Reasons of asymmetry after blepharoplasty and comparison around repair
10.3760/cma.j.issn.1671-0290.2021.04.006
- VernacularTitle:重睑成形术后不对称的原因及修复前后比较
- Author:
Zhenyu ZHANG
1
;
Yixi WANG
;
Xueyang LI
;
Yudong WANG
;
Shang LI
;
Yong QING
;
Junjie CHEN
;
Ying CEN
;
Zhengyong LI
;
Peisheng JIN
Author Information
1. 四川大学华西医院整形外科/烧伤科，成都 610041
- Keywords:
Blepharoplasty;
Complication;
Repair;
Scar
- From:Chinese Journal of Medical Aesthetics and Cosmetology
2021;27(4):275-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To probe into the causes, reconstructive strategies, and repair outcomes of asymmetric eyelid configuration after blepharoplasty.Methods:All 73 patients (14 males and 59 females) with asymmetric double eyelid after blepharoplasty were recruited between July 2013 and June 2018 from Department of Plastic and Burns Surgery, West China Hospital, Sichuan University. The patients aged from 18 years to 42 years with the median age of 27 years. The new double eyelid line was designed pre-operation. Releasing subcutaneous adhesion of upper eyelid entirely, trimming inferior orbicularis oculi, adjusting and comparing the attachment position of bilateral levator aponeurosis were performed during surgery. Patients and surgeons marked the appearance of double eyelid both before and after repair operation, results of which were analyzed by t-test.Results:All 73 patients obtained improved double eyelid with primary healing. During follow-up from 8 to 12 months, repaired double eyelid showed satisfactory configuration with smooth natural double eyelid line and symmetric bilateral double eyelid. Of the 73 patients, 3 (4.1%) complaint rough double eyelid line, for whom re-fixation through small incision were adopted and no complication was observed during follow-up time. Scores by patients and surgeons were both significantly better after surgery.Conclusions:Analyzing the causes of asymmetric eyelid after double-eyelid blepharoplasty and repairing it contribute to aesthetic pleasing reconstructed double eyelid.
