Abstract
Purpose
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.
Materials and Methods
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.
Results
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.
Conclusions
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.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to www.springer.com/00266.
Similar content being viewed by others
References
Gao S, Lu B, Gao W (2023) A novel strategy to achieve stable and lasting double eyelids in upper blepharoplasty. J Craniofac Surg 34(3):e308–e311
Wang S, Li T, Liu H, Zhang D (2023) Double eyelid blepharoplasty, Epicanthoplasty, and Epiblepharon correction in improving postoperative eyelid Esthetics: a retrospective study of 27 Chinese patients. J Plast Reconstr Aesthet Surg 79:16–18
Yang Z, Tan X, Bahadur A, Zitkovsky H, Zeng P, Mi Z (2023) Application of trapezoid orbital septum membrane flap in double-eyelid blepharoplasty. Ann Plast Surg 18:10–97
Liu Q, Wang Z, Yang J et al (2023) A novel preoperative design to address dermatochalasis in Asian upper blepharoplasty. J Craniofac Surg 34(4):1312–1315
Wang C, Pu L (2023) Asian upper blepharoplasty: a comprehensive approach. Clin Plast Surg 50(1):101–109
Li P, Li K, Li S, Wang Y (2023) Anatomic and magnetic resonance imaging-based correction of upper-eyelid depression and blepharoptosis in senile patients. J Craniofac Surg 34(3):e321–e325
Liu R, Sun Y, Huang J, Long X (2023) Brow position change and its potential risk factors following upper blepharoplasty: a systematic review and meta-analysis. Aesthetic Plast Surg 47(4):1394–1409
Liu J, Song B (2022) Review of complications in double eyelid surgery. Indian J Ophthalmol 70(5):1460–1465
Yu P, Chen S, Gu T, Zhao M, Teng L, Lu J (2023) Small-Incisional techniques for double-eyelid blepharoplasty: a systematic review. Aesthetic Plast Surg 47(3):1067–1075
Acknowledgements
The authors thank all the patients for their participation and permission in this study.
Author information
Authors and Affiliations
Contributions
MTH, CH and DZY designed the work; MTH, CH and DZY acquired and analysed data; MTH, CH and DZY drafted, revised and approved the manuscript; DZY agree to be accountable for all aspects of the work. All authors reviewed the results and approved the final version of the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Consent Statement
Informed consents have been signed by the patients and their families.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ma, T., Chen, H. & Dong, Z. Application of Fixation of Orbicularis Oculi Muscle and Orbital Septal Tissue Flap at the Upper Edge of Incision in Double Eyelid Plasty. Aesth Plast Surg 48, 842–846 (2024). https://doi.org/10.1007/s00266-023-03823-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-023-03823-z