Overview of the surgery
Mini-Incision Double Eyelid Blepharoplasty is a plastic surgery technique use to introduce a modified mini-incisional technique to form a double eyelid.
Double-eyelid blepharoplasty is one of the most popular cosmetic surgeries in Asia. The mini-incision technique offers a simple, safe, and reproducible approach to double eyelids in patients with no supratarsal folds. It combines the best of both suture and open techniques. This technique allows a more tenacious fixation between the dermis and the tarsal-levator complex, hence resulting in a more permanent fixation. There is a learning curve with this technique,
Preparation prior to Surgery:
Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
Blood and urine samples will be collected for routine preoperative laboratory tests.
Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery.
Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Types of anesthesia use:
Mini-incision double eyelid blepharoplasty technique can be performed under local anesthesia.
During the procedure:
Local anesthesia was achieved by injecting a small amount of 2% xylocaine with 1:80,000 adrenaline at the proposed incision sites, from skin to tarsus. In the supine position, two 2- to 3-mm incisions were marked on the desired fold line, one at the level of the medial aspect of the cornea and another at approximately the midpapillary line.The skin was then incised and the underlying orbicularis muscle was split. The submuscular areolar tissue and fat were excised to the level of the pretarsal area and levator aponeurosis. Debulking the pretarsal soft tissue allowed more direct contact (and hence firmer adhesion between the dermis and tarsus). The preaponeurotic fat could also be teased out and removed as necessary through this incision. A 7-0 Nylon suture was then placed to anchor the pretarsal fascia/levator aponeurosis to the dermis at the inferior edge of the incision in a double-loop fashion. A single stitch was inserted to close the skin on the incision site. A cold saline pad was placed on the site to cool the upper eyelid before proceeding to the opposite side. The same procedure was performed on the opposite eyelid, after which the double-eyelid procedure was complete.
This procedure may be performed in the cosmetic surgeon’s office-based facility, an outpatient surgery center, or at a hospital. This procedure is usually done on an outpatient basis
Immediately after surgery, the patient was asked to sit in a reclining position and the eyelids were cooled with an ice pack for an hour before discharge. The patient was advised to apply the ice pack as frequently as possible for two to three postoperative days. Antibiotics, arnica, and analgesia were administered for three days and suture removal was performed on the fourth postoperative day. Patients were advised not to apply cosmetic products on the upper eyelids and to avoid rubbing their eyelids for the following week. Again, all patients were welcomed to return for follow-up or reoperation if they experienced any problems or complications.