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![Modified lower eyelid blepharoplasty improves aesthetic outcomes in patients with hypoplastic malar prominences](https://image.oaes.cc/4e0a2050-61a5-483a-8660-08d9dbebc241/2341.fig.2.png)
Figure 2. Volume augmentation over the inferior orbital rim and malar tissue lift and lateral canthopexy. (A) The post septal fat in all three compartments is teased into a uniform apron; (B) plication of the inferior orbital septum and redraping of post septal fat over the infraorbital margin (first layer of volume augmentation); (C) sub orbicularis oculi fat pad double-breasting over the post septal fat on the infraorbital margin (second layer of volume augmentation while simultaneously lifting malar tissues) see arrow; (D) three to four similar sutures are used from medial to lateral; (E) excision of excess muscle; (F) lateral canthopexy suture