Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique

Background Buried non-incisional double-eyelid blepharoplasty is a popular aesthetic procedure. Although various modified continuous suture techniques have been used to create a more natural appearance and to reduce downtime, complications such as loosening of the double fold, asymmetry, and foreign...

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Main Authors: Kyung-Chul Moon, Eul-Sik Yoon, Jun-Mun Lee
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2013-07-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-409.pdf
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author Kyung-Chul Moon
Eul-Sik Yoon
Jun-Mun Lee
author_facet Kyung-Chul Moon
Eul-Sik Yoon
Jun-Mun Lee
author_sort Kyung-Chul Moon
collection DOAJ
description Background Buried non-incisional double-eyelid blepharoplasty is a popular aesthetic procedure. Although various modified continuous suture techniques have been used to create a more natural appearance and to reduce downtime, complications such as loosening of the double fold, asymmetry, and foreign body reactions have been observed.Methods This study included 250 patients who underwent double-eyelid blepharoplasty between March 1997 and November 2012 using a modified single-knot continuous buried non-incisional technique. With 4 stab incisions in the upper eyelids, one of two needles loaded with double-armed 7-0 nylon was passed in one direction alternately through the dermis and the conjunctiva, while the other needle was passed subconjunctivally in the opposite direction. Both ends of the sutures were knotted within a lateral stab incision of the upper eyelids and were buried in the orbicularis oculi muscle.Results Most patients displayed satisfactory aesthetic results, and no significant complications occurred. There was no obvious regression of the double fold; however, 3 patients required reoperation to correct loosening of the fold on one side during the follow-up period. One patient presented with the suture knot subcutaneously, and the knot was removed in the clinic.Conclusions The modified single-knot continuous buried non-incisional technique is a simple and less time-consuming method for a durable double fold and provides satisfactory aesthetic results.
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spelling doaj.art-4fd533e768e34421ab31f04acb8c1c572022-12-22T02:57:56ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-07-01404409413Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional TechniqueKyung-Chul MoonEul-Sik YoonJun-Mun LeeBackground Buried non-incisional double-eyelid blepharoplasty is a popular aesthetic procedure. Although various modified continuous suture techniques have been used to create a more natural appearance and to reduce downtime, complications such as loosening of the double fold, asymmetry, and foreign body reactions have been observed.Methods This study included 250 patients who underwent double-eyelid blepharoplasty between March 1997 and November 2012 using a modified single-knot continuous buried non-incisional technique. With 4 stab incisions in the upper eyelids, one of two needles loaded with double-armed 7-0 nylon was passed in one direction alternately through the dermis and the conjunctiva, while the other needle was passed subconjunctivally in the opposite direction. Both ends of the sutures were knotted within a lateral stab incision of the upper eyelids and were buried in the orbicularis oculi muscle.Results Most patients displayed satisfactory aesthetic results, and no significant complications occurred. There was no obvious regression of the double fold; however, 3 patients required reoperation to correct loosening of the fold on one side during the follow-up period. One patient presented with the suture knot subcutaneously, and the knot was removed in the clinic.Conclusions The modified single-knot continuous buried non-incisional technique is a simple and less time-consuming method for a durable double fold and provides satisfactory aesthetic results.http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-409.pdfEyelidsBlepharoplastySutures
spellingShingle Kyung-Chul Moon
Eul-Sik Yoon
Jun-Mun Lee
Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
Archives of Plastic Surgery
Eyelids
Blepharoplasty
Sutures
title Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
title_full Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
title_fullStr Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
title_full_unstemmed Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
title_short Modified Double-Eyelid Blepharoplasty Using the Single-Knot Continuous Buried Non-Incisional Technique
title_sort modified double eyelid blepharoplasty using the single knot continuous buried non incisional technique
topic Eyelids
Blepharoplasty
Sutures
url http://e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-409.pdf
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AT junmunlee modifieddoubleeyelidblepharoplastyusingthesingleknotcontinuousburiednonincisionaltechnique