Objective:To investigate the clinical effect of the orbital septum-method for the repair of pretarsal fullness after double eyelid blepharoplasty.Methods:Date of patients with pretarsal fullness double eyelid who underwent repair surgery in Hunan Provincial People’s Hospital from January 2020 to December 2020 were anlalyed retrospectively. All patients were treated with orbital septum-method double eyelid blepharoplasty. During the operation, the scar adhesion was completely released. After the loose adipose fascia tissue under the muscle was removed, the orbital septum was cut horizontally. Using the fusion of the levator aponeurosis with septum as a pedicle, the lower part of the orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. We evaluated the outcomes of this double eyelid repair surgery in the patients undergoing the procedure.Results:Fifty-one patients in this group were followed up for 6-12 months. At 7 days postoperatively, the skin wounds were well healed and the sutures were removed in all patients. At 6-12 months postoperatively, the surgical results were satisfactory in 41 patients (satisfactory rate was 80.4%), basically satisfactory in 8 patients, and unsatisfactory in 2 patients. These two patients had obvious bilaterally asymmetrical double-eyelid folds, one eye was obviously bigger than the other, and the smaller eye displayed mild ptosis. After reoperation to correct the mild ptosis, the results were rated as basically satisfactory.Conclusion:The use of orbital septum-method in the repair of pretarsal fullness double eyelid after surgery has a good effect.

Objective:To investigate the clinical effect of the orbital septum-method for the repair of pretarsal fullness after double eyelid blepharoplasty.Methods:Date of patients with pretarsal fullness double eyelid who underwent repair surgery in Hunan Provincial People’s Hospital from January 2020 to December 2020 were anlalyed retrospectively. All patients were treated with orbital septum-method double eyelid blepharoplasty. During the operation, the scar adhesion was completely released. After the loose adipose fascia tissue under the muscle was removed, the orbital septum was cut horizontally. Using the fusion of the levator aponeurosis with septum as a pedicle, the lower part of the orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. We evaluated the outcomes of this double eyelid repair surgery in the patients undergoing the procedure.Results:Fifty-one patients in this group were followed up for 6-12 months. At 7 days postoperatively, the skin wounds were well healed and the sutures were removed in all patients. At 6-12 months postoperatively, the surgical results were satisfactory in 41 patients (satisfactory rate was 80.4%), basically satisfactory in 8 patients, and unsatisfactory in 2 patients. These two patients had obvious bilaterally asymmetrical double-eyelid folds, one eye was obviously bigger than the other, and the smaller eye displayed mild ptosis. After reoperation to correct the mild ptosis, the results were rated as basically satisfactory.Conclusion:The use of orbital septum-method in the repair of pretarsal fullness double eyelid after surgery has a good effect.