Supraciliary Incision as a New Double-Eyelid Approach for Asian Patients: Clinical Experience of 528 Cases
- PDF / 4,425,430 Bytes
- 15 Pages / 595.276 x 790.866 pts Page_size
- 23 Downloads / 161 Views
ORIGINAL ARTICLE
OCULOPLASTIC
Supraciliary Incision as a New Double-Eyelid Approach for Asian Patients: Clinical Experience of 528 Cases Li-Ping Ouyang1 • Ning-Xin Cheng1
Received: 10 April 2020 / Accepted: 9 June 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Background The double-eyelid operation is the most requested cosmetic surgery in Asians. The incision is usually located at the pretarsal skin 6 mm to 8 mm above palpebral margin. The purpose of this paper is to report a novel approach of double-eyelid operation through a supraciliary incision (SCI). Methods Three transverse curved lines were drawn on the upper lid skin. The location of line 1 (SCI) was 1.5 mm above the eyelash, line 2 according to the amount of redundant skin excised and line 3 at 3 mm to 4 mm above line 2. After the incisions were made between line 1 and line 2, the subcutaneous dissection is carried out over 5 mm the line 3. Then, the redundant skin and a strip orbicularis oculi muscle were removed to open the orbital septum and to explore underside levator aponeurosis. Along the line 3, the internal buried fixation sutures between dermal tissue and the fusion line of the orbital septum and levator aponeurosis were placed. Finally, the wounds were closed between line 2 and line 1. Results There were 528 patients who underwent the double-eyelid operation through the supraciliary approach. In long-term follow-up, 288 patients were evaluated at 6 months to 78 months postoperatively. Of those, 266 patients were satisfactory for the result (92.36%) with
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01838-4) contains supplementary material, which is available to authorized users. & Ning-Xin Cheng [email protected] 1
Department of Plastic and Cosmetic Surgery, Wuxi Aist Plastic and Aesthetic Hospital, Aist Aesthetic Medical Group, 813 East Jiefang Road, Wuxi 214000, Jiangsu, China
natural shape and invisible surgical scar. In another 22 patients (7.63%), a revised blepharoplasty was performed in 22 eyelids. Conclusion The double-eyelid surgery using the SCI has several advantages including less visibility of the incision, the protected subdermal vascular network, the intact continuity of the upper eyelid skin, the combination of the SCI and internal dermal buried suture method. The approach can be considered an efficient technique for Asian patients. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Blepharoplasty Double-eyelid surgery Supraciliary incision
Introduction Lack of a supratarsal fold is one of the characteristic appearances of East Asian person’s eyelids. The reason is no fibrous connection between the eyelid skin dermis and the levator aponeurosis and
Data Loading...
