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CC BY-NC 4.0 · Arch Plast Surg 2013; 40(04): 409-413
DOI: 10.5999/aps.2013.40.4.409
Original Article

Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique

Kyung-Chul Moon
Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
,
Eul-Sik Yoon
Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
,
Jun-Mun Lee
Department of Plastic and Reconstructive Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea
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Background Buried non-incisional double-eyelid blepharoplasty is a popular aesthetic procedure. Although various modified continuous suture techniques have been used to create a more natural appearance and to reduce downtime, complications such as loosening of the double fold, asymmetry, and foreign body reactions have been observed.

Methods This study included 250 patients who underwent double-eyelid blepharoplasty between March 1997 and November 2012 using a modified single-knot continuous buried non-incisional technique. With 4 stab incisions in the upper eyelids, one of two needles loaded with double-armed 7-0 nylon was passed in one direction alternately through the dermis and the conjunctiva, while the other needle was passed subconjunctivally in the opposite direction. Both ends of the sutures were knotted within a lateral stab incision of the upper eyelids and were buried in the orbicularis oculi muscle.

Results Most patients displayed satisfactory aesthetic results, and no significant complications occurred. There was no obvious regression of the double fold; however, 3 patients required reoperation to correct loosening of the fold on one side during the follow-up period. One patient presented with the suture knot subcutaneously, and the knot was removed in the clinic.

Conclusions The modified single-knot continuous buried non-incisional technique is a simple and less time-consuming method for a durable double fold and provides satisfactory aesthetic results.

Keywords

Eyelids - Blepharoplasty - Sutures


Publication History

Received: 01 March 2013

Accepted: 17 June 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • References

  • 1 Baik BS, Park DH. Cosmetic and reconstructive oculoplastic surgery. Seoul: Koonja; 2003
    Google Scholar
  • 2 Baek SM, Kim SS, Tokunaga S. et al. Oriental blepharoplasty: single-stitch, nonincision technique. Plast Reconstr Surg 1989; 83: 236-242
    CrossrefPubMedGoogle Scholar
  • 3 Mikamo M. Mikamo's double-eyelid operation: the advent of Japanese aesthetic surgery. 1896. Plast Reconstr Surg 1997; 99: 664
    PubMedGoogle Scholar
  • 4 Shirakabe Y, Kinugasa T, Kawata M. et al. The double-eyelid operation in Japan: its evolution as related to cultural changes. Ann Plast Surg 1985; 15: 224-241
    CrossrefPubMedGoogle Scholar
  • 5 Wu W. A two-way continuous buried-suture approach. Aesthetic Plast Surg 2009; 33: 426-429
    CrossrefPubMedGoogle Scholar
  • 6 Song RY, Song YG. On double eyelid operation. Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi 1985; 1: 3-8
    PubMedGoogle Scholar
  • 7 Hwang K, Kim DH, Huan F. Tension and distortion of the upper double eyelid by a nonincision method. J Craniofac Surg 2012; 23: 886-889
    CrossrefPubMedGoogle Scholar
  • 8 Homma K, Mutou Y, Mutou H. et al. Intradermal stitch blepharoplasty for orientals: does it disappear?. Aesthetic Plast Surg 2000; 24: 289-291
    CrossrefPubMedGoogle Scholar
  • 9 Ko RY, Baek RM, Oh KS. et al. Complication of non-incision oriental blepharoplasty: is disappearance of the lid crease a fearful complication?. J Korean Soc Plast Reconstr Surg 2000; 27: 199-203
    Google Scholar
  • 10 Lee YJ, Baek RM, Chung WJ. Nonincisional blepharoplasty using the debulking method. Aesthetic Plast Surg 2003; 27: 434-437
    PubMedGoogle Scholar
  • 11 Zhang MY, Yang H, Ding SL. et al. Construction of a double eyelid: an uncut strip of orbicularis removed through three mini-incisions. Aesthetic Plast Surg 2013; 37: 22-28
    CrossrefPubMedGoogle Scholar
  • 12 Zhang MY, Yang H, Li CY. et al. Removal of a large amount of pretarsal tissue through three mini incisions in the construction of a double eyelid. Aesthetic Plast Surg 2012; 36: 1039-1046
    CrossrefPubMedGoogle Scholar
  • 13 Mizuno T. Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty. J Plast Reconstr Aesthet Surg 2013; 66: e95-e100
    CrossrefPubMedGoogle Scholar
  • 14 Lew DH, Kang JH, Cho IC. Surgical correction of multiple upper eyelid folds in East Asians. Plast Reconstr Surg 2011; 127: 1323-1331
    CrossrefPubMedGoogle Scholar