Chuangsuwanich Apirag
Aesthet Surg J. 2006 May-Jun;26(3):280-6. doi: 10.1016/j.asj.2006.03.008.
The author found that nonexcisional techniques commonly used to create a double eyelid in Asian patients did not create a natural-looking fold, while most transcutaneous double-lid procedures involved unnecessary excision of eyelid skin and orbicularis muscle, which could increase tension on the scar and make it more noticeable.
The author describes a technique for creation of a double eyelid, based in part on new anatomic findings, that uses a short incision to minimize the scar.
The thick orbital septum was opened, the supratarsal tendon was divided, the central fat compartment was removed, and the dermis was fixed to the tarsal plate.
Between January 2000 and December 2004, 652 patients were operated using this technique. The mean age of the patients was 24 years. There were no serious complications. Four hundred twenty patients (64.4%) were followed up to 2 months, and 162 patients (24.8%) had 1-year follow-up. All had satisfactory results, except for 8 patients who underwent a second procedure to correct unequal folds 2 months postoperatively. Ten patients lost their supratarsal folds within 1 year postoperatively; all had satisfactory results after reoperation.
The short incisional technique for creation of a double eyelid described here provides excellent results with no visible scar and no serious complications.
作者发现，亚洲患者中常用的非切除技术无法形成自然的双眼皮褶皱，而大多数经皮双眼皮手术涉及不必要的眼睑皮肤和眼轮匝肌切除，这可能会增加瘢痕处的张力，使其更加明显。
作者描述了一种部分基于新解剖学发现的双眼皮形成技术，该技术采用短切口以尽量减少瘢痕。
打开厚厚的眶隔，切断睑板上肌腱，去除中央脂肪隔，并将真皮固定于睑板。
2000年1月至2004年12月期间，652例患者采用该技术进行手术。患者平均年龄为24岁。未出现严重并发症。420例患者（64.4%）随访2个月，162例患者（24.8%）随访1年。除8例患者术后2个月因双眼皮褶皱不对称而接受二次手术外，所有患者效果均满意。10例患者术后1年内上睑褶皱消失；再次手术后所有患者效果均满意。
本文所述的短切口双眼皮形成技术效果良好，无可见瘢痕，无严重并发症。
