High Double Eyelid Fold Correction Composite Using Fat Strip Transplantation and Pretarsal Orbicularis Oculi Flap
Author: Haihua Chen
Base Hospital / Institution: Hangzhou First People’s Hospital
Rapid fire oral presentation
Abstract ID: 24-108
Purpose
As the growing amount of unnatural-appearing
upper eyelid after blepharoplasty, it’s necessary to find suitable methods for secondary revision. This study aimed to evaluate aesthetic outcomes of surgical correction of the high fold using a pretarsal orbicularis oculi flap with fat strip transplantation.
Methods
From January 2018 to September 2023, 50 patients with high and deep double eyelid folds underwent our fold-lowering procedure. All of these patients underwent surgical correction of high folds composite using fat strip transplantation and pretarsal orbicularis oculi flap, with postoperative follow-up ranging from 6 months to 2 years. All the Postoperative outcomes were recorded and reviewed.
Results
Using the composite technique, unnatural, high, and deep double eyelid folds were converted to lower and relative natural folds. Although prior high fold incision scars could be seen postoperatively on close examination, they were not easily visible. Complications included fold height asymmetry in 5 cases, persistence of the prior fold in 6 cases, and redundant upper flap skin that needed further excision in 3 cases.
Conclusion
Secondary blepharoplasty revision to correct the high fold is a challenging procedure for plastic surgeons. Using fat strip transplantation and pretarsal orbicularis oculi flap for correction of the high fold is relatively safe and effective. This provides a new treatment option in secondary revision techniques.
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