Individualized small-incision orbicularis-levator fixation blepharoplasty for unilateral single-eyelid Asians

Zhang, Y.S.; Zhou, Qi; Niu, Guozhen; Huang, Xiaojian; Zhang, J.; Yang, Bi

doi:10.1016/j.bjps.2018.10.012

Cited by 13 publications

(13 citation statements)

References 15 publications

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“…Therefore, it is necessary to reduce the injury of orbicularis oculi muscle. In many cases, edema in three mini-incision double-eyelid surgeries disappeared in over 3 weeks 4,9,24 . However, in our procedure, the eyelid edema of patients completely disappeared within 3 weeks.…”

Section: Discussionmentioning

confidence: 60%

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Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Di¹,

Liu²,

Yin³

et al. 2020

Journal of Craniofacial Surgery

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Background: Blepharoplasty has become one of the most popular plastic surgery techniques for generating double-eyelid folds. The mini-incision blepharoplasty technique results in minimal trauma and the formation of supratarsal folds. Methods: In this study, the authors combined mini-incisions with interrupted buried sutures. To perform the blepharoplasty procedure, the authors marked the supratarsal folds and divided them into 5 line segments: 3 cutting lines and 2 noncutting lines. For the cutting lines, the authors used orbicularis-tarsus fixation to form double eyelids and only removed a small strip of muscle under the incision to maintain the physiological structure of the pretarsal tissue. For the noncutting lines, the authors used the interrupted buried suture technique to add 2 fixed points. Results: A total of 42 patients (mean age 25.25 years) underwent this minimally invasive blepharoplasty. Among these patients, 42 underwent bilateral surgery. The average follow-up period was 35.91 months (range: 13-47 months). Only one patient underwent a second operation to address a shallow, unilateral supratarsal crease. Nonetheless, all patients were satisfied with their results. Conclusion: Our minimally invasive blepharoplasty approach resulted in minimal damage to the pretarsal tissues and robust supratarsal folds and is relatively easy to perform for the novice surgeon.

show abstract

Section: Discussionmentioning

confidence: 60%

“…In many cases, edema in three mini-incision double-eyelid surgeries disappeared in over 3 weeks. 4,9,24 However, in our procedure, the eyelid edema of patients completely disappeared within 3 weeks. We believe this is because we only removed a small strip of muscle, which minimizes damage to the normal pretarsal tissue.…”

Section: Discussionmentioning

confidence: 61%

Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Di¹,

Liu²,

Yin³

et al. 2020

Journal of Craniofacial Surgery

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“…Paik et al proposed that appropriate preoperative evaluation, surgical technology, and postoperative care can enable patients to obtain sustained and good functional and esthetic effects 6 . Zhang et al found that the blepharoplasty surgery can provide ideal esthetic effect for patients with single eyelid due to its personalized design, symmetrical eyelid thickness, and slight skin scar formation 7 . Yang et al compared the effects of three different surgical methods on the satisfaction of patients undergoing blepharoplasty 8 …”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for quality management to blepharoplasty based on DEMATEL‐ISM

Zhang

Han

Yuan

et al. 2022

J of Cosmetic Dermatology

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Objective Blepharoplasty is a typical complex structural system, which involves many factors and the interaction among them. Therefore, it is the basis of controlling the occurrence of medical complications in blepharoplasty to clarify the hierarchical relationship of various risk factors and find out the key risk factors. Methods On the basis of identifying the risk factors for quality management of blepharoplasty by means of literature research, questionnaire survey and expert interview, the risk factor model of blepharoplasty quality management were analyzed and constructed. The relationship between the risk factors and the degree of influence on the risk factors was studied using Decision‐Making Trialand Evaluation Laboratory and Interpretative Structural Modeling Method, and the hierarchical structure model of the risk factors for blepharoplasty quality management was obtained. Results Six levels of risk factors in quality management of blepharoplasty were identified and classified, and the causal attributes among risk factors were determined. Six key risk factors in quality management of double eyelid surgery were determined according to centrality, and finally the above risk factors were divided into three categories: direct cause, excessive cause, and essential cause. Conclusions This study realizes the comprehensive risk factor analysis of the complex system of quality management of blepharoplasty, which can provide reference for plastic surgeons to make safety decisions of blepharoplasty.

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“…Although it is often considered to be a highly reproducible surgical method, the traditional buried suture double eyelid surgery is prone to postoperative complications including a shallow double eyelid line, disappearance, knot exposure, infection, and other issues. 4,5 In recent years, some innovative and improved surgical methods have been reported, such as double blepharoplasty with small incision, orbital epithelioplasty based on rim enucleation, and combined orbicularis oculi muscle resection-based epicanthoplasty and orbicularis-tarsus fixation double eyelid plasty. 6,7 However, without objective comparisons, controversies exist about the effectiveness of these new techniques.…”

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confidence: 99%

Clinical Comparison of 3 Different Double Eyelid Surgeries

Yang

Zhang

2021

Ann Plast Surg

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Objective: Double blepharoplasty or double eyelid surgery is a common plastic surgery in Asians. Our study aimed to evaluate the advantages and disadvantages of the minimally invasive 3-point subcutaneous tunnel double eyelid surgical technique relative to other commonly used approaches. Method: The study compared 852 single eyelid patients electing 1 of 3 double eyelid surgical options; minimally invasive 3-point subcutaneous tunnel, minimally invasive 3-point embedding, or incision double eyelid surgery. Evaluation criteria included postoperative swelling, hyperemia, pain, scarring, single eyelid recurrence, and patient satisfaction after 2 years. Results: All surgical methods effectively achieved double eyelids. Directly after the procedure, the minimally invasive 3-point embedding method produced the mildest degree of swelling and congestion, followed by the 3-point subcutaneous tunnel method and then the incision method (F = 523.908, P = 0.000). The incision method also resulted in more serious postoperative pain, whereas the other 2 methods were equivalent (F = 83.117, P = 0.000). Patients in the incision group had the most severe scars compared with the other 2 groups with milder scarring (F = 882.102, P = 0.000). The minimally invasive 3-point embedding method group had the highest single eyelid recurrence rate (5.88%), whereas the recurrence rates for the other 2 methods were less than 1%. Patients satisfaction after 2 years was highest in the minimally invasive 3-point subcutaneous tunneling method, followed by the 3-point embedding method and lastly the incision method (F = 25.931, P = 0.00). Conclusions: Minimally invasive 3-point subcutaneous tunnel double eyelid surgery has advantages over other techniques, and its clinical application is worth promoting for suitable patients.

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Individualized small-incision orbicularis-levator fixation blepharoplasty for unilateral single-eyelid Asians

Cited by 13 publications

References 15 publications

Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Analysis of risk factors for quality management to blepharoplasty based on DEMATEL‐ISM

Clinical Comparison of 3 Different Double Eyelid Surgeries

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