A physiology-mimic double eyelid blepharoplasty by relocating and reconnecting of aponeurotic flap with tarsus
10.3760/cma.j.cn114453-20210217-00069
- VernacularTitle:上睑提肌腱膜重置的仿生重睑术
- Author:
Xue DONG
1
;
Xianyu ZHOU
;
Yirui SHEN
;
Jun YANG
Author Information
1. 吉林大学第一医院整形美容科，长春 130031
- Keywords:
Blepharoplasty;
Double-eyelid blepharoplasty;
Levator aponeurosis;
Blepharotosis;
Physiological
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1382-1389
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a new technique of double eyelid blepharoplasty by manipulating the relocation and reconnection of aponeurotic flap with tarsus (Bridge Technique), which can achieve physiological, dynamic, natural-looking and minimal-scar double eyelids.Methods:From September 2018 to January 2020, subjects from the Han ethnicity who received double eyelid blepharoplasty using our "Bridge Technique" in the Department of Plastic and Reconstructive Surgery, the Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, were included. The overall aesthetic outcomes were comprehensively graded as good, moderate and poor both by doctors and patients regarding on palpebral fissure, the smoothness of eyelid margin and double eyelid, evenness of incision, symmetry and relapse rate, respectively.Results:151 subjects, including 127 female and 24 male, were included. Their age ranged from 18-41 years old (mean, 27.1 years). At the follow-up of 6-month post-surgery, 90.7% (137 cases), 7.3% (11 cases) and 2.0% (3 cases) of their aesthetic outcomes were graded as good, moderate and poor by three single-blinded doctors, respectively. 86.1% (130 cases), 11.9% (18 cases) and 2.0% (3 cases) were graded as good, moderate and poor by the patients themselves. The overall follow-up period ranged from 6-18 months (mean, 12.7 months). The long-term outcomes were achieved to be stable without any complications.Conclusions:The "Bridge Technique" , which is the tarsal-fixation with aponeurotic flap linkage in blepharoplasty, has been proven as an effective technique for creating dynamic, stable, natural-looking and physiological double eyelids. In addition, it can also effectively avoid unsatisfactory corneal exposure rate which might be caused by the mild ptosis with poor levator function.
