Application of blepharoplasty by "double-line method" in improving upper eyelid skin relaxation
10.3760/cma.j.cn114453-20240329-00082
- VernacularTitle:双划线法重睑成形术在改善上睑皮肤松弛中的应用
- Author:
Zihan XU
1
;
Shengzhi MU
1
;
Feng HAN
1
;
Guodong WANG
1
;
Jianwu LI
1
;
Liang WANG
1
;
Na WANG
1
Author Information
1. 陕西省人民医院烧伤整形医学美容外科，西安 710000
- Publication Type:Journal Article
- Keywords:
Blepharoplasty;
Eyelids;
Cutis laxa;
Double-line method;
Rejuvenation of periocular area
- From:
Chinese Journal of Plastic Surgery
2025;41(1):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of blepharoplasty using the "double-line technique" in addressing upper eyelid skin laxity in middle-aged and elderly patients.Methods:A retrospective analysis was conducted on the clinical data of middle-aged and elderly patients with moderate to severe upper eyelid skin laxity who were admitted to the Plastic Surgery Department of Shaanxi Provincial People’s Hospital between January 2020 and January 2023. The same surgeon performed the "double-line" blepharoplasty to excise excess upper eyelid skin for laxity correction. Patients were positioned flat with their eyes closed; an arcuate line a (5-7 mm above the pupil) and a second line b (aligned with the eyelid margin in an upright position) were marked. The skin between these two lines was excised. Postoperatively, the double eyelid shape, improvement in skin laxity, adverse reactions, and patient satisfaction (categorized as satisfied, basically satisfied, unsatisfied) were assessed.Results:A total of 145 patients were included in the study, comprising 27 males and 118 females. Their ages ranged from 38 to 78 years, with an average age of 52 years. All patients’ incisions healed primarily without complications such as hematoma and infection. During the 3 to 12 months of follow-up after surgery, the double eyelid arcs on both sides appeared symmetrical and natural. The upper eyelid laxity was effectively corrected, obscured vision was improved, crow’s feet were reduced, and the periorbital area was rejuvenated. Patient satisfaction with the surgical results was high, with 112 patients reporting satisfaction, 25 reporting basically satisfied, and 8 reporting dissatisfaction. The overall satisfaction rate reached 94.48%(137/145). Among those dissatisfied, 6 cases cited the double eyelid crease as being too narrow, and 2 cases noted asymmetry in the double eyelid crease.Conclusion:The "double-line method" for blepharoplasty is straightforward to perform and effectively removes excess upper eyelid skin. It is suitable for middle-aged and elderly patients with moderate to severe upper eyelid skin laxity, resulting in favorable surgical outcomes.
