Document Detail


Two modified techniques to decrease complications of buried suture double-eyelid blepharoplasty.
MedLine Citation:
PMID:  23232449     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Double-eyelid blepharoplasty is performed using two alternative approaches: the incision method and the suture method. Buried suture double-eyelid blepharoplasty involves implantation of a foreign material, that is, the suture thread. Therefore, potential complications caused by foreign material should be considered. This article presents two modified techniques to decrease some suture-related complications of buried suture double-eyelid blepharoplasty. METHODS: A retrospective study was conducted on 349 consecutive patients who underwent buried suture double-eyelid blepharoplasty between June 2002 and December 2010 using two novel techniques modified by the author. One of the modified techniques used was the transconjunctival tarsal fixation technique without penetrating the tarsal plate. The conjunctival fixation site for the buried suture method was the anterior surface of the superior tarsal border. The other technique was buried suture double-eyelid blepharoplasty combined with resection of the pretarsal orbicularis oculi muscle through a small skin incision. RESULTS: No conjunctival complications, such as chronic inflammation of the tarsal plate or suture extrusion, were observed with the transconjunctival tarsal fixation technique without penetrating the tarsal plate. The loss rate of the double-eyelid fold after buried suture double-eyelid blepharoplasty combined with resection of the pretarsal orbicularis oculi muscle (9.6%) was lower than the loss rate after buried suture double-eyelid blepharoplasty alone (26%). This result highlights the benefits of resection of the pretarsal orbicularis oculi muscle, although the rate of blepharoptosis potentially increases. CONCLUSIONS: The transconjunctival tarsal fixation technique without penetrating the tarsal plate is simple and decreases the incidence of suture-related complications associated with buried suture double-eyelid blepharoplasty. Resection of the pretarsal orbicularis oculi muscle enhances the durability of the double-eyelid fold after buried suture double-eyelid blepharoplasty.
Authors:
Tsutomu Mizuno
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-8
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  -     ISSN:  1878-0539     ISO Abbreviation:  J Plast Reconstr Aesthet Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Anesis Biyogeka Clinic, Okazaki, Japan. Electronic address: anesis@biyoclinic.com.
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