Hu Xiaogen, Ma Haihuan, Xue Zhiqiang, Qi Huijie, Chen Bo, Zhou Yang, Huang Wengang
Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China.
Plast Surg (Oakv). 2016 Summer;24(2):80-2. doi: 10.4172/plastic-surgery.1000957. Epub 2016 May 27.
Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia.
To introduce a modified mini-incisional technique to form a double eyelid.
A total of 372 patients (325 women, 47 men) were involved in the study between July 2008 and August 2014. Their age ranged from 16 to 34 years, with a mean age of 24 years. All patients underwent the modified mini-incisional upper blepharoplasty. In the technique, four 2 mm incisions were made along the designed fold. The orbicularis muscle overlying the levator aponeurosis was removed. The removal of the lateral fat pad was completed accordingly. The medial fat pad was also removed if necessary. Suture was used to fix the skin to pretarsal fascia along the double-eyelid line. The double-eyelid crease was formed after the operation.
The follow-up period was three to 12 months (mean nine months). Most of the double eyelids were natural. During the follow-up period, 92% (342 of 372) patients were satisfied with the blepharoplasty. The most common complications were swelling within first week after the operation, which subsided spontaneously. Asymmetries occurred in 17 patients; six patients had multiple eyelids and seven patients experienced shifting of the fold. These were corrected six months after the operation. Disappearance of the fold was not observed. The scars of the stab incision became invisible after one full year of recovery. No other severe complications were found.
The four mini-incisional blepharoplasty technique was successful for the formation of a natural-appearing and long-lasting double eyelid. Except for individuals with obvious skin redundancy, patients with a single eyelid are suitable candidates for the technique.
双眼皮成形术是亚洲最受欢迎的美容手术之一。
介绍一种改良的小切口技术来形成双眼皮。
2008年7月至2014年8月期间共纳入372例患者（女性325例，男性47例）。年龄范围为16至34岁，平均年龄24岁。所有患者均接受改良小切口上睑成形术。该技术沿设计的褶皱做四个2毫米的切口。去除提上睑肌腱膜上方的眼轮匝肌。相应地完成外侧脂肪垫的去除。如有必要，也去除内侧脂肪垫。用缝线将皮肤沿着双眼皮线固定在前跗骨筋膜上。术后形成双眼皮褶皱。
随访期为3至12个月（平均9个月）。大多数双眼皮自然。随访期间，92%（372例中的342例）患者对睑成形术满意。最常见的并发症是术后第一周肿胀，可自行消退。17例患者出现不对称；6例患者出现多层眼皮，7例患者出现褶皱移位。这些在术后6个月得到纠正。未观察到褶皱消失。刺伤切口的疤痕在完全恢复一年后变得不可见。未发现其他严重并发症。
四小切口睑成形术技术成功地形成了自然且持久的双眼皮。除皮肤明显冗余的个体外，单眼皮患者是该技术的合适人选。
