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Related Experiment Videos

Simplified anatomic method of double-eyelid operation: septodermal fixation technique

J S Lee1, W J Park, M S Shin

  • 1Institute of Cosmetic and Plastic Surgery, Samsung Medical Center, Seoul, Korea.

Plastic and Reconstructive Surgery
|July 1, 1997
PubMed
Summary

The aponeurosis fuses above the upper tarsal border in Oriental eyelids, contrary to traditional beliefs. A new septodermal fixation technique created natural eyelid folds with reduced complications.

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Area of Science:

  • Ophthalmic plastic surgery
  • Anatomy of the eyelid

Background:

  • The conventional understanding places the fusion of the aponeurosis and orbital septum below the upper tarsal border in Oriental individuals.
  • This study challenges this long-held anatomical concept.

Purpose of the Study:

  • To investigate the precise anatomical relationship between the aponeurosis and orbital septum in Oriental eyelids.
  • To introduce and evaluate a novel surgical technique for creating double eyelid folds.

Main Methods:

  • Anatomical analysis of eyelid structures in 502 patients.
  • Surgical intervention using a septodermal fixation technique in 512 patients over three years.
  • Evaluation of complications and fold aesthetics post-surgery.

Main Results:

Related Experiment Videos

  • The aponeurosis was found to fuse with the orbital septum above the upper tarsal border in the majority of patients studied.
  • Distinct fascial layers anterior to the orbital septum were identified.
  • The septodermal fixation technique resulted in less edema and discomfort, with more natural-looking and adjustable eyelid folds.
  • High patient satisfaction with the aesthetic outcomes was reported.

Conclusions:

  • The anatomical fusion point of the aponeurosis and orbital septum in Oriental eyelids is predominantly above the upper tarsal border.
  • The septodermal fixation technique offers a superior method for double eyelid creation, yielding natural results and improved patient outcomes.