Sun Yixin, Liu Runzhu, Yu Nanze, Zhang Dingyue, Chen Juan, Huang Jiuzuo, Long Xiao
Division of Plastic Surgery, Department of Surgery, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Department of Clinical Medicine, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Clin Cosmet Investig Dermatol. 2022 Jun 21;15:1125-1132. doi: 10.2147/CCID.S367202. eCollection 2022.
Incisional double eyelid blepharoplasty is the most common cosmetic operation in East Asia. Although numerous articles on surgical techniques have been published, complications, such as fold loss, asymmetry, and visible scars, still exist. To create a stable and dynamic double-eyelid crease, the author has introduced a modified technique of double-eyelid blepharoplasty.
The authors introduced a new surgical technique to reduce complications and create reliable and dynamic double eyelids. The orbicularis oculi muscle of the lower flap was anchored on the tarsus and sutured with the distal part of the septal flap. The skin incision was closed by skin-septal flap-skin suture. Postoperative evaluations were assessed at the twelfth postoperative month.
One hundred ninety-three patients underwent double eyelidplasty with the TOS fixation technique. The mean follow-up duration was 18.6 months (range, 12-30 months). In the aesthetic outcome evaluation, 88 (45.6%) patients had very much improved results, 56 (29.0%) had much improved results, 29 (15.0%) had improved results, 8 (4.1%) had no change and 12 (6.2%) had worse results. Complications included crease asymmetry (n=7, 3.6%), partial fold loss (n=8, 4.1%) and complete fold loss (n =5, 2.6%).
Tarsus-orbicularis-septum (TOS) fixation is a reliable and flexible surgical technique for creating stable and dynamic double-eyelid creases.
切开法双眼皮成形术是东亚地区最常见的美容手术。尽管已发表了大量关于手术技术的文章，但诸如褶皱消失、不对称和明显瘢痕等并发症仍然存在。为了形成稳定且富有动态的双眼皮褶皱，作者介绍了一种改良的双眼皮成形术技术。
作者引入了一种新的手术技术，以减少并发症并形成可靠且富有动态的双眼皮。下睑瓣的眼轮匝肌固定于睑板，并与眶隔瓣的远端缝合。皮肤切口通过皮肤-眶隔瓣-皮肤缝合关闭。术后评估在术后第12个月进行。
193例患者接受了采用睑板-眼轮匝肌-眶隔（TOS）固定技术的双眼皮成形术。平均随访时间为18.6个月（范围12 - 30个月）。在美学效果评估中，88例（45.6%）患者效果改善非常明显，56例（29.0%）患者效果改善明显，29例（15.0%）患者效果有所改善，8例（4.1%）患者无变化，12例（6.2%）患者效果变差。并发症包括褶皱不对称（n = 7，3.6%）、部分褶皱消失（n = 8，4.1%）和完全褶皱消失（n = 5，2.6%）。
睑板-眼轮匝肌-眶隔（TOS）固定术是一种用于形成稳定且富有动态的双眼皮褶皱的可靠且灵活的手术技术。
