Blepharoplasty Combined With Mini-incision and Interrupted Buried Suture Techniques

Abstract

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.

A modified Park’s technique for creating a natural-looking double eyelid

“…Traditional blepharoplasty is performed by suturing the skin to the tarsus. In the classic double-eyelid method proposed by Sayoc in 1954, the orbicularis oculi muscle in front of the tarsus is removed, and the skin is sutured to the tarsal plate to create a firm scar adhesion to form a stable double eyelid 11 . Although the direct suturing of the tarsus and skin in this method can form the double eyelid in a stable manner, the created folds are usually static and unnatural because the tarsus is a dense connective tissue without sliding characteristics.…”

Revisional Asian Blepharoplasty of the High Eyelid Fold: Tarsus-Orbicularis Fixation Combined With Orbital Fat Repositioning Technique

“…The methods had changed from suture technique to mini-incision technique and full-incision technique to create a natural-looking and steady eyelid fold. 1,2 Although the vast majority of people obtained beautiful double eyelid folds after surgery, some patients appeared unsatisfactory and unacceptable complications. Unfortunately, the number of such cases is increasing rapidly year by year.…”

“…There has been great progress in the field of double eyelid surgery since Mikamo first reported his suture method to create a lid crease in 1896. The methods had changed from suture technique to mini-incision technique and full-incision technique to create a natural-looking and steady eyelid fold 1,2. Although the vast majority of people obtained beautiful double eyelid folds after surgery, some patients appeared unsatisfactory and unacceptable complications.…”