Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of Jilin University, Chang Chun, China.
J Craniofac Surg. 2021 May 1;32(3):1157-1161. doi: 10.1097/SCS.0000000000007367.
Although Park's "orbicularis-levator fixation technique" has been widely used as a mature double-eyelid surgery in China recently. Shortcomings related to this method cannot be ignored. Thus, a reverse orbicularis-tarsus fixation technique in double-eyelid blepharoplasty has now been devised. The method is to create a physiological double-eyelid fold based on the formation mechanism of double-eyelid creases.
A retrospective study of 112 Chinese patients who underwent double-eyelid surgery between October 2017 and September 2019 was undertaken through a review of medical records. All these patients underwent a reverse tarsus and orbicularis oculi muscle fixation technique, with postoperative follow-up ranging from 6 months to 2 years. Postoperative outcomes were reviewed, evaluated, and analyzed.
Altogether, 112 patients who underwent the double-eyelid surgery were reviewed. Among them, the results were judged as excellent in 104 cases (92.9%), good in 4 cases (3.6%), fair in 3 cases (2.7%), and poor in 1 case (0.8%). Clinical effectiveness was satisfactory in most of the patients (104/112, 92.9%). Only 5 patients (4.5%) expressed subjective dissatisfaction with postoperative outcomes; of these, 3 patients complained of eyelids asymmetry (2.7%). Two patients complained of eyelids scar formation (1.7%); Whereas surgical revision was required in only 1 patient (0.8%).
The reverse orbicularis-tarsus fixation technique for upper eyelid blepharoplasty is safe and effective, with better biomechanics and a satisfying aesthetic outcome. Therefore, this provides an alternative option in Chinese double-eyelid surgery.Level of Evidence: Level IV, case studies.
虽然 Park 的“眼轮匝肌-提上睑肌固定技术”最近已在中国广泛应用于成熟的双眼皮手术，但该方法存在不可忽视的缺点。因此，现在设计了一种双眼皮成形术中的反向眼轮匝肌-睑板固定技术。该方法是根据双眼皮皱褶的形成机制，创建生理性双眼皮褶皱。
通过回顾病历，对 2017 年 10 月至 2019 年 9 月期间接受双眼皮手术的 112 例中国患者进行了回顾性研究。所有患者均行反向睑板和眼轮匝肌固定术，术后随访 6 个月至 2 年。对术后结果进行了回顾、评估和分析。
共回顾了 112 例接受双眼皮手术的患者。其中，104 例（92.9%）结果判断为优秀，4 例（3.6%）良好，3 例（2.7%）一般，1 例（0.8%）差。大多数患者（104/112，92.9%）的临床效果满意。仅有 5 例（4.5%）对术后结果表示主观不满意，其中 3 例抱怨眼睑不对称（2.7%），2 例抱怨眼睑瘢痕形成（1.7%），仅 1 例（0.8%）需要手术修正。
上睑成形术的反向眼轮匝肌-睑板固定技术安全有效，具有更好的生物力学和满意的美学效果。因此，这为中国的双眼皮手术提供了一种替代选择。
IV 级，病例研究。
