Application of double-flap in eyelid blepharoplasty

VernacularTitle:双瓣法在睑袋成形术中的应用
Author: Benshou ZHANG ; Zengnan LI ; Liping XU ; Hui CHU ; Chao XIE ; Zhijiu XU ; Zihao LIN
Publication Type:Journal Article
Keywords: Flap and muscle flap method; Eyelid blepharoplasty
From: Chinese Journal of Medical Aesthetics and Cosmetology 2014;20(6):419-421
CountryChina
Language:Chinese
Abstract: Objective To explore the methodology of skin flap muscle flap (double flaps) and and effect of the double flaps on eyelid bag blepharoplasty.Methods Through lower eyelid incision,skin flap and muscle flap were formed,orbicularis muscle and orbital septum separated between the skin and flaps,direct access to the inferior orbital rim depression.Arcuate edge of the orbicularis muscle was fully stripped and released,especially the orbicularis muscle at the inferior orbital rim periosteal surface.The orbital fat was released,sutured below the inferior orbital rim periosteal surface.The orbicularis muscle flap was designed,lift and fixed to enhance midface to achieve the rejuvenation effect in the lower eyelid region.Results The 36 patients treated had no hematoma and flinch in the lower eyelid.Within 3 to 18 months follow-up,there were no ectropion,and facial nerve damage and other complications.Conclusions Double-flap is a feasible method as it can effectively enhance midface rejuvenation and correct eyelid bags deformity.