Clinical efficacy of modified central short incision double eyelid surgery
10.3760/cma.j.cn114453-20231128-00239
- VernacularTitle:改良式中央短切口重睑成形术的临床应用及疗效观察
- Author:
Jiangting CHEN
1
;
Chenghong LIU
;
Dianju HOU
Author Information
1. 成都八大处医疗美容医院整形外科，成都 610041
- Keywords:
Blepharoplasty;
Double eyelid plasty;
Microtraumatic operation;
Central short incision;
Ptosis
- From:
Chinese Journal of Plastic Surgery
2024;40(7):723-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of the modified central short incision minimally invasive double eyelid surgery.Methods:A retrospective analysis was conducted on patients who underwent the modified procedure at Chengdu Badachu Medical Aesthetic Hospital from September 2018 to January 2023. The modification involved extending the traditional central short incision to retain the outer fascial membrane of the orbicularis oculi muscle through shallow layer dissection. At five marked points, the skin and muscle layers of both the upper and lower eyelids were fixed to the pre-tarsal fascia. The upper eyelid orbital septum was also repositioned, postoperative evaluations were performed by doctors, scoring the upper eyelid (0-8 points, with higher scores indicating greater satisfaction) and the incision was intermittently sutured. Patient satisfaction was investigated 3 months after surgery by outpatient questionnaires or telephone follow-up.Results:Ninety-four patients (147 eyelids, including 31 with ptosis) were included. There were 28 males (49 eyelids) and 66 females (98 eyelids), aged 20-41 years, with an average age of 29.7 years. Follow-up ranged from 6 to 36 months, averaging 14 months. All incisions healed without infection, scar hyperplasia, or corneal injuries. Two cases required revision surgery for shallow folds. The remaining patients had smooth, full eyelid folds with hidden, flat incisions. Doctors evaluated the postoperative effect: 141 cases were satisfied, 4 cases were general and 2 cases were dissatisfied. Patient satisfaction: 142 cases were satisfied and above, 3 cases were generally satisfied and 2 cases were dissatisfied.Conclusion:The modified central short incision minimally invasive double eyelid surgery fully exposes the surgical field, corrects ptosis, expands indications and is simple, minimally traumatic, quick to recover from, with minimal scarring and natural result.It is an optimal method for minimally invasive double eyelid surgery.
