Our Summary

This research paper looked at different methods of performing double-eyelid surgery with small incisions. The researchers reviewed existing studies and analyzed the data on the number of incisions, how tissue was removed, how the remaining tissue was secured, and how the skin was stitched up. They also looked at any complications that came up.

They reviewed 13 studies involving 4177 patients. Some studies used one incision, some used two, some used three, and one used four. Regardless of the number of incisions, each technique allowed for precise removal of tissue and secure tissue fixation.

The rate of complications and the rate of the eyelid fold disappearing after surgery were both 5% and 2% respectively for the one-incision and three-incision techniques. There was no significant difference between the groups.

The researchers concluded that small-incision double eyelid surgery is a simple, safe, and repeatable method. It reduces recovery time after surgery and allows for a strong fixation of tissue. The rate of complications and fold loss are acceptable when compared to techniques that don’t use incisions or use a lot of incisions.

FAQs

  1. What different methods of performing double-eyelid surgery were studied in this research?
  2. What were the rates of complications and fold loss in double-eyelid surgery with small incisions?
  3. What conclusions did the researchers draw about small-incision double eyelid surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about blepharoplasty is to discuss with the surgeon the specific technique they plan to use, such as small-incision double eyelid surgery. This technique has been found to be safe, effective, and associated with a low rate of complications. It is important for patients to understand the details of the procedure and feel comfortable with the approach being taken to achieve their desired results.

Suitable For

Patients who are typically recommended blepharoplasty are those who have excess skin or fat in the upper or lower eyelids, droopy eyelids that impair vision, or puffiness around the eyes. Additionally, individuals who have asymmetrical eyelids or desire a more youthful appearance may also benefit from blepharoplasty. It is important for patients to have realistic expectations and be in good overall health before undergoing this procedure.

Timeline

Before blepharoplasty:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and potential risks.
  2. Pre-operative evaluation to assess overall health and suitability for surgery.
  3. Preparation for surgery, which may include stopping certain medications and avoiding smoking.
  4. Anesthesia is administered before the procedure begins.

During blepharoplasty:

  1. Incisions are made along the natural creases of the eyelids.
  2. Excess skin, muscle, and fat are removed or repositioned.
  3. Tissue is secured and the incisions are closed with sutures.
  4. The procedure typically takes 1-3 hours, depending on the extent of the surgery.

After blepharoplasty:

  1. Patients may experience swelling, bruising, and discomfort in the first few days after surgery.
  2. Pain medication and cold compresses may be recommended to manage any discomfort.
  3. Follow-up appointments with the surgeon to monitor healing and remove sutures.
  4. Recovery typically takes 1-2 weeks, with most patients able to resume normal activities after that time.
  5. Final results may take several months to fully develop, with improved eyelid appearance and reduced signs of aging.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with blepharoplasty surgery?
  2. How many incisions will be made during the surgery, and what is the reasoning behind this choice?
  3. How will the tissue be removed and secured during the procedure?
  4. What is the expected recovery time after the surgery?
  5. What can I do to ensure the best possible outcome and minimize the risk of complications?
  6. Will there be any visible scarring after the surgery, and if so, how can it be minimized?
  7. How long will the results of the surgery last, and are there any factors that could affect the longevity of the results?
  8. Are there any alternative treatments or techniques that could achieve similar results?
  9. What should I expect in terms of post-operative care and follow-up appointments?
  10. Can you provide me with before and after photos of previous patients who have undergone similar blepharoplasty procedures?

Reference

Authors: Yu P, Chen S, Gu T, Zhao M, Teng L, Lu J. Journal: Aesthetic Plast Surg. 2023 Jun;47(3):1067-1075. doi: 10.1007/s00266-022-03154-5. Epub 2022 Nov 8. PMID: 36348097