Guo Lei, Liu Jiaxi, Li Chunqin, Liang Zhen, Zhang Juan, Pei Jiaomiao, Liu Liwen, Song Baoqiang
Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China.
Department of Dermatology, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650106, China.
Aesthetic Plast Surg. 2025 Jun;49(12):3386-3392. doi: 10.1007/s00266-025-04853-5. Epub 2025 May 5.
Cosmetic blepharoplasty is the most common plastic surgery procedures in East Asian and also one of the procedures most prone to unsatisfactory outcomes. The crease width is a crucial aesthetic criterion for individuals seeking aesthetic enhancements, and due to the various influencing factors, the outcomes of blepharoplasty tend to be unpredictable.
We assessed the apparent height of the double eyelid, incision width, levator muscle function, palpebral fissure height, skin-orbicularis oculi muscle thickness, upper eyelid tissue thickness, and age of Asian women aged 18-35 seeking aesthetic enhancements one-year post-blepharoplasty. A multiple linear regression analysis was performed to explore the relationship between the apparent height of the double eyelid and other variables.
The study revealed a correlation between the apparent width of the double eyelid and the incision width, levator muscle function, skin-orbicularis oculi muscle thickness, eyelid tissue thickness, and age (standardized regression coefficients were 0.423, - 0.566, 0.156, - 0.332, and 0.235, respectively), but not with palpebral fissure height. The multiple regression model had an adjusted R square of 0.695.
The apparent crease width following blepharoplasty is influenced by multiple factors. Therefore, it is essential for the operating physician to comprehensively evaluate the levator muscle function, upper eyelid puffiness, and age of the individual seeking aesthetic enhancement before the surgery. Personalizing the design of the surgical incision height during the procedure is crucial to achieve the desired double eyelid width and morphology.
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眼部整形美容手术是东亚地区最常见的整形手术，也是最容易出现不理想效果的手术之一。对于寻求美容改善的人来说，双眼皮褶皱宽度是一个关键的美学标准，由于存在多种影响因素，眼部整形手术的效果往往难以预测。
我们评估了18 - 35岁寻求美容改善的亚洲女性在眼部整形手术后一年的双眼皮表观高度、切口宽度、提上睑肌功能、睑裂高度、皮肤眼轮匝肌厚度、上睑组织厚度和年龄。进行多元线性回归分析以探讨双眼皮表观高度与其他变量之间的关系。
研究发现双眼皮表观宽度与切口宽度、提上睑肌功能、皮肤眼轮匝肌厚度、眼睑组织厚度和年龄之间存在相关性（标准化回归系数分别为0.423、 - 0.566、0.156、 - 0.332和0.235），但与睑裂高度无关。多元回归模型的调整后R平方为0.695。
眼部整形手术后的表观褶皱宽度受多种因素影响。因此，手术医生在手术前全面评估寻求美容改善者的提上睑肌功能、上睑肿胀情况和年龄至关重要。在手术过程中个性化设计手术切口高度对于实现理想的双眼皮宽度和形态至关重要。
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