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Updated: Nov 28, 2025

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Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds.

Jiuzuo Huang1, Shouyun Feng2, Ruijia Dong3

  • 1Division of Plastic Surgery, Department of Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

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|November 30, 2020
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Summary

This study introduces a new technique for secondary upper blepharoplasty to convert static double-eyelid folds into dynamic ones. The method reconstructs pretarsal tissue defects, achieving high patient satisfaction and natural-looking results.

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Area of Science:

  • Ophthalmic plastic surgery
  • Reconstructive surgery

Background:

  • Static double-eyelid folds are common in patients seeking secondary upper blepharoplasty.
  • These folds are characterized by immobility and depression.

Purpose of the Study:

  • To propose and evaluate a novel technique for reconstructing pretarsal tissue defects (PTDs).
  • The goal is to convert static double-eyelid folds into dynamic ones.

Main Methods:

  • Revision surgery was performed on 203 patients with static folds.
  • Techniques included adhesion release and reconstruction of PTDs using retro-orbicularis oculi fat grafts or orbicularis oculi muscle flaps.

Main Results:

  • The technique successfully converted static folds to dynamic folds in patients with severe static folds.
  • High surgery satisfaction rate of 86.7% was reported.
  • Complications were generally minor and infrequent.

Conclusions:

  • A novel technique effectively converts static folds to dynamic folds by reconstructing PTDs.
  • The method offers a high patient satisfaction rate and mimics natural double-eyelid fold dynamics.