Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Area of Science:

• Oculoplastic Surgery
• Aesthetic Surgery

Background:

• Blepharoplasty is a popular plastic surgery for creating double-eyelid folds.
• Mini-incision blepharoplasty minimizes trauma and forms supratarsal folds.

Purpose of the Study:

• To evaluate a novel minimally invasive blepharoplasty technique combining mini-incisions with interrupted buried sutures.
• To assess the efficacy and patient satisfaction of this approach for double-eyelid creation.

Main Methods:

• The technique involves marking supratarsal folds, dividing them into cutting and noncutting lines.
• Orbicularis-tarsus fixation and a small muscle strip removal were used for cutting lines.
• Interrupted buried sutures were applied for noncutting lines to create fixed points.

Main Results:

• Forty-two patients underwent the bilateral minimally invasive blepharoplasty.
• The average follow-up was 35.91 months, with only one patient requiring revision surgery.
• All patients reported high satisfaction with their aesthetic outcomes.

Conclusions:

• This minimally invasive blepharoplasty approach causes minimal pretarsal tissue damage.
• The technique effectively creates robust supratarsal folds.
• The procedure is relatively easy for novice surgeons to perform.