Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Craniofac Surg. 2021 Oct 1;32(7):2508-2511. doi: 10.1097/SCS.0000000000007642.
Double-eyelid blepharoplasty, the procedure to create supratarsal crease, has been one of the most popular cosmetic operations in Asia for many years. This study aimed to assess the effectiveness and safety of a surgical procedure using a composite tissue flap for double-eyelid blepharoplasty. A surgical technique was introduced and patients having blepharoplasty with this technique from January 2017 to August 2019 were retrospectively studied. In this technique, a composite tissue flap consisted of the posterior septum and levator aponeurosis was formed and fixed with orbicularis oculi muscle and tarsus. The cosmetic outcomes, patient satisfaction, and complications from the documented medical records were analyzed. Eighty female and 1 male patients had blepharoplasty with the proposed technique and were followed up from 6 months to 42 months. Six patients were found to have mild blepharoptosis. As for cosmetic outcomes, 71patients were graded as good, 7 patients were graded as fair, and only 1 patient was graded as poor. Those patients who were not graded as good had visible scarring, shallow eyelid crease, or asymmetry. The overall patient satisfaction was as high as 95.1%. Mild hematoma formation occurred in 3 patients and no infection or blepharoptosis was observed. One patient complained of asymmetry and 2 patients complained of unilateral crease fading as the complications. The technique is effective to develop durable and natural-looking double eyelids with minimal complications. It could also be an option for mild ptotic patients who ask for double-eyelid blepharoplasty.
重睑成形术，即形成上睑皱襞的手术，多年来一直是亚洲最受欢迎的美容手术之一。本研究旨在评估使用复合组织瓣进行重睑成形术的手术效果和安全性。介绍了一种手术技术，并对 2017 年 1 月至 2019 年 8 月期间接受该技术重睑成形术的患者进行了回顾性研究。在该技术中，形成了由后隔和提上睑肌腱膜组成的复合组织瓣，并与眼轮匝肌和睑板固定。分析了从记录的病历中得出的美容效果、患者满意度和并发症。80 名女性和 1 名男性患者接受了该技术的重睑成形术，并随访 6 至 42 个月。6 例患者发现轻度上睑下垂。就美容效果而言，71 例患者评为良好，7 例患者评为一般，仅 1 例患者评为差。那些未评为良好的患者存在可见的疤痕、浅上睑皱襞或不对称。患者总体满意度高达 95.1%。3 例患者出现轻度血肿，无感染或上睑下垂。1 例患者抱怨不对称，2 例患者抱怨单侧皱襞消退，作为并发症。该技术可有效形成持久且自然的双眼皮，且并发症少。对于要求行重睑成形术的轻度上睑下垂患者，也可作为一种选择。
