Full-Incision Double-Eyelid Blepharoplasty with Selective Neurovascular Preservation Method

Area of Science:

• Oculoplastic Surgery
• Facial Aesthetic Surgery

Background:

• Double-eyelid blepharoplasty is a common cosmetic procedure in East Asia.
• Traditional methods can lead to undesirable outcomes like rigid eyelids and visible scarring.

Purpose of the Study:

• To introduce and evaluate a novel surgical approach, selective neurovascular preservation (SNVP), for creating a more natural and dynamic double-eyelid crease.
• To minimize complications and improve aesthetic results in blepharoplasty.

Main Methods:

• A full-incision double-eyelid surgery technique involving resection of a portion of the preseptal orbicularis oculi muscle.
• Careful preservation of longitudinally spreading upper eyelid nerves and vessels.
• Creation of 4-5 anchoring points using skin-orbicularis oculi muscle-pretarsal fascia sutures along the preserved neurovascular bundles.

Main Results:

• The study included 385 patients undergoing double-eyelid surgery with the SNVP method between May 2018 and April 2020.
• Rapid resolution of eyelid edema was observed, typically within a week and disappearing by 4 weeks.
• High patient satisfaction was reported, with 67.27% rating their results as very satisfied and 28.31% as satisfied at six-month follow-up.

Conclusions:

• The selective neurovascular preservation (SNVP) approach yields a reliable and dynamic palpebral crease with minimal scarring.
• Preserving vital upper eyelid neurovascular branches reduces postoperative complications and shortens the recovery period.