Archive | 2019

Double-eyelid blepharoplasty by turning the orbital septum downward



Objective \nTo investigate a new approach for double-eyelid blepharoplasty. \n \n \nMethods \nDouble-eyelid blepharoplasty was performed by turning the orbital septum downward and fixing it to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia, which is imitating physiological mechanical conduction. During double-eyelid blepharoplasty, the orbital septum was cut horizontally. Using the fusion of the levator aponeurosis with septum as a pedicle, the lower part of the orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. We evaluated the outcomes of this double-eyelid surgical procedure in patients undergoing the procedure from December 2015 to February 2018. \n \n \nResults \n622 eyes of 311 patients were included in the final analysis. Sutures were removed 7 days after surgery. All double-eyelid lines were well-formed, and the eyelids closed well. Three-to twelve-month follow-up results revealed that the double-eyelid shape was natural, no patients experienced upper eyelid retraction or incomplete eye closure. Notched scars did not occur, and patient satisfaction was achieved in all cases. 281 patients were fully satisfied with the surgical results and 30 were basically satisfied with the surgical results. \n \n \nConclusions \nTurning the orbital septum downward is a good approach for double-eyelid blepharoplasty. \n \n \nKey words: \nOrbital Septum;\xa0Double eyelid plasty;\xa0Levator palpebrae superioris, aponeurosis;\xa0Orbicularis oculi;\xa0Pretarsal fascia

Volume 35
Pages 529-532
DOI 10.3760/CMA.J.ISSN.1009-4598.2019.06.003
Language English
Journal None

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