Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds

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.