Aesthetic SurgeryA New Method for Double-Eyelid Blepharoplasty Using Orbital SeptumLi, Gaofeng MD*; Ding, Wei MSc*; Tan, Jun MB*; Zhang, Bo MSc*; Chen, Xin MSc*; He, Bin MD†Author Information From the *Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan; and †Plastic Surgery of People's Hospital, Ningxiang, China. Received June 7, 2018, and accepted for publication, after revision August 8, 2018. Conflicts of interest and sources of funding: none declared. Reprints: Gaofeng Li, MD, 61 Jiefangxi Road, Changsha 410005, Hunan Province, People's Republic of China. E-mail: email@example.com. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.annalsplasticsurgery.com). Annals of Plastic Surgery: December 2018 - Volume 81 - Issue 6 - p 633-636 doi: 10.1097/SAP.0000000000001650 Buy SDC Metrics Abstract Background This article presents a new method using orbital septum for double-eyelid blepharoplasty. Methods During double-eyelid blepharoplasty, we incised the orbital septum horizontally. Using the attachment site of the levator aponeurosis as a pedicle, the lower part of the dissected 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 efficacy of this double-eyelid surgical procedure in patients undergoing the procedure from December 2015 to October 2017. Results We included 462 eyes of 231 patients in the final analysis. Sutures were removed 7 days after surgery. All double-eyelid creases were well formed, and the eyelids closed well. Six-month follow-up results revealed that the double-eyelid shape was natural looking, and no patients experienced upper eyelid retraction or incomplete eye closure. Notched scars did not occur, and patient satisfaction was achieved in all cases. Two hundred eleven patients were fully satisfied with the surgical results, and 20 were basically satisfied with the surgical results. Conclusions Using the orbital septum is a good approach for double-eyelid blepharoplasty. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.