Orbicularis-levator-tarsus composite suture technique in double-eyelid operation

Area of Science:

• Ophthalmology
• Plastic Surgery
• Aesthetic Surgery

Background:

• Fold loss and suture extrusion are common complications in traditional double-eyelid surgeries.
• Existing techniques may not provide sufficient long-term aesthetic results.

Purpose of the Study:

• To evaluate a novel composite suture technique for upper-eyelid blepharoplasty.
• To reduce complications and enhance long-term aesthetic outcomes in double-eyelid surgery.

Main Methods:

• A modified upper-eyelid blepharoplasty using a three-stitch composite suture technique was performed on 98 patients.
• The technique fixates the orbicularis oculi, levator aponeurosis, and tarsal plate.
• Follow-up ranged from 6 to 30 months, with outcomes assessed by surgeons and patients.

Main Results:

• 91% of patients achieved excellent results, and 9% had good results; no fair or poor outcomes were reported.
• No suture extrusion or fold disappearance occurred during follow-up.
• Minor scar formation in 4% resolved without intervention; all patients reported satisfaction.

Conclusions:

• The composite suture technique offers firmer fixation and improved aesthetic results in upper-eyelid blepharoplasty.
• This method is highly applicable and reliable for achieving superior patient outcomes.
• The technique effectively minimizes common surgical complications.