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Oriental double eyelid: a limited-incision technique.
1Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul.
Annals of Plastic Surgery
|April 28, 2001
Summary
A new limited-incision, single-stitch double-eyelid surgery offers a durable, natural fold with minimal tissue injury. This innovative technique combines the benefits of traditional methods while avoiding their drawbacks, suitable for various eyelid types.
Area of Science:
- Oculoplastic Surgery
- Cosmetic Surgery
Background:
- Traditional double-eyelid surgery includes non-incision and incision techniques.
- Non-incision methods have minimal edema but high fold disappearance rates and are unsuitable for fatty eyelids.
- Incision methods have contrary characteristics, often involving more significant tissue manipulation.
Purpose of the Study:
- To introduce a novel limited-incision, single-stitch technique for double-eyelid surgery.
- To provide an alternative that minimizes tissue injury and ensures adequate fold formation.
- To combine the advantages of both non-incision and incision techniques while mitigating their disadvantages.
Main Methods:
- A small single incision (3-4 mm) is made in the upper eyelid.
- Orbital fat removal is performed through the incision if indicated.
- A single stitch secures the levator aponeurosis or tarsus to the pretarsal dermis under direct vision.
Main Results:
- The technique creates a durable and natural-looking double eyelid fold.
- It results in minimal postoperative edema and a short recovery time.
- The procedure is applicable to patients with fatty eyelids.
Conclusions:
- The limited-incision, single-stitch technique offers a superior alternative for double-eyelid creation.
- It effectively balances efficacy, aesthetics, and patient recovery.
- This method provides a reliable option for a wide range of patients seeking double-eyelid surgery.