Effect of Eyebrow Lifting with Subeyebrow Incision Combined with Double Eyelid Plasty on Improvement of Upper Eyelid Wrinkles in Patients with Moderate and Severe Upper Eyelid Laxity
Objective To investigate the effect of eyebrow lifting with subeyebrow incision and double eyelid plasty on patients with moderate to severe upper eyelid laxity.Methods From February 2022 to February 2024,the medical records of 60 patients with moderate to severe upper eyelid laxity admitted to Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine were retrospectively analyzed,according to different treatment methods,the patients were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with eyebrow lifting through subeyebrow incision,and the observation group was treated with eyebrow lifting through subeyebrow incision combined with double eyelid plasty.The improvement of upper eyelid wrinkles,orbital shape indicators,cosmetic effect satisfaction and complications were compared between the two groups.Results Before operation,there was no significant difference in score of the Wrinkle Assessment Scale(Lemperle)between the two groups(P＞0.05);2 months after the operation,the Lemperle score in the observation group was(0.72±0.16)points,which was lower than(1.46±0.35)points in the control group,and the difference was statistically significant(P<0.05).2 months after surgery,the distance between inner eyelid margin and double eyelid fold,the distance between eyelid margin and corneal reflection point,the distance between eyelid margin and double eyelid fold at the middle point of pupil,and the distance between eyelid margin and double eyelid fold at the lateral canthus in the observation group were(0.97±0.20)mm,(0.42±0.09)mm,(1.41±0.46)mm,and(1.97±0.59)mm,respectively,which were longer than(0.75±0.16)mm,(0.30±0.06)mm,(1.09±0.32)mm,(1.46±0.48)mm of the control group,the differences between the groups were statistically significant(P<0.05).The cosmetic effect satisfaction of the observation group was 93.33%,which was higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion Eyebrow lifting with subeyebrow incision combined with double eyelid plasty can improve the laxity of upper eyelid wrinkles in patients with moderate to severe upper eyelid laxity,improve the cosmetic effect,and has a certain application value without serious complications.
Moderate and severe upper eyelid laxityEyebrow lifting with subeyebrow incisionDouble eyelid plastyComplication
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