Combination of orbicularis oculi muscular myolemma release and orbital septum reset to create double eyelid
10.3760/cma.j.issn.1009-4598.2019.06.004
- VernacularTitle: 眼轮匝肌浅深层肌膜释放和眶隔高位重置在切开法重睑术中的应用
- Author:
Liqiang LIU
1
;
Jincai FAN
;
Leren HE
;
Tao YANG
;
Hu JIAO
;
Zengjie YANG
;
Cheng GAN
;
Jia TIAN
;
Tiran ZHANG
;
Yihua CHEN
;
Hongbo CHEN
Author Information
1. Department No 9 of Plastic Surgery Hospital, Chinese Academy Medicine Science, Peking Union Medical College, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Orbicularis oculi muscle;
Orbital septum reset;
Doubling eyelid operation by incision method
- From:
Chinese Journal of Plastic Surgery
2019;35(6):533-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore a surgical method for the reconstruction of naturally dynamic double eyelid by fully reserving orbicularis oculi muscle.
Methods:Incisional double eyelid blepharoplasty were performed on 352 patients. Orbicularis oculi muscle in incisional and pretarsal area were completely preserved. Muscle was elevated from plate by resecting deep muscular myolemma and muscles to form pretarsal myocutaneous flap. Thereafter, the orbital septum was completely exposed. The free end of muscle flap was fixed to a higher position of the levator aponeurosis. The orbital septum was repaired at the same time.
Results:From June 2009 to December 2017, 352 patients were performed double eyelid blepharoplasty using above technique. They are 337 females and 15 males. Fifty-two patients were followed up for 6-60 months, with the mean time of 27 months. All the incisions were uneventfully healed. The new double eyelid presented smooth appearance, and the so-called " sausage" phenomena were not noticed. There was no concave groove or step-like deformity when eyes closed. Forty-five patients were satisfied with the outcomes. Two patients had shallower supratarsal folds on one side, and 1 patient underwent secondary repair. Two patients complained about asymmetry. Two patients suffered from mild unilateral eyelash eversion (without need of reparation).
Conclusions:The combined application of deep and superficial myolemma release of the orbicularis oculi muscle, and orbital septum reset, could create a double eyelid with natural and dynamic appearance.
