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Aesthetic Plastic Surgery

, Volume 43, Issue 2, pp 404–411 | Cite as

A Flexible Suspension Technique of Blepharoplasty: Clinical Application and Comparison with Traditional Technique

  • Lei Pan
  • Yi Sun
  • Sheng Yan
  • Hangyan Shi
  • Tingting Jin
  • Jingyu Li
  • Lei Zhang
  • Sufan WuEmail author
Original Article Oculoplastic
  • 335 Downloads

Abstract

Background

Double-eyelid blepharoplasty is one of the most popular aesthetic surgeries in China. But the traditional method produces a hidebound double eyelid due to its rigid suturing between the skin and the tarsus. The authors of this article concluded a novel technique of “flexible suspension technique” compared with traditional blepharoplasty which is considered as a “rigid fixation technique.”

Methods

This is a retrospective study of two groups of 100 Chinese Han females, on whom double-eyelid blepharoplasty was performed, 50 cases by “flexible suspension technique” and the other 50 by “rigid fixation technique.” The basic procedure of “flexible suspension technique” is suturing the orbicularis oculi muscle to the septal extension. Thus, the surgical connection between skin and tarsus is flexible. The surgical results were evaluated and compared using the Global Aesthetic Improvement Scale and Visual Analogue Scale/Score.

Results

The “very much improved” rate in the “flexible suspension technique” group was higher than that in the “rigid fixation technique” group (p < 0.05). Postoperative appearances of the “flexible suspension technique” group were also better than the “rigid fixation technique” group with less edema (p < 0.05) and slighter incision scars (p < 0.05). However, the incidences of asymmetry and fold loss were higher in the “flexible suspension technique” group (p < 0.05).

Conclusion

The flexible suspension technique blepharoplasty can obtain a more natural appearance and has less adverse effects and shorter recovery time.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Blepharoplasty Orbital septum Orbicularis oculi muscle Levator aponeurosis Dynamic 

Notes

Funding

Funding was provided by the General Project Funds from the Health Department of Zhejiang Province (Grant No. 2016KYB022).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study informed consent is not required.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive Surgery, Zhejiang Provincial People’s HospitalPeople’s Hospital of Hangzhou Medical CollegeHangzhouPeople’s Republic of China

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