Application of fat redistribution combined with shortening of upper eyelid levator muscle in repair of wide double-eyelid

Abstract

Objective \nTo evaluate the clinical efficacy of topical fat redistribution in combination with shortening of upper eyelid levator muscle in patients with excessively wide palpebral fissure after double-eyelid operation. \n \n \nMethods \nTwenty patients with excessively wide palpebral fissure after undergoing double-eyelid operation were selected. The double-eyelid line was aesthetically re-designed, the skin or incisional scar between the original and new double-eyelid lines was excised, and the scarring adhesion among different tissues was fully isolated. The fat tissues within the orbital septum, deep orbit and anterior orbital septum combined with ROOF reconstruction were performed to block the adhesion tissues, shortening of levator muscle of the upper eyelid was equally conducted to enhance the cosmetic effect. \n \n \nResults \nSeventeen patients were satisfied with the cosmetic appearance following once double-eyelid operation. Two cases underwent twice operations due to different height between bilateral papebral fissures. One patient was unsatisfied with the cosmetic appearance. \n \n \nConclusions \nFat redistribution in combination with shortening of levator muscle of the upper eyelid can not only repair excessively wide palpebral fissure complicated with ptosis and upper eyelid depression, but also enhance the exposure rate of the cornea and increase the cosmetic appearance, which is consistent with contemporary aesthetic perception. \n \n \nKey words: \nBlepharoplasty;\xa0Reconstructive surgical procedures;\xa0Construction of double eyelid;\xa0Repair;\xa0Shortening of upper eyelid levator muscle