The clinical application of oribicularis oculi fenestration in blepharoplasty
Objective To explore a surgical method for the naturally dynamic double eyelid by advance and fix the levator aponeurosis flap or pretarsal fascia flap through the window of oribicularis oculi.Methods From July 2018 to January 2020,oribicularis oculi fenestration blepharoplasty were performed on 286 patients.Orbicularis oculi muscle in incisional area were completely exposed,then three 2 mm × 2 mm orbicularis oculi muscle(at medial,middle and lateral)were romoved to form windows.The levator aponeurosisor pre-tarsal fascia exposed in the windows,forming the levator aponeurosis flap or pretarsal fascia flap,then sutured from lower skin,lower orbic-ularis oculi muscle,levator aponeurosis flap or pretarsal fascia flap to upper skin in windows respectively,the other parts were sutrued lower skin with upper skin.Results All 286 patients were took out the sutures after 7 days.With up to 12 to 24 months follow-up,the new double eyelid presented smooth appearance,no obvious concave groove or step-like deformity when eyes closed.Satisfaction evaluation:280 patients were satisfied with the outcomes,6 patients were not satisfied.Three patients complained about asymmetry.Three patients had shallower supratarsal folds.The patients'satisfaction rate was 97.9％.Conclusion Oribicularis oculi fenestration blepharoplasty is a sta-ble,lasting,scarless approach for natural and dynamic double-eyelid blepharoplasty.
Doubling eyelid operation by incision methodOrbicularis oculiFenestration
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