Clinical application of firm-suspension technique in Oriental blepharoplasty
10.3760/cma.j.cn114453-20211125-00451
- VernacularTitle:硬悬吊技术在东方人重睑成形术中的临床应用
- Author:
Haifu ZHAO
1
;
Huan LIU
;
Xiangjun LIU
;
Bairong FANG
Author Information
1. 中南大学湘雅二医院整形美容（烧伤）外科，长沙 410011
- Keywords:
Blepharoplasty;
Eyelids;
Plastics;
Cosmetics;
Rejuvenation;
Surgical method;
Double eyelid blepharoplasty;
Firm-suspension technique
- From:
Chinese Journal of Plastic Surgery
2023;39(2):154-160
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effectiveness of the firm-suspension technique in Oriental double eyelid blepharoplasty.Methods:From March 2019 to March 2021, the clinical data of patients undergoing incision double eyelid blepharoplasty with firm-suspension technique in the Department of Plastic and Cosmetic (Burn) Surgery of the Second Xiangya Hospital of Central South University and the Department of Plastic Surgery of Changsha Mylike Medical Cosmetic Hospital were retrospectively analyzed. All the internal fixation method in this study were firm-suspension technique: the levator aponeurosis, the remnants of the orbital septum, and the lower lip incision orbicularis oculi muscle were fixed to the upper edge of the tarsal plate. The height, curvature and incision scar of the double eyelid line were observed during the postoperative follow-up. The surgery doctor, patients and a third party surgeon compared photos before and more than 3 months after the operation to evaluate the effect of the operation. Three parties were satisfied as significantly effective, two parties were satisfied as effective, one party was satisfied as normal, and all were dissatisfied as poor.Results:A total of 50 patients (100 eyes) were included, including 47 females and 3 males, ranging in age from 17 to 45 years old, with an average age of 25 years. All the patients had congenital bilateral single eyelid, 43 cases underwent double eyelid surgery for the first time, and 7 patients underwent revision double eyelid surgery. The postoperative follow-up was 3 to 12 months, with an average of 6 months. All incisions were healed by primary intention. Two patients had asymmetric double eyelid folds, and the remaining 48 patients had stable double eyelid folds in shape, natural curvature, appropriate height and width, bilateral symmetry, no obvious scar, postoperative effect evaluation: 42 patients were significantly effective, 6 were effective, 2 were normal, and the satisfaction rate was 96% (48/50).Conclusion:The firm-suspension technique in Oriental blepharoplasty can obtain satisfactory postoperative appearance, and the double eyelid fold was stable.
