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Small-Incisional Techniques for Double-Eyelid Blepharoplasty: A Systematic Review
Panxi Yu1, Sen Chen2, Tianyi Gu1
1The Second Department of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, People's Republic of China.
Aesthetic Plastic Surgery
|November 8, 2022
Summary
Small-incisional double-eyelid surgery offers a safe and reproducible method for creating aesthetically pleasing eyelids. Various small-incision techniques demonstrate acceptable complication and fold-loss rates compared to other methods.
Area of Science:
- Oculoplastic surgery
- Aesthetic surgery
Background:
- Small-incisional double-eyelid surgery is increasingly popular.
- Techniques vary in incision number, debulking, and fixation methods.
- A comprehensive review is needed to compare surgical outcomes.
Approach:
- A systematic literature review was performed using PubMed and Cochrane databases up to June 2022.
- Included studies focused on small-incisional blepharoplasty with extractable data.
- Articles were grouped by the number of incisions for comparative analysis.
Key Points:
- 13 articles involving 4177 patients were reviewed.
- Single-incision (5 studies) and three-incision (5 studies) techniques showed pooled complication rates of 5% and fold-loss rates of 2%.
- No significant differences in outcomes were observed between techniques.
Conclusions:
- Small-incisional techniques provide a simple, safe, and reproducible approach to double-eyelid creation.
- These methods reduce recovery time and ensure firm fixation.
- Complication and fold-loss rates are comparable to non-incisional and full-incisional techniques.
