Research Article
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Year 2025, Volume: 19 Issue: 3, 77 - 85, 15.01.2026

Abstract

References

  • Özdemir R, Kilinc H, Unlu RE. Anatomicohistologic study of the retaining ligaments of the face and use in face lift: retaining ligament correction and SMAS plication. Plast Reconstr Surg 2002;110:1134–49.
  • Mendelson BC. Extended sub-SMAS dissection and cheek elevation. Clin Plast Surg 1995;22:325–39.
  • Stuzin JM, Baker TJ, Gordon HL. Extended SMAS dissection as an approach to midface rejuvenation. Clin Plast Surg 1995;22:295–311.
  • Knize DM, ed. Forehead and temporal fossa: anatomy and technique. Philadelphia (PA): Lippincott Williams & Wilkins; 2001. p. 45.
  • Knize DM. The importance of the retaining ligamentous attachments of the forehead for selective eyebrow reshaping and forehead rejuvenation. Plast Reconstr Surg 2007;119:1119–20.
  • Wong CH, Hsieh MKH, Mendelson B. The tear trough ligament: anatomical basis for the tear trough deformity. Plast Reconstr Surg 2012;129:1392–402.
  • Muzaffar AR, Mendelson BC, Adams WP. Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 2002;110:873–84.
  • Kaye BL. Extended face lift with ancillary procedures. Ann Plast Surg 1981;6:335–46.
  • Alghoul M, Bitik O, McBride J, Zins JE. Relationship of the zygomatic facial nerve to the retaining ligaments of the face: the subSMAS danger zone. Plast Reconstr Surg 2013;131:245e–52e.
  • Flowers RS. Tear trough implants for correction of tear trough deformity. Clin Plast Surg 1993;20:403–15.
  • Mendelson BC, Jacobson SR. Surgical anatomy of the midcheek: facial layers, spaces, and the midcheek segments. Clin Plast Surg 2008;35:395–404.
  • Lambros V. Models of facial aging and implications for treatment. Clin Plast Surg 2008;35:319–27.

Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads

Year 2025, Volume: 19 Issue: 3, 77 - 85, 15.01.2026

Abstract

Objectives: The morphology and locations of the infraorbital and supraorbital retaining ligaments in adult facial cadavers and their distances to the determined landmarks were determined in this research.
Methods: The study was conducted on 15 fresh frozen and 13 formaldehyde fixed cadaver heads. Superior orbicular retaining ligament (SORL), inferior orbital retaining ligament (IORL), lateral thickening (LT), zygomatic ligament (ZR) and teartrough (TTh) ligament to the midsagittal line, rima orbitalis and zygomatic peak were measured with an electronic caliper.
Results: The mean distance between SORL and TTh to the zygomatic vertex between the right and left faces of cadavers showed statistically significant differences (p≤0.05). The distance between IORL and midsagittal line point between the right and left faces of cadavers was greater on the left face than on the right face. On the left face, the distance between LT and rima orbitalis was greater in fresh cadavers (p≤0.05). On the right face, the distance between ZL and zygomatic vertex was greater in fresh cadavers. On the left face, the distance between IOR, LT, ZL and TTh and zygomatic vertex was found to differ between fresh and fixed cadavers (p≤0.05). Distance between the IORL and the midsagittal line point was greater in the fixed cadavers on the right side (p≤0.05).
Conclusion: The fact that this study has not been conducted before will be a source for similar studies to be conducted in the future.

References

  • Özdemir R, Kilinc H, Unlu RE. Anatomicohistologic study of the retaining ligaments of the face and use in face lift: retaining ligament correction and SMAS plication. Plast Reconstr Surg 2002;110:1134–49.
  • Mendelson BC. Extended sub-SMAS dissection and cheek elevation. Clin Plast Surg 1995;22:325–39.
  • Stuzin JM, Baker TJ, Gordon HL. Extended SMAS dissection as an approach to midface rejuvenation. Clin Plast Surg 1995;22:295–311.
  • Knize DM, ed. Forehead and temporal fossa: anatomy and technique. Philadelphia (PA): Lippincott Williams & Wilkins; 2001. p. 45.
  • Knize DM. The importance of the retaining ligamentous attachments of the forehead for selective eyebrow reshaping and forehead rejuvenation. Plast Reconstr Surg 2007;119:1119–20.
  • Wong CH, Hsieh MKH, Mendelson B. The tear trough ligament: anatomical basis for the tear trough deformity. Plast Reconstr Surg 2012;129:1392–402.
  • Muzaffar AR, Mendelson BC, Adams WP. Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 2002;110:873–84.
  • Kaye BL. Extended face lift with ancillary procedures. Ann Plast Surg 1981;6:335–46.
  • Alghoul M, Bitik O, McBride J, Zins JE. Relationship of the zygomatic facial nerve to the retaining ligaments of the face: the subSMAS danger zone. Plast Reconstr Surg 2013;131:245e–52e.
  • Flowers RS. Tear trough implants for correction of tear trough deformity. Clin Plast Surg 1993;20:403–15.
  • Mendelson BC, Jacobson SR. Surgical anatomy of the midcheek: facial layers, spaces, and the midcheek segments. Clin Plast Surg 2008;35:395–404.
  • Lambros V. Models of facial aging and implications for treatment. Clin Plast Surg 2008;35:319–27.
There are 12 citations in total.

Details

Primary Language English
Subjects Medical Education
Journal Section Research Article
Authors

Ayşegül Girgin 0000-0003-2610-2286

Oguz Taşkınalp This is me

Submission Date March 25, 2025
Acceptance Date December 13, 2025
Publication Date January 15, 2026
Published in Issue Year 2025 Volume: 19 Issue: 3

Cite

APA Girgin, A., & Taşkınalp, O. (2026). Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads. Anatomy, 19(3), 77-85.
AMA Girgin A, Taşkınalp O. Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads. Anatomy. January 2026;19(3):77-85.
Chicago Girgin, Ayşegül, and Oguz Taşkınalp. “Morphology and Locations of Infraorbital and Supraorbital Retaining Ligaments in Adult Cadaver Heads”. Anatomy 19, no. 3 (January 2026): 77-85.
EndNote Girgin A, Taşkınalp O (January 1, 2026) Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads. Anatomy 19 3 77–85.
IEEE A. Girgin and O. Taşkınalp, “Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads”, Anatomy, vol. 19, no. 3, pp. 77–85, 2026.
ISNAD Girgin, Ayşegül - Taşkınalp, Oguz. “Morphology and Locations of Infraorbital and Supraorbital Retaining Ligaments in Adult Cadaver Heads”. Anatomy 19/3 (January2026), 77-85.
JAMA Girgin A, Taşkınalp O. Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads. Anatomy. 2026;19:77–85.
MLA Girgin, Ayşegül and Oguz Taşkınalp. “Morphology and Locations of Infraorbital and Supraorbital Retaining Ligaments in Adult Cadaver Heads”. Anatomy, vol. 19, no. 3, 2026, pp. 77-85.
Vancouver Girgin A, Taşkınalp O. Morphology and locations of infraorbital and supraorbital retaining ligaments in adult cadaver heads. Anatomy. 2026;19(3):77-85.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).