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ORIGINAL RESEARCH article
Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 |
doi: 10.3389/fmed.2024.1383937
The Small Incisions Combined with Interrupted Buried Suture Blepharoplasty: Flexible-Rigid Fixation
Provisionally accepted- 1 Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, Hubei Province, China
- 2 Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei Province, China
Background: The traditional full incision blepharoplasty is the most commonly used in Asia. However, it has significant drawbacks like long recovery period, excessive surgical marks etc. We offer a new suture idea and combine it with interrupted suture buried blepharoplasty to improve these disadvantages. Methods:In our procedure, the orbital septum is opened and separating the levator aponeurosis-the retro-orbital septum complex under this 3-5 millimeters small incision, a flexible-rigid fixation would be made: suture fixation was made to the tarsus-the complex-lower lip orbicularis oculi muscle. We interrupted bury the sutures in the uncut skin between the two small incisions. Results:This paper included 333 patients divided into small incision groups using flexible-rigid fixation (n=244, 73.3%) and full incision groups using rigid fixation (n=89, 26.7%). Both at 6-month and at 5-year postoperative follow-up, the satisfaction of small incision group was statistically higher than the full incision group. The overall postoperative complication rate was statistically significantly less in the small incision. The permanence was not statistically different. For Assignment of Postoperative Effort Score (PES) results, at 6 months postoperatively, the mean score was 8.29 ± 1.32 in the small incision group, 7.86±1.54 in the full incision group. At 5 years postoperatively, the mean score was 7.48 ± 1.45 in the small incision group, 7.51±1.73 in the full incision group. None were statistically different. Conclusion: The small incisions group achieves a higher level of patient satisfaction and more mild trauma in the surgical area, has a low complication rate, and a decent degree of durability.
Keywords: Blepharoplasty, Small-incision combined with interrupted buried suture, Flexible-Rigid Fixation, Duration after blepharoplasty, Shallow scars
Received: 08 Feb 2024; Accepted: 29 Aug 2024.
Copyright: © 2024 Cao and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Lingling Yan, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, 430061, Hubei Province, China
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