Chongqing and Beijing, China From the Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Third Military Medical University, and the Plastic Surgery Hospital, Chinese Academy of Medical Science and Peking Union Medical College.
Plast Reconstr Surg. 2010 Dec;126(6):2133-2139. doi: 10.1097/PRS.0b013e3181f44a96.
In double-eyelid surgery, the dynamic connection of the levator aponeurosis and skin or derma is reconstructed with the formed scar or the ligated suture. The nonincision method can shape a natural and vivid crease with a short recovery time. However, the duration of the supratarsal crease formed by the ligated suture in the nonincision method is not long.
A transcutaneous, subcutaneous, and intratarsal suturing technique was adopted. Five stab incisions were made in the designed double-eyelid line. A needle pass was made with a 7-0 nylon suture from the tarsal plane deeply and the dermis superficially. After tightening the suture and burying the four ligations under the skin, the supratarsal crease was formed.
Between October of 2003 and November of 2008, we used the transcutaneous, subcutaneous, and intratarsal suturing technique for 118 patients with a single-eyelid appearance. One hundred six of these patients underwent follow-up ranging from 3 to 36 months. Most of these patients [95 of 106 patients (89.6 percent)] were satisfied with the outcome; 11 patients (10.4 percent) expressed dissatisfaction. Of the latter, the unilateral double eyelid of three patients (2.8 percent) regressed; five patients (4.7 percent) expressed dissatisfaction with the shape and height of the formed double-eyelid line; and mild asymmetry of the formed eyelid appeared in three patients (2.8 percent).
The authors found that the transcutaneous, subdermal, and intratarsal suturing technique was successful in producing a natural supratarsal crease shape that permitted easy control. The authors also observed that even though one single knot may be loose or tight, it does not influence the final result.
在重睑术中，通过形成的瘢痕或结扎缝线来重建提上睑肌腱膜和皮肤或真皮之间的动态连接。非切口方法可以用较短的恢复时间形成自然生动的折痕。然而，非切口方法中结扎缝线形成的上睑皱襞持续时间并不长。
采用经皮、皮下和跗骨内缝合技术。在设计的重睑线上做 5 个刺切口。从睑板平面深至真皮浅层用 7-0 尼龙缝线做一针道。收紧缝线并将四个结扎线埋于皮下后，形成上睑皱襞。
2003 年 10 月至 2008 年 11 月，我们对 118 例单睑患者采用经皮、皮下和跗骨内缝合技术。其中 106 例患者随访 3 至 36 个月。这些患者大多（106 例患者中的 95 例，占 89.6%）对结果满意；11 例（10.4%）不满意。其中，3 例（2.8%）单侧双眼皮出现消退；5 例（4.7%）对形成的双眼皮线的形状和高度不满意；3 例（2.8%）形成的眼睑出现轻度不对称。
作者发现经皮、皮下和跗骨内缝合技术可成功形成自然的上睑皱襞形状，易于控制。作者还观察到，即使单个结可能松动或紧绷，也不会影响最终结果。
