Department of Plastic and Cosmetic Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
J Craniofac Surg. 2023 Jun 1;34(4):1312-1315. doi: 10.1097/SCS.0000000000009145. Epub 2023 Feb 3.
The preoperative design for the amount of skin excision of the upper eyelid is a common procedure in Asian blepharoplasty, but there lack of an effective method addressing dermatochalasis to acquire esthetically pleasing results. Our aim was to propose an alternative technique to determine the skin excision combined with the esthetics of eyes for correcting skin laxity and therefore to create attractive double eyelids.
The preoperative invaginating-simulating design combined with esthetic criteria for determining the amount of excised skin were performed during blepharoplasty. The Strasser grading system and the Global Aesthetic Improvement Scale were evaluated by analyzing the preoperative and 6-month-postoperative photographs.
One hundred forty-two patients were included. The general outline of the "optimal incision" took on a knife in shape with a mean of 2.2±3.32 points of Strasser grading score. A total of 130 of 142 patients (91.5%) were judged as "good results" and 12 of 142 patients (8.5%) were judged as "mediocre". The Global Aesthetic Improvement Scale showed a significant cosmetic improvement with the result of 89.4%(127 of 142 patients) for "very much improved", 7.8% for "much improved" and other patients for "improved". No severe complications were observed.
This preoperative design approach has been proven to be effective to address dermatochalasis (especially for lateral hooding) by simulating the expected appearance of a double eyelid combined with esthetic criteria of eyes simultaneously, which can contribute to achieving upper-lid rejuvenation and beautiful and natural outcomes.
在上眼睑的皮肤切除术前设计是亚洲重睑术的常见程序，但缺乏有效的方法来解决皮肤松弛问题，以获得美观的效果。我们的目的是提出一种替代技术来确定皮肤切除量，同时结合眼睛的美学标准，以矫正皮肤松弛，从而创造出有吸引力的双眼皮。
在重睑术中，采用术前内陷模拟设计结合美学标准来确定切除皮肤的量。采用 Strasser 分级系统和整体美学改善量表，通过分析术前和术后 6 个月的照片进行评估。
共纳入 142 例患者。“最佳切口”的大致轮廓呈刀形，Strasser 分级评分平均为 2.2±3.32 分。142 例患者中，130 例（91.5%）为“良好效果”，12 例（8.5%）为“中等效果”。整体美学改善量表显示出显著的美容改善效果，142 例患者中有 127 例（89.4%）为“非常改善”，7.8%为“改善”，其他患者为“改善”。未观察到严重并发症。
这种术前设计方法已被证明是有效的，可以通过模拟预期的双眼皮外观并结合眼睛的美学标准来解决皮肤松弛问题（特别是外侧皮瓣），从而有助于实现上睑年轻化和美丽自然的效果。
