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Related Experiment Videos

The double-eyelid operation without supratarsal fixation.

Y H Bang1

  • 1Inha General Hospital, Plastic Surgery Department, Kyung Gi Do, Korea.

Plastic and Reconstructive Surgery
|July 1, 1991
PubMed
Summary

This study suggests that reducing excess eyelid soft tissue, rather than levator muscle fixation, is key to creating a double eyelid. The modified surgical technique focuses on soft tissue removal for effective double eyelid formation.

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Area of Science:

  • Ophthalmic Plastic Surgery
  • Cosmetic Surgery
  • Anatomy of the Eyelid

Background:

  • Double eyelid formation is influenced by levator insertion into the skin and the soft tissue layer.
  • The relative importance of these two factors in creating the supratarsal crease is debated.
  • Existing surgical methods often involve fixation to the levator aponeurosis or tarsal plate.

Purpose of the Study:

  • To investigate the role of soft tissue volume in double eyelid formation.
  • To propose and evaluate a modified surgical approach focusing on soft tissue reduction.
  • To assess the efficacy of removing excessive soft tissue without fixation for creating a double eyelid.

Main Methods:

  • A modified surgical technique was developed and performed.

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  • The procedure involved the targeted removal of excessive soft tissue.
  • Crucially, the technique avoided fixation to the levator aponeurosis or tarsal plate.

    • Main Results:

    • The modified operation successfully created a double eyelid.
    • The results suggest that soft tissue volume is a significant determinant of double eyelid creation.
    • The technique achieved the desired aesthetic outcome without complex fixation procedures.

    Conclusions:

    • Excessive soft tissue removal is a primary factor in successful double eyelid surgery.
    • A modified approach focusing on soft tissue reduction offers an effective alternative to fixation methods.
    • This technique provides a simpler yet efficient method for double eyelid creation.