Ji Chenyang, Yang Xiaoshuang, Wong Chau Wei, Wong Chau Loon, Liu Shanchen, Min Fuli
Guangzhou Face-Sculpt Medical Beauty Hospital, Guangzhou City, Guangdong Province.
West China Hospital of Sichuan University, Chengdu City, Sichuan Province.
J Craniofac Surg. 2025;36(5):1785-1789. doi: 10.1097/SCS.0000000000011370. Epub 2025 Apr 4.
Double eyelid surgery is a popular cosmetic surgery among Asian populations. Although the recovery period has passed after surgery, some patients still have an unnatural appearance with deep creases, leading to unsatisfactory surgical results. Patients hopes to achieve a shallow and more natural double eyelid creases through repair surgery.
By performing surgical repair on patients with deep double-eyelid creases, anatomic restoration, and scar tissue flap suturing are used during the surgery to achieve a shallower crease and a more natural-looking double eyelid.
From June 2019 to January 2024, 73 patients with deep creases after double eyelid surgery who had visited were included. During the repair surgery, a scar tissue flap was dissected, and the adhesion from the original surgery was loosened. The upper eyelid tissue was anatomically restored. Preoperative and postoperative pictures were collected to evaluate patient satisfaction, complications, etc. Surgical outcomes were assessed and compared using the Global Aesthetic Improvement Scale. The depths of crease were also measured and compared.
The vast majority of patients recovered well after surgery. The patients were followed up for 6 months to 3 years, with an average follow-up period of 12.3 months. The double eyelid line was stable, without loosening, and the crease was significantly shallower compared with preoperative condition, maintaining a natural dynamic state.
For patients with deep crease of double eyelid, anatomic restoration with a scar tissue flap can effectively shallow the depth of crease, resulting a more natural appearance.
双眼皮手术是亚洲人群中一种流行的整形手术。尽管手术后恢复期已过，但一些患者仍有不自然的外观，伴有深深的褶皱，导致手术效果不尽人意。患者希望通过修复手术获得更浅且更自然的双眼皮褶皱。
通过对双眼皮褶皱较深的患者进行手术修复，术中采用解剖复位和瘢痕组织瓣缝合，以达到更浅的褶皱和更自然的双眼皮外观。
纳入2019年6月至2024年1月期间前来就诊的73例双眼皮手术后褶皱较深的患者。在修复手术中，解剖分离瘢痕组织瓣，松解原手术造成的粘连，对上睑组织进行解剖复位。收集术前和术后照片以评估患者满意度、并发症等。使用全球美学改善量表评估和比较手术效果。同时测量并比较褶皱的深度。
绝大多数患者术后恢复良好。对患者进行了6个月至3年的随访，平均随访期为12.3个月。双眼皮线稳定，无松弛，与术前相比褶皱明显变浅，保持自然动态状态。
对于双眼皮褶皱较深的患者，采用瘢痕组织瓣进行解剖复位可有效减轻褶皱深度，使外观更自然。
