Clinical effects of pretarsal orbicularis-tarsus fixation technique in double eyelidplasty
10.3760/cma.j.issn.1671-0290.2021.04.009
- VernacularTitle:切开入路眼轮匝肌-睑板固定法重睑成形术的效果
- Author:
Weiyi SUN
1
;
Ningbei YIN
;
Tao SONG
;
Di WU
;
Haidong LI
;
Yongqian WANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院整形一科，北京 100144
- Keywords:
Blepharoplasty;
Orbicularis-tarsus fixation;
Technique modification
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2021;27(4):285-288
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the aesthetic outcome of the pretarsal orbicularis-tarsus fixation technique in incisional double eyelid blepharoplasty.Methods:Postoperative results were evaluated from 798 patients who underwent the orbicularis-tarsus fixation blepharoplasty from January 2015 to December 2018. Based on an incisional maneuver, soft tissue was carefully removed to expose the superior edge of tarsus, then the pretarsal orbicularis oculi muscle was anchored on the tarsus. For skin closure, both skin margins, a small bite of subcutaneous tissue and the pretarsal fascia were interruptedly sutured to enhance cicatricial adhesion.Results:All patients successfully underwent double eyelidplasty using this modified technique. The follow-up period ranged from two to forty-six months, with a mean period of twenty months. Ninety-six percent of the patients were satisfied with postoperative outcomes. Twenty-two cases of palpebral fold asymmetry and ten cases of unsatisfactory fold formation near the inner canthus were encountered. However, all the defects had been well improved by minor revisions. No supratarsal crease drooping or disappearing, suture spitting out, scar hypertrophy or crease depression were observed postoperatively.Conclusions:The orbicularis-tarsus fixation method is a reliable technique for double eyelid plasty. It enables high feasibility and long-lasting result, with lower risk of postoperative complications.
