Double eyelid surgery using palpebral marginal incision technique in Asians

Publication date: Available online 11 June 2018
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Shuo Fang, Weiye Zhu, Lihaoyang Zhu, Chao Yang
BackgroundApproximately 50% of Asians do not have upper eyelid creases. To create a double eyelid, full-incision methods may leave obvious scars, and buried-suture methods cannot remove excess tissues. The new palpebral marginal incision technique hided the incision at upper palpebral margin, and removed the excess tissue, achieving scarless and natural double-eyelids.MethodsThe modified technique involved the incision site and the positioning processes. The incision line is 1.0-1.5mm above the palpebral margin. A strip of orbicularis muscle beneath the positioned double eyelid must be removed. Then the orbital septum is exposed and a certain amount of orbital fat is removed. Next, the dermis and the tarsal plate are sutured orderly. Lastly, a strip of the redundant skin about 1-3 mm above the incision may be excised to correct blepharochalasis before the skin is closed.ResultsThis new technique was performed in 212 patients, including 56 patients with blepharochalasis had their skin excised during the surgery. The follow-up period ranged from 6 months to 3 years. Ninety-five percent of the patients responded excellent and good that they were satisfied with their surgery, and no significant complications occurred.ConclusionsThe advantages of the authors' technique are as follows: (1) minimal or even no surgical scarring is discernible on the eyelids even when they are closed; (2) solve the problem of excessive tissue and correct blepharochalasis; (3) the double eyelid fold is stable and nature for a long time.