A Method for Precisely Designing the Form of Double Eyelid in Double Eyelid Plasty.

[BACKGROUND] Given the high prevalence of monolids in Asians and challenges in achieving natural-looking symmetrical folds in blepharoplasty, this study introduces a precise double eyelid design method to improve surgical outcomes. This study aimed to introduce a method of precise designing of double eyelid shape in double eyelid blepharoplasty.

[METHODS] After removing the orbicularis oculi muscle and orbital septum fat properly in the operation, the same double eyelid marker line was drawn on the anterior tarsal tissue as that designed before operation, and then the skin-anterior tarsal tissue skin was sutured along the marker line.

[RESULTS] We followed up 160 patients who had this method applied for 6-12 months, using a questionnaire named self-evaluation of the postoperative form of double eyelid. The satisfaction rate of double eyelid morphology was 92.5%.

[CONCLUSIONS] This method simplifies the repeated adjustment of suture operation, enables precise surgical operations, and has high satisfaction with the shape of double eyelids after operation, thus deserving popularization.