Modified double-eyelid blepharoplasty with the combined partial- And minimal-incision method

Area of Science:

• Oculoplastic surgery
• Aesthetic surgery

Background:

• Double-eyelid surgery is a prevalent cosmetic procedure among East Asian populations.
• The partial-incision method offers advantages over full-incision and non-incision techniques, yielding predictable and lasting results.
• This technique aims to create a durable double-eyelid crease with minimal scarring.

Purpose of the Study:

• To present a modified partial-incision technique for double-eyelid surgery.
• To achieve a long-lasting double-eyelid crease with a minimal scar.
• To detail a specific surgical approach involving a small, minimal incision.

Main Methods:

• A modified partial incision technique was employed, featuring a small incision near the lateral limbus.
• Surgical steps included dissection of orbicularis oculi muscle, removal of pretarsal orbicularis oculi, anterior tarsal fascia, and anterior tarsal fat.
• The skin, dermis, and orbicularis oculi were sutured to the pretarsal fascia.

Main Results:

• The study included 138 patients undergoing the modified partial-incision double-eyelid surgery between July 2016 and September 2018.
• Follow-up data from 119 patients indicated stable postoperative eyelid shape and height.
• Minor complications included unilateral fold loss in 2.17% and bilateral narrow folds in 0.87% of patients, with no serious adverse events.

Conclusions:

• The modified partial-incision technique provides stable and satisfactory outcomes for double-eyelid creation.
• This method results in no visible scarring and avoids serious complications.
• The technique is effective for achieving a durable double-eyelid crease with aesthetic results.