{"title":"眶隔瓣联合眼轮匝下筋膜脂肪瓣修复宽双眼皮褶皱保留原切口疤痕。","authors":"Qian Chen, Gang Zhang, Gaofeng Li, Xiaojia Liu","doi":"10.1093/asj/sjaf064","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Double-eyelid blepharoplasty is a common cosmetic surgery. However, blepharoplasty can lead to poor results, necessitating repair surgery. One of the most frequent poor results after double-eyelid blepharoplasty is an excessively wide double-eyelid fold.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the clinical efficacy of wide double-eyelid repair using an orbital septum flap and a suborbicularis oculi fascial-fat flap in cases requiring preservation of the original incision scar.</p><p><strong>Methods: </strong>This retrospective study, undertaken between June 2019 and June 2022, included 35 female patients who underwent wide double-eyelid repair. An orbital septum flap and a suborbicularis oculi fascial-fat flap were prepared. Deep and superficial scar adhesions were fully released to correct the uneven contour at the original incision scar site. The orbital septum flap was turned downward and sutured to the inferior orbicularis oculi muscle and pretarsal fascia. Thereafter, a postoperative follow-up was conducted to observe the results in terms of width of double eyelid, postoperative scars, and patient satisfaction.</p><p><strong>Results: </strong>The difference between the double eyelid width before operation and at the last postsurgical follow-up was statistically significant. No visible scars were seen in patients after the operation, and the width of double eyelid was corrected. The operation was effective: the surgical results were rated as satisfactory in 21 patients and basically satisfactory by 10 patients; 4 patients rated the results as unsatisfactory. The satisfaction rate was 88.57%.</p><p><strong>Conclusions: </strong>For wide double-eyelid fold repair in cases requiring preservation of the original incision scar, the use of an orbital septum flap and a suborbicularis oculi fascial-fat flap achieves good effects in releasing adhesions, preventing abnormal readhesions, and reconstructing natural-looking double-eyelid folds.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"882-886"},"PeriodicalIF":3.0000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Wide Double-Eyelid Fold Repair Using an Orbital Septum Flap and an Suborbicularis Oculi Fascial-Fat Flap in Cases Requiring Preservation of the Original Incision Scar.\",\"authors\":\"Qian Chen, Gang Zhang, Gaofeng Li, Xiaojia Liu\",\"doi\":\"10.1093/asj/sjaf064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Double-eyelid blepharoplasty is a common cosmetic surgery. However, blepharoplasty can lead to poor results, necessitating repair surgery. One of the most frequent poor results after double-eyelid blepharoplasty is an excessively wide double-eyelid fold.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the clinical efficacy of wide double-eyelid repair using an orbital septum flap and a suborbicularis oculi fascial-fat flap in cases requiring preservation of the original incision scar.</p><p><strong>Methods: </strong>This retrospective study, undertaken between June 2019 and June 2022, included 35 female patients who underwent wide double-eyelid repair. An orbital septum flap and a suborbicularis oculi fascial-fat flap were prepared. Deep and superficial scar adhesions were fully released to correct the uneven contour at the original incision scar site. The orbital septum flap was turned downward and sutured to the inferior orbicularis oculi muscle and pretarsal fascia. Thereafter, a postoperative follow-up was conducted to observe the results in terms of width of double eyelid, postoperative scars, and patient satisfaction.</p><p><strong>Results: </strong>The difference between the double eyelid width before operation and at the last postsurgical follow-up was statistically significant. No visible scars were seen in patients after the operation, and the width of double eyelid was corrected. The operation was effective: the surgical results were rated as satisfactory in 21 patients and basically satisfactory by 10 patients; 4 patients rated the results as unsatisfactory. The satisfaction rate was 88.57%.</p><p><strong>Conclusions: </strong>For wide double-eyelid fold repair in cases requiring preservation of the original incision scar, the use of an orbital septum flap and a suborbicularis oculi fascial-fat flap achieves good effects in releasing adhesions, preventing abnormal readhesions, and reconstructing natural-looking double-eyelid folds.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>\",\"PeriodicalId\":7728,\"journal\":{\"name\":\"Aesthetic Surgery Journal\",\"volume\":\" \",\"pages\":\"882-886\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-08-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aesthetic Surgery Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/asj/sjaf064\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Surgery Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/asj/sjaf064","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Wide Double-Eyelid Fold Repair Using an Orbital Septum Flap and an Suborbicularis Oculi Fascial-Fat Flap in Cases Requiring Preservation of the Original Incision Scar.
Background: Double-eyelid blepharoplasty is a common cosmetic surgery. However, blepharoplasty can lead to poor results, necessitating repair surgery. One of the most frequent poor results after double-eyelid blepharoplasty is an excessively wide double-eyelid fold.
Objectives: The aim of this study was to evaluate the clinical efficacy of wide double-eyelid repair using an orbital septum flap and a suborbicularis oculi fascial-fat flap in cases requiring preservation of the original incision scar.
Methods: This retrospective study, undertaken between June 2019 and June 2022, included 35 female patients who underwent wide double-eyelid repair. An orbital septum flap and a suborbicularis oculi fascial-fat flap were prepared. Deep and superficial scar adhesions were fully released to correct the uneven contour at the original incision scar site. The orbital septum flap was turned downward and sutured to the inferior orbicularis oculi muscle and pretarsal fascia. Thereafter, a postoperative follow-up was conducted to observe the results in terms of width of double eyelid, postoperative scars, and patient satisfaction.
Results: The difference between the double eyelid width before operation and at the last postsurgical follow-up was statistically significant. No visible scars were seen in patients after the operation, and the width of double eyelid was corrected. The operation was effective: the surgical results were rated as satisfactory in 21 patients and basically satisfactory by 10 patients; 4 patients rated the results as unsatisfactory. The satisfaction rate was 88.57%.
Conclusions: For wide double-eyelid fold repair in cases requiring preservation of the original incision scar, the use of an orbital septum flap and a suborbicularis oculi fascial-fat flap achieves good effects in releasing adhesions, preventing abnormal readhesions, and reconstructing natural-looking double-eyelid folds.
期刊介绍：
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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