Modified Upper Blepharoplasty Using Combination of Incision and Nonincision Surgical Approaches

Upper blepharoplasty can be divided into incision and nonincision technique. Each has its advantages and disadvantages. The author innovated a method of modified upper blepharoplasty by taking advantage of both procedures' strengths. This method involves redundant skin excision followed by double fold formation using the buried suture method. Orbicularis oculi muscle (OOM) excision or orbital fat excision may be performed if necessary, and ptosis can be corrected using Muller tucking. Lateral double fold reinforcement may be performed in older patients, where the OOM is sutured and fixed on to the levator aponeurosis in the lateral canthal area to prevent the lateral double fold from fading. This procedure was performed in 30 patients from March 2017 to February 2018, with satisfactory outcomes in most patients. Modified upper blepharoplasty is simple to perform, has fast recovery time as swelling rapidly disappears, and creates a dynamic fold.