Department of Plastic and Cosmetic, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), No. 1 Jiaozhou Road, Shibei District, Qingdao, 266000, Shandong Province, China.
Aesthetic Plast Surg. 2024 Mar;48(5):842-846. doi: 10.1007/s00266-023-03823-z. Epub 2024 Jan 18.
In order to make the postoperative effect of open double eyelid more close to the physiological and anatomical structure of double eyelid, we improved the traditional open double eyelid operation according to the anatomical characteristics of the upper eyelid. We fixed part of the orbicularis oculi muscle above the incisal margin with the orbital septum flap to make the double eyelid formed after surgery more natural and beautiful.
A total of 76 patients who received open double blepharoplasty in department of plastic surgery from February 2019 to May 2022 were selected as this study objects, all of whom were female. Their ages ranged from 18 to 32 years, with a mean of (23.6 ± 5.2) years. The surgical method is open double blepharoplasty by fixing part of the orbicularis oculi muscle above the incisal margin with the flap of the orbital septum.
In this study, all 76 patients underwent successful surgery, with an average operation time of (1.5 ± 0.2) h. The postoperative double eyelid curvature was smooth and the double eyelid width was basically symmetrical. In terms of the doctors' satisfaction evaluation of the postoperative effect, 64 cases were very satisfied and 12 cases were satisfied. In terms of patients' satisfaction evaluation of the postoperative effect, 60 patients were very satisfied, 15 patients were satisfied and 1 patient was dissatisfied.
Through this study, we found that this surgical method invented by us has short operation time, good operation effect, few postoperative complications and high patient satisfaction, which is worthy of promotion and application in plastic surgery clinical practice.
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为了使切开重睑术的术后效果更接近重睑的生理和解剖结构，我们根据上睑的解剖特点，对传统切开重睑术进行了改进。我们将部分眼轮匝肌固定在切口上方的眶隔瓣上，使术后形成的双眼皮更加自然美观。
选择 2019 年 2 月至 2022 年 5 月在整形科行切开重睑术的 76 例女性患者为研究对象，年龄 18～32 岁，平均（23.6±5.2）岁。手术方法为切开重睑术，通过固定部分眼轮匝肌在上睑切口上方的眶隔瓣来形成双眼皮。
本研究所有 76 例患者均手术成功，平均手术时间（1.5±0.2）h。术后重睑线弧度流畅，重睑宽度基本对称。医生对术后效果满意度评价中，非常满意 64 例，满意 12 例；患者对术后效果满意度评价中，非常满意 60 例，满意 15 例，不满意 1 例。
通过本研究发现，我们发明的这种手术方法具有手术时间短、手术效果好、术后并发症少、患者满意度高等优点，值得在整形美容临床实践中推广应用。
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