Surgical repair of bad eye state caused by double eyelids line scars / 中华整形外科杂志

ABSTRACT

Objective@#In order to explore the method to correct double eyelids line scars and to present its therapeutic schedule, curative effects, pathogenesis and precautions.@*Methods@#Surgical incisions were designed based on preoperative communication, original scars location and skin elasticity. Scar contracture and synechia was relaxed thoroughly. The pretarsal orbicularis oculi muscle of the lower incision margin was fixed to the pretarsal fascia on the new designer location of double eyelid line to firm shape. Complete pretarsal layer tissue were joined layer by layer with interrupted suture. Finally, the skin was sutured closely by locking stitch technique.@*Results@#From November 2014 to September 2016, 583 eyes with unsatisfied double eyelid scars were treated. Patients were followed up for 3 months to 1 year with sustained aesthetic. There is no visible man-made crease in 549 eyes under eye-closed state. Less than 1 mm wide scars with smooth surface were showed on 19 eyelids. Mild depressed or more than 1 mm wide scars still remained in 15 eyes with improved appearance.@*Conclusions@#Unsatisfied appearance caused by double eyelids line scars must be paid highly attention in clinical setting. The appearance can be effectively improved by proper surgical procedures and appropriate suture and fixation.