Daegu, Korea From the Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, and BS Aesthetic Clinic.
Plast Reconstr Surg. 2010 Jan;125(1):324-331. doi: 10.1097/PRS.0b013e3181c496c5.
A combination of incision and nonincision surgical approaches is necessary to create a more physiologically natural double-eyelid.
The location of the partial incision and the burying location are determined. Through a partial incision, the levator aponeurosis is isolated and fixed to the tarsal plate. A single-knot continuous suture is performed. The location of the continuous suture passing through the tarsal plate is at a level that is slightly lower than that at which the levator aponeurosis is fixed to the tarsal plate.
A total of 562 patients were operated on from November of 2006 through October of 2008. The double-eyelid operation was performed on 386 patients, the upper blepharoplasty with skin excision was performed in 91 patients, and a secondary operation was performed in 85 patients. Combined mild to moderate blepharoptosis was corrected simultaneously in all cases. The follow-up period ranged from 6 months to 2 years. Individual patient recovery time varied from 2 weeks to 2 months.
The advantages of the authors' technique are as follows: (1) the process of forming a double-eyelid is natural; (2) the power of the levator palpebrae muscle regarding the eye-opening process is transmitted to pull up the entire lid margin, allowing the eyes to be easily opened with minimal effort; and (3) there is minimal surgical scarring when the eyes are closed.
为了创造更符合生理自然的双眼皮，需要结合切开和非切开手术方法。
确定部分切口的位置和埋藏位置。通过部分切口，分离提上睑肌腱膜并固定在睑板上。行单结连续缝合。通过睑板的连续缝线穿过的位置略低于提上睑肌腱膜固定在睑板上的位置。
2006 年 11 月至 2008 年 10 月共对 562 例患者进行了手术。对 386 例患者进行了双眼皮手术，91 例患者进行了上睑皮肤切除术，85 例患者进行了二次手术。所有病例均同时矫正合并的轻中度上睑下垂。随访时间为 6 个月至 2 年。个别患者的恢复时间为 2 周至 2 个月。
作者技术的优点如下：（1）形成双眼皮的过程自然；（2）提上睑肌睁眼过程的力量传递到整个睑缘，使眼睛可以轻松睁开，几乎不费力气；（3）当眼睛闭合时，手术疤痕最小。
