A combination of incision and nonincision surgical approaches is necessary to create a more physiologically natural double-eyelid.
The location of the partial incision and the burying location are determined. Through a partial incision, the levator aponeurosis is isolated and fixed to the tarsal plate. A single-knot continuous suture is performed. The location of the continuous suture passing through the tarsal plate is at a level that is slightly lower than that at which the levator aponeurosis is fixed to the tarsal plate.
A total of 562 patients were operated on from November of 2006 through October of 2008. The double-eyelid operation was performed on 386 patients, the upper blepharoplasty with skin excision was performed in 91 patients, and a secondary operation was performed in 85 patients. Combined mild to moderate blepharoptosis was corrected simultaneously in all cases. The follow-up period ranged from 6 months to 2 years. Individual patient recovery time varied from 2 weeks to 2 months.
The advantages of the authors' technique are as follows: (1) the process of forming a double-eyelid is natural; (2) the power of the levator palpebrae muscle regarding the eye-opening process is transmitted to pull up the entire lid margin, allowing the eyes to be easily opened with minimal effort; and (3) there is minimal surgical scarring when the eyes are closed.
From the Department of Plastic and Reconstructive Surgery, Kyungpook National University Hospital, and BS Aesthetic Clinic.
Received for publication February 6, 2009; accepted July 20, 2009.
Disclosure: The authors have no financial interest to declare in relation to the content of this article.
Jin Suk Byun, M.D., BS Aesthetic Clinic, 59 Sa-il dong, Jung-gu, Daegu 700-040, Korea, email@example.com