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Aesthetic Plastic Surgery

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01-10-2021 | Blepharoplasty | Original Article

Mini-incision Blepharoplasty with Pretarsal Fasciectomy for Double-Eyelid Surgery

Authors: Min Ge, Sida Pan, Feng Ni, Zheng Bie, Dong Yu, Nan Song

Published in: Aesthetic Plastic Surgery | Issue 5/2021

Abstract

Background

Double-eyelid surgery has been one of the most popular aesthetic surgeries in oriental populations. The objective of this study was to introduce a simple procedure for double-eyelid surgery.

Methods

The mini-incision blepharoplasty with pretarsal fasciectomy technique is described and illustrated. Blepharoplasty cases in our practice from June 2018 to December 2019 were retrospectively reviewed. Patients who underwent mini-incision blepharoplasty with pretarsal fasciectomy were followed up for at least 6 months.

Results

Of 280 blepharoplasty cases, 32 patients underwent mini-incision blepharoplasty with pretarsal fasciectomy on both upper eyelids. Nineteen patients experienced resolve of swelling within 5 days postoperatively. No loss of fold was observed during follow-up. The satisfaction rate was 93.8%.

Conclusions

The mini-incision blepharoplasty with pretarsal fasciectomy is ideal for selected patients requesting double-eyelid surgery. It provides stable, natural, scarless result with minimum complication and rapid recovery.

Level of evidence

IV.

Zhang M-Y, Yang H, Li C-Y et al (2012) Removal of a large amount of pretarsal tissue through three mini incisions in the construction of a double eyelid. Aesth Plast Surg 36:1039–1046. https://doi.org/10.1007/s00266-012-9950-xCrossRef

Chen B, Song H, Gao Q et al (2017) Measuring satisfaction with appearance: validation of the FACE-Q scales for double-eyelid blepharoplasty with minor incision in young Asians-retrospective study of 200 cases. J Plast Reconstr Aesthet Surg 70:1129–1135. https://doi.org/10.1016/j.bjps.2017.05.028CrossRefPubMed

Bi YL, Zhou Q, Hu XS, Xu W (2011) Small-incision orbicularis–levator fixation technique: a modified double-eyelid blepharoplasty for treating trichiasis in young Asian patients. J Plast Reconstr Aesthet Surg 64:1138–1144. https://doi.org/10.1016/j.bjps.2011.04.003CrossRefPubMed

Jinghe Z, Huifang X, Lihong W et al (2014) Three mini-incision double-eyelid blepharoplasty. Ann Plast Surg 72:141–144. https://doi.org/10.1097/SAP.0b013e318264fd40CrossRefPubMed

Wang X, Wang H (2020) Anatomical study and clinical observation of retro-orbicularis oculi fat (ROOF). Aesth Plast Surg 44:89–92. https://doi.org/10.1007/s00266-019-01530-2CrossRef

Homma K-I, Mutou Y, Mutou H et al (2000) Intradermal stitch blepharoplasty for Orientals: does it disappear? Aesthetic Plast Surg 24:289–291. https://doi.org/10.1007/s002660010048CrossRefPubMed

Zhang Y, Yuan L, Sun B, et al (2010) Repair of unsatisfactory double eyelid after double-eyelid blepharoplasty in Asian patients. Arch Facial Plast Surg 12. https://doi.org/10.1001/archfacial.2010.40

Park JI (1999) Orbicularis-levator fixation in double-eyelid operation. Arch Facial Plast Surg 1:6CrossRef

Wu LW, Ye Z, Xu Y et al (2015) Orbicularis–levator–tarsus composite suture technique in double-eyelid operation. J Plast Reconstr Aesthet Surg 68:1079–1084. https://doi.org/10.1016/j.bjps.2015.04.009CrossRefPubMed

10.

Sun W, Wang Y, Song T et al (2018) Orbicularis-tarsus fixation approach in double-eyelid blepharoplasty: a modification of Park’s technique. Aesth Plast Surg 42:1582–1590. https://doi.org/10.1007/s00266-018-1218-7CrossRef

Title: Mini-incision Blepharoplasty with Pretarsal Fasciectomy for Double-Eyelid Surgery
Authors: Min Ge
Sida Pan
Feng Ni
Zheng Bie
Dong Yu
Nan Song
Publication date: 01-10-2021
Publisher: Springer US
Keywords: Blepharoplasty
Eyelid Surgery
Incision
Blepharoplasty
Blepharoplasty
Published in: Aesthetic Plastic Surgery / Issue 5/2021
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-021-02349-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Mini-incision Blepharoplasty with Pretarsal Fasciectomy for Double-Eyelid Surgery

Abstract

Background

Methods

Results

Conclusions

Level of evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Level of evidence

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