Blepharoplasty Revision Technique for Disappearing Double Eyelid Line: A Biomimetic Approach for Establishing Skin and Pretarsal Fascia Connection

Abstract

Introduction

Double eyelid surgery has associated complications including fold disappearance over time.

Objectives and Hypothesis

To assess a novel surgical method for double eyelid revision.

Study Design

Retrospective study.

Methods

We analyzed data from 60 patients with disappearing double eyelid folds. The procedure involved suturing the pretarsal fascia, orbicularis oculi muscle, and dermis at the lower incision edge. Aesthetic outcomes and patient satisfaction were assessed during postoperative follow-up.

Results

All patients had satisfactory results with no double eyelid crease disappearance during the follow-up period. The eyelid morphology was satisfactory in 59 cases and moderately satisfactory in one case. Patient satisfaction was 98.3%. Crease disappearance was not observed during the follow-up.

Conclusion

This study discusses a novel surgical method for stable double eyelid morphology with more secure internal fixation and low fold disappearance risk. Moreover, dynamic force transmission leads to more stability with less noticeable incision scars.

Keywords

double eyelid repair - orbicularis oculi muscle - pretarsal fascia - disappearance

Publication History

Article published online:
30 May 2025

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