Department of Ophthalmology, Ningbo Medical Center Lihuili Hospital, Medical School of Ningbo University, Ningbo, 315000, Zhejiang, People's Republic of China.
Ya Su Medical Beauty Clinic, Ningbo, 315000, Zhejiang, People's Republic of China.
Aesthetic Plast Surg. 2023 Dec;47(6):2440-2446. doi: 10.1007/s00266-023-03444-6. Epub 2023 Jun 29.
Double-eyelid blepharoplasty is the most popular plastic surgery in East Asia. The incisional methods are divided into two schools. The traditional method produces a stable eyelid, but will leave a postoperative scar. The other is represented by "Park," creating dynamic double-eyelid technology. Its advantage is that there is only mild scarring, but its disadvantages are asymmetry, corneal exposure, and loss of the palpebral furrow. Due to these various complications, we here propose an improved incisional blepharoplasty with the tarsus linkage mechanism.
This work covers 482 patients who underwent surgery from March 2018 to March 2022. All patients completed 6 months of postoperative follow-up. The basic procedure described here involves removing the pre-tarsal tissue without completely incising the orbicularis and suturing the orbicularis and the tarsus into a unit. This connection provides a more robust and stable eyelid adhesion.
As reported by physicians, 412 patients (85.5%) had satisfactory results, 69 patients (14.3%) had somewhat satisfactory results, and 1 patient (0.2%) had unsatisfactory results. As reported by the patients, 424 patients (88.0%) were satisfied, 57 patients (11.8%) were somewhat satisfied, and 1 patient (0.2%) was unsatisfied.
This study proposes a modified double-eyelid blepharoplasty with the tarsus linkage mechanism. It is suitable for most primary eye cases, particularly in patients with lax upper lid skin and high levels of upper orbital fat.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
双眼皮成形术是东亚最受欢迎的整形手术。切口方法分为两派。传统方法产生稳定的眼睑，但会留下术后疤痕。另一种方法以“Park”为代表，创造了动态双眼皮技术。其优点是只有轻微的疤痕，但缺点是不对称、角膜暴露和上睑沟消失。由于这些各种并发症，我们在此提出一种改良的切开式双眼皮手术，结合了睑板连接机制。
这项工作涵盖了 2018 年 3 月至 2022 年 3 月期间接受手术的 482 名患者。所有患者均完成了术后 6 个月的随访。这里描述的基本手术过程涉及去除睑板前组织，而不完全切开眼轮匝肌，并将眼轮匝肌和睑板缝合为一个单位。这种连接提供了更牢固和稳定的眼睑附着。
据医生报告，412 名患者（85.5%）的结果满意，69 名患者（14.3%）的结果有些满意，1 名患者（0.2%）的结果不满意。据患者报告，424 名患者（88.0%）满意，57 名患者（11.8%）有些满意，1 名患者（0.2%）不满意。
本研究提出了一种改良的双眼皮成形术，结合了睑板连接机制。它适用于大多数原发性眼部病例，特别是在上睑皮肤松弛和上眶脂肪水平高的患者。
证据水平 V：本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
