Our Summary

This research paper is about a new technique for double-eyelid surgery, a popular type of plastic surgery in East Asia. Traditionally, there are two methods for this surgery. One leaves a noticeable scar, while the other, known as the “Park” method, results in less scarring but can lead to complications like an uneven look, eye exposure and loss of the eyelid crease.

To address these issues, the researchers proposed a new technique called the “tarsus linkage mechanism.” This method involves removing some tissue and then stitching together two parts of the eyelid to create a stronger, more stable result.

The study included 482 patients who had this surgery between March 2018 and March 2022. All patients were followed up with for six months after their surgery. According to the doctors, 85.5% of patients had very good results, 14.3% had okay results, and one patient (0.2%) was not happy with their results. From the patients’ perspective, 88% were satisfied, 11.8% were somewhat satisfied, and again, one patient (0.2%) was not satisfied.

The researchers conclude that their new technique is a good option for most people wanting double-eyelid surgery, especially those with loose upper eyelid skin or a lot of fat in the upper part of their eye socket.

FAQs

  1. What is the tarsus linkage mechanism in double-eyelid surgery?
  2. What were the results of the study on the new tarsus linkage mechanism technique for double-eyelid surgery?
  3. Who would be the ideal candidates for the tarsus linkage mechanism technique according to the researchers?

Doctor’s Tip

One helpful tip a doctor might tell a patient about blepharoplasty is to carefully follow post-operative care instructions to ensure optimal healing and results. This may include avoiding strenuous activities, keeping the eyes clean and avoiding rubbing or touching the surgical site. Additionally, attending follow-up appointments with the surgeon is important to monitor progress and address any concerns.

Suitable For

Typically, patients who are recommended for blepharoplasty, or double-eyelid surgery, are those who have loose upper eyelid skin or excess fat in the upper part of their eye socket. These patients may desire a more youthful and refreshed appearance, and blepharoplasty can help achieve this by removing excess tissue and creating a more defined eyelid crease.

In the case of the new technique discussed in the research paper, the tarsus linkage mechanism, this method may be particularly beneficial for patients who want to minimize scarring and reduce the risk of complications associated with traditional double-eyelid surgery methods. The study found that the majority of patients had very good results with this new technique, indicating that it may be a suitable option for a wide range of patients seeking double-eyelid surgery.

Overall, patients who are in good health and have realistic expectations about the outcomes of blepharoplasty are typically recommended for this procedure. It is important for patients to consult with a board-certified plastic surgeon to determine if they are a good candidate for blepharoplasty and to discuss their goals and concerns before undergoing surgery.

Timeline

  • Before blepharoplasty:
  1. Patient meets with a plastic surgeon to discuss their goals and expectations for the surgery.
  2. Pre-operative tests and evaluations are conducted to ensure the patient is a suitable candidate for the procedure.
  3. The surgeon explains the risks, benefits, and potential outcomes of the surgery to the patient.
  4. Patient receives instructions on how to prepare for the surgery, such as avoiding certain medications and food.
  5. Surgery is performed under local anesthesia, sedation, or general anesthesia, depending on the patient’s preference and the extent of the procedure.
  • After blepharoplasty:
  1. Patient experiences swelling, bruising, and discomfort in the days following the surgery.
  2. The surgeon provides post-operative care instructions, including how to clean the incision sites and manage pain.
  3. Follow-up appointments are scheduled to monitor the healing process and remove any stitches.
  4. Swelling and bruising gradually subside over the course of several weeks, revealing the final results of the surgery.
  5. Patient may need to wear protective eyewear and avoid strenuous activities during the initial recovery period.
  6. Patient can enjoy the rejuvenated appearance of their eyelids and improved self-confidence as a result of the surgery.

What to Ask Your Doctor

  1. How does the “tarsus linkage mechanism” technique differ from traditional methods of double-eyelid surgery?
  2. What are the potential risks and complications associated with this new technique?
  3. How long is the recovery period for this surgery?
  4. What kind of results can I expect from this surgery?
  5. Will I need to undergo any additional procedures or follow-up appointments after the surgery?
  6. Are there any specific instructions or precautions I should follow before and after the surgery?
  7. How experienced are you in performing this new technique?
  8. Can you show me before and after photos of previous patients who have undergone this surgery?
  9. Are there any alternative treatments or procedures that I should consider?
  10. What is the cost of the surgery and will it be covered by insurance?

Reference

Authors: Lu X, Ye Y, Qian Y. Journal: Aesthetic Plast Surg. 2023 Dec;47(6):2440-2446. doi: 10.1007/s00266-023-03444-6. Epub 2023 Jun 29. PMID: 37386262