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Related Experiment Video

Updated: May 16, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty.

Tsutomu Mizuno1

  • 1Anesis Biyogeka Clinic, Okazaki, Japan. anesis@biyoclinic.com

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 13, 2012
PubMed
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Modified buried suture techniques improve double-eyelid blepharoplasty outcomes. Transconjunctival fixation reduces complications, while muscle resection enhances fold durability, offering safer and more effective cosmetic eyelid surgery.

Area of Science:

  • Ophthalmic Plastic Surgery
  • Cosmetic Surgery
  • Oculoplastic Surgery

Background:

  • Double-eyelid blepharoplasty utilizes incision or suture methods.
  • Buried suture techniques involve foreign material, posing potential complications.
  • Modified techniques aim to minimize suture-related issues in blepharoplasty.

Purpose of the Study:

  • To present two modified techniques for buried suture double-eyelid blepharoplasty.
  • To reduce suture-related complications.
  • To enhance the durability of the double-eyelid fold.

Main Methods:

  • Retrospective study of 349 patients from June 2002 to December 2010.
  • Utilized transconjunctival tarsal fixation without penetrating the tarsal plate.
  • Employed buried suture blepharoplasty combined with pretarsal orbicularis oculi muscle resection.

Related Experiment Videos

Last Updated: May 16, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
03:59

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Main Results:

  • Transconjunctival tarsal fixation showed no conjunctival complications or suture extrusion.
  • The double-eyelid fold loss rate was significantly lower with muscle resection (9.6%) compared to standard buried suture (26%).
  • Muscle resection may increase the risk of blepharoptosis.

Conclusions:

  • Transconjunctural tarsal fixation is a simple technique that reduces suture-related complications.
  • Resection of the pretarsal orbicularis oculi muscle improves the longevity of the double-eyelid fold.
  • These modified techniques offer improved safety and efficacy in blepharoplasty.