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A Modified Procedure for Blepharoplasty: Physiological Structure Reconstruction of Upper Eyelids
Yuting Wang1, Yong Cao2, Aiguo Xie3
1Department of Plastic and Aesthetic Surgery, Yuhuangding Hospital, Qingdao University School of Medicine, Yantai, Shandong.
The Journal of Craniofacial Surgery
|January 25, 2020
Summary
This study presents a new double eyelid surgery technique to create natural, dynamic eyelids matching congenital ones. The procedure achieved high symmetry and natural results in 352 patients.
Area of Science:
- Oculoplastic surgery
- Cosmetic surgery
- Anatomy of the eyelid
Background:
- Double eyelid surgery is a popular cosmetic procedure in China.
- Achieving results that mimic natural, congenital double eyelids remains a challenge.
Purpose of the Study:
- To explore a surgical design and procedure for creating natural and dynamic double eyelids.
- To ensure the acquired double eyelids match congenital ones in both appearance and movement.
Main Methods:
- Retrospective review of 352 patients (704 eyes) from October 2012 to October 2018.
- Detailed surgical steps including incision design, muscle flap dissection, orbital septum exposure, and layered closure.
- Suturing the orbicularis myocutaneous flap to the levator aponeurosis to reconstruct physiological structure.
Main Results:
- High success rate with natural, symmetrical, and parallel creases in most patients.
- Minor complications included slight asymmetry (8.2%) and shallow creases (2.0%).
- Absence of "sausage-like" appearance when opening eyes and no depressed scars when closing eyes, mimicking congenital features.
Conclusions:
- The developed double eyelid operation effectively reconstructs the upper eyelid's physiological structure.
- This technique yields dynamic double eyelids that are aesthetically and functionally consistent with congenital double eyelids.