Skin Replacement Epicanthoplasty and Concomitant Septoaponeurosis Junctional Thickening Double Eyelidplasty for Cosmetic Blepharoplasty in Asians.

[OBJECTIVE] This study aims to evaluate the clinical effect of skin replacement epicanthoplasty combined with SAJT (septoaponeurosis junctional thickening) double eyelidplasty.

[METHODS] This retrospective study included 114 patients (2 males, 112 females) who underwent skin replacement epicanthoplasty combined with SAJT double eyelidplasty between July 2015 and June 2021. Surgical outcomes were measured using intercanthal distance (ICD)/interpupillary distance (IPD) ratios, and postoperative upper eyelid morphology. The subjective satisfaction and incidence of complications were also documented.

[RESULTS] After 12 months of postoperative follow-up, the postoperative ICD ratio significantly reduced from 0.58 preoperatively to 0.53 postoperatively ( P <0.05). The Vancouver Scar Scale (VSS) score averaged 1.1 ± 0.4, and no hypertrophic scarring was observed. The majority of patients (98.2%) were "very satisfied" or "satisfied" with the cosmetic outcomes. There were no significant complications.

[CONCLUSION] This study demonstrates the safety and efficacy of skin replacement epicanthoplasty combined with SAJT double eyelidplasty, with high patient satisfaction and minimal postoperative complications.