Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Shanghai 200065, China.
Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Shanghai 200065, China.
J Plast Reconstr Aesthet Surg. 2019 Feb;72(2):317-321. doi: 10.1016/j.bjps.2018.10.012. Epub 2018 Nov 2.
Unilateral double-eyelid blepharoplasty is often required by people with unilateral single eyelid. The full incisional method may cause permanent skin scar formation, and the buried suture method may lead to early eyelid fold loosening, which could not reduce the soft tissue thickness of eyelid. A total of 85 patients (8 males and 77 females) with unilateral single eyelids were studied between January 2015 and January 2016, with a mean age of 25.57 ± 6.5 years. Small-incision orbicularis-levator fixation blepharoplasty was performed on all patients on the single eyelid side. During surgery, the orbicularis oculi (OO) muscle and the orbital fat (OF) were selectively removed through the small skin incisions. The thicknesses of upper eyelid were measured preoperatively and at 6 months postoperatively. The position and tension of the eyelid creases, eyelids symmetry, and satisfaction status were also evaluated. Eighty patients (10 left eyes and 70 right eyes) were followed up for 19 ± 3.4 months. Before surgery, the average thickness of OO muscle is 0.895 ± 0.199 mm (left) and 0.970 ± 0.185 mm (right) (P = 0.0127), the thickness of OF is 0.717 ± 0.154 mm (left) and 0.867 ± 0.143 mm (right) (P = 0.0187). Six months postsurgery, the average thickness of OO muscle is 0.894 ± 0.199 mm (left) and 0.907 ± 0.188 mm (right) (P = 0.293), the thickness of OF is 0.703 ± 0.143 mm (left) and 0.747 ± 0.0957 mm (right) (P = 0.534). In conclusion, small-incision orbicularis-levator fixation blepharoplasty can produce a desired aesthetic effect for unilateral single-eyelid patients as its personalized designing, symmetrical eyelid thickness, and slight skin scar formation.
单侧重睑术常用于单侧单眼皮人群。全切口法可能导致永久性皮肤瘢痕形成，而埋没缝线法可能导致早期双眼皮褶皱松动，无法减少眼睑的软组织厚度。2015 年 1 月至 2016 年 1 月期间，共研究了 85 例（8 例男性，77 例女性）单侧单眼皮患者，平均年龄 25.57±6.5 岁。所有患者均在单眼皮侧行小切口眼轮匝肌提上睑肌固定双眼皮术。手术中，通过小切口选择性切除眼轮匝肌（OO）和眶脂（OF）。术前和术后 6 个月测量上睑厚度。评估双眼皮褶皱的位置和张力、眼睑对称性和满意度。80 例患者（10 例左眼，70 例右眼）随访 19±3.4 个月。术前，左眼 OO 肌的平均厚度为 0.895±0.199mm，右眼为 0.970±0.185mm（P=0.0127），OF 的厚度为左眼 0.717±0.154mm，右眼为 0.867±0.143mm（P=0.0187）。术后 6 个月，左眼 OO 肌的平均厚度为 0.894±0.199mm，右眼为 0.907±0.188mm（P=0.293），OF 的厚度为左眼 0.703±0.143mm，右眼为 0.747±0.0957mm（P=0.534）。综上所述，小切口眼轮匝肌提上睑肌固定双眼皮术可根据患者的个性化设计，使单侧单眼皮患者获得理想的美学效果，且对称的眼睑厚度和轻微的皮肤瘢痕形成。
