forcas exercidas pelo musculo nesta area. Nao houve insatisfacao por parte dos pacientes. Logo, trata-se de um procedimento com excelentes resultados na resolucao das ritides perioculares e na elevacao da porcao caudal da sobrancelha em relacao a orbita. CONCLUSAO: A tecnica descrita gera resultados permanentes e satisfatorios.

Inversion of the lateral portion of the orbicularis oculi muscle for the treatment of periocular rhytides (crow's feet)