A modified mini-incisional technique for double-eyelid blepharoplasty.

Area of Science:

• Oculoplastic Surgery
• Cosmetic Surgery
• Asian Blepharoplasty

Background:

• Double-eyelid blepharoplasty is a highly popular cosmetic procedure in Asia.
• The demand for aesthetically pleasing eyelid surgery continues to grow.
• Existing techniques may have limitations in terms of invasiveness or aesthetic outcome.

Purpose of the Study:

• To present a modified mini-incisional technique for creating double eyelids.
• To evaluate the efficacy and patient satisfaction of this novel surgical approach.
• To assess the complication profile and long-term results of the modified technique.

Main Methods:

• A modified mini-incisional upper blepharoplasty technique was performed on 372 patients (aged 16-34).
• The technique involved four 2 mm incisions, removal of orbicularis muscle and fat pads, and sutures to fix skin to pretarsal fascia.
• The double-eyelid crease was formed by suturing the skin to the pretarsal fascia along the designed line.

Main Results:

• A high patient satisfaction rate of 92% was reported after a mean follow-up of nine months.
• The most common complication was temporary swelling; asymmetries and fold shifting were observed in a small percentage and corrected.
• Scars from incisions became invisible within a year, and no severe complications were noted.

Conclusions:

• The four mini-incisional blepharoplasty technique is effective for creating natural and durable double eyelids.
• This method is suitable for patients with single eyelids, excluding those with significant skin redundancy.
• The technique offers a safe and successful option for double eyelid formation with excellent aesthetic outcomes.