ABSTRACT
BACKGROUND: Suture blepharoplasty for double eyelids is one of the most common aesthetic plastic surgery procedures in Asia. Because the technique of celebrity arcade suture blepharoplasty is effective and reliable, it has gained in popularity over the past 10 years. During this period, a significant group of patients has requested double-eyelid suture blepharoplasty combined with correction of upper eyelid puffiness. In the past, upper eyelid fat removal was performed primarily by an open excision technique, which could result in a visible scar and a prolonged recovery period. Fat removal performed simultaneously with suture blepharoplasty was a technique not considered. The reported technique is introduced to achieve simultaneous fat removal and suture blepharoplasty for double eyelids. METHODS: The operative design is almost the same as that of the celebrity arcade suture blepharoplasty technique. The difference is that the lateral incision should be longer (3-4 mm) and placed 5-mm medially to the vertical line of the lateral canthus. From this lateral incision, a bulky fat pad can be removed with cauterization. RESULTS: From June 2001 to December 2011, 79 of 807 patients who received celebrity arcade suture blepharoplasty also had simultaneous fat removal. No complications of hematoma, granuloma, or transient dry-eye symptoms occurred. CONCLUSIONS: The results show that fat removal simultaneous with celebrity arcade suture blepharoplasty is a reliable and easily duplicated technique for patients who request correction of puffy eyelids and suture blepharoplasty for double eyelids. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Subject(s)
Adipose Tissue/surgery , Asian People , Blepharoplasty/methods , Patient Satisfaction , Suture Techniques , Adult , Female , Humans , Male , Outcome and Process Assessment, Health Care , Taiwan , Young AdultSubject(s)
Cheek/surgery , Rhytidoplasty/methods , Suture Techniques , Adult , Aged , Endoscopy , Female , Humans , Male , Middle AgedABSTRACT
BACKGROUND: In Taiwan, double-eyelid surgery is the most popular cosmetic surgical procedure. The technique preferred by plastic surgeons is the incision method because it is believed that this method can provide stable double-eyelid results. It is the authors' observation that patients prefer an invagination fold rather than a significantly high fold. Suture blepharoplasty may create a relatively even and symmetric invagination fold. In the past, the major disadvantage of the suture technique has been the opinion that the double fold fades away. METHODS: The celebrity arcade suture (CAS) technique was applied in double-eyelid operations. The CAS technique includes three major techniques: stabbing incision, transtarsal suture, and bridge connection. The whole procedure can be completed in 15 min. From June 2001 to November 2004, 312 patients underwent the CAS technique. RESULTS: Of the 312 patients who underwent the CAS technique, 5 required a revisit, with 3 of these returning patients reporting fold disappearance. These three patients received repeat suture procedures. CONCLUSIONS: The findings show that the CAS technique is a reliable method for establishing a smooth, constant, and symmetric double eyelid, and that CAS requires only a short recovery time.
