Intratarsal Fixation at the Same Level as the Skin Incision to Reduce Asymmetric Double Eyelids
- Affiliated Author(s)
- 한기환; 최태현; 손대구; 김준형
- Alternative Author(s)
- Han, Ki Hwan; Choi, Tae Hyun; Son, Dae Gu; Kim, Jun Hyung
- Journal Title
- Annals of Plastic Surgery
- Issued Date
- One of the most common complications of double eyelid operations
is asymmetry. To reduce asymmetry, we fixed the dermis to the tarsal
plate at the same level as the skin incision, and objectively evaluated the
symmetry of the height using photogrammetry.
Of 30 patients who had double eyelid operations by the intratarsal
fixation technique, 15 patients completed a minimum follow-up of 6 months.
After the skin incision and removal of the orbicularis oculi muscle and the
orbital fat, the pretarsal fat pad was excised to expose the superior portion of
the tarsal plate. The 3 fixation points were marked on the tarsal plate at the
same level with the skin incision using a spreading caliper. The dermis was
fixed to the marked points of the tarsal plate and the skin was closed.
The height of the double eyelid was measured by clinical photography at
4 points when the eyes were opened and at 3 points when the eyes were
closed. The height proportional index at each point was obtained by dividing
the height of the left double eyelid by that of the right double eyelid. We
compared each height proportional index with “1” to evaluate the symmetry
of both double eyelids using a paired t test.
The follow-up period was an average of 9.0 months. The mean height
proportional indices were 0.97 (a), 0.96 (b), 0.98 (c), 1.08 (d), 0.97 (e), 1.02
(f), and 1.13 (g). According to a paired t test, the height of the left double
eyelid was not different from that of the right double eyelid.
Intratarsal fixation, along with other previously known methods, decreases
asymmetric double eyelids.
Key Words: double eyelids, intratarsal fixation, photogrammetry
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