Clinical observation of performing blepharoplasty by suturing the anterior tarsal plate aponeurosis,upper and lower lip of the orbicularis oculi muscle with the lower lip dermis
Objective To investigate the clinical results of the blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis.Methods From January 2022 to August 2022,a total of 96 patients with single eyelids underwent the method of blepharoplasty.The anterior tarsal plate aponeurosis was sutured and fixed to the orbicularis oculi muscle of the upper and lower lip and the dermal tissue of the lower lip at the incision,and the upper and lower lip skin was then intermittently sutured to the anterior tarsal plate aponeurosis to enhance fixation when the incision was closed.Results All 96 patients had primary wound healing after the operation,and the postoperative follow-up ranged from 3 to 16 months.Except for one pa-tient with an unnatural blepharoplasty fold,the rest of the patients had a rapid recovery,inconspicuous scarring,and a smooth,natural ble-pharoplasty arc.No complications such as infection,hypertrophic scarring,or corneal damage were observed.Conclusion Blepharoplasty utilizing suturing the anterior tarsal plate aponeurosis with the upper and lower lip of the orbicularis oculi muscle and lower lip of the dermis effectively avoids the undesirable effect of shallowing or disappearing lids and results in a good postoperative blepharoplasty shape with natural aesthetics and stable results.