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Less Is Better: Full-Incision Double-Eyelid Blepharoplasty with Rapid Recovery.

Yi Zhang1, Mengjuan Li1, Shaorong Lei1

  • 1From the Department of Burn and Plastic Surgery, Xiangya Hospital, Central South University.

Plastic and Reconstructive Surgery
|May 16, 2023
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Summary

A modified full-incision double-eyelid blepharoplasty technique minimizes trauma, significantly reducing postoperative swelling and complications. This approach achieved a 92% satisfactory outcome in patients, highlighting reduced trauma as key to better results.

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Area of Science:

  • Oculoplastic surgery
  • Facial plastic surgery

Background:

  • Full-incision double-eyelid blepharoplasty is effective but associated with significant postoperative complications like swelling and trauma.
  • Tissue swelling is attributed to impaired blood and lymphatic flow, impacting patient recovery and aesthetic outcomes.

Purpose of the Study:

  • To modify the conventional full-incision double-eyelid blepharoplasty technique to minimize surgical trauma.
  • To evaluate the efficacy and safety of the modified technique in reducing postoperative complications, particularly swelling.

Main Methods:

  • A modified full-incision double-eyelid blepharoplasty technique was developed to reduce tissue trauma.
  • The modified procedure was performed on 25 patients, and outcomes were assessed postoperatively.

Main Results:

  • Patients experienced only minor, transient swelling, which resolved within 1 to 5 days.
  • No patients lost their double eyelid crease, and only 2 required revision surgery for a low crease.
  • The modified technique yielded satisfactory results in 92% of the patients (23 out of 25).

Conclusions:

  • Minimizing surgical trauma is crucial for achieving better outcomes in double-eyelid blepharoplasty.
  • The modified full-incision technique offers an effective alternative with reduced postoperative complications and high patient satisfaction.