Bipolar or monopolar electrosurgery in blepharoplasty: A comparison of surgical outcomes and patient satisfaction

Clinical Results of Asymmetric Blepharoplasty Plastic Repair

OBJECTIVE

To investigate plastic surgery repair's effects and adverse reactions in the clinical therapy of asymmetric double eyelids.

METHODS

All 126 sufferers who came to the hospital for asymmetric double eyelid plastic repair from January 2022 to October 2022 were selected as the research objects, and they were divided into a control group and an observation group using the random number method, with 63 cases in each group, in which sufferers in the control group underwent full incision blepharoplasty and sufferers in the observation group underwent small incision liposuction with submerged sutures. The general data, treatment results, treatment satisfaction, related surgical indicators, and frequency of adverse reactions of the 2 groups of sufferers with asymmetric double eyelid plastic repair were compared.

RESULTS

It had no statistically obvious distinction between the control group and the observation group of sufferers in terms of general data such as sex, age, weight, and height ( P> 0.05); the total therapy efficiency of the sufferers in the observation group (95.24%) was greater than the control group (74.60%), with P value <0.05; the total treatment satisfaction of the patients in the observation group (96.83%) was significantly higher than that in the control group (76.19%), with P value <0.05; compared with the control group, patients in the observation group had shorter operative time and healing time and less intraoperative bleeding, with P value < 0.05; the total frequency of adverse reactions of sufferers in the observation group (4.76%) was less than the control group (17.46%), with P value < 0.05.

CONCLUSION

Small incision liposuction with submerged sutures for plastic repair has significant efficacy, relatively high patient satisfaction, and low incidence of adverse reactions, in line with patient esthetic review, which has a broad clinical application prospect.

Advanced Techniques in Upper Blepharoplasty: Cauterization + Plication for Enhanced Surgical Outcomes

Blepharoplasty is a commonly performed cosmetic surgery worldwide to address the excess skin and fat on the upper eyelids. The purpose of this paper is to present a surgical variation on blepharoplasty, achieving more pleasant outcomes. This paper describes the cauterization + plication technique, which involves using a cauterizing tool to remove excess skin and fat from the upper eyelid before using sutures to create a crease. It provides valuable insights into the advantages and limitations of this technique, drawing on relevant literature and clinical experience. Muscle cauterization and plication technique is an upgrade from the traditional technique, producing more esthetically pleasing results. This study highlights the importance of understanding the different techniques available for blepharoplasty to achieve the best possible outcomes for patients.

Patient Satisfaction and Scar Quality Following Upper Blepharoplasty Using a Simplified Preoperative Marking Technique

One of the most popular plastic surgical interventions both abroad and in Kazakhstan is blepharoplasty. Plastic surgeons continue to debate various methods for performing this operation; however, some of the methods used by plastic surgeons for preoperative marking of the upper eyelid skin may not be suited to the type of incision that should be used on the eyelids of individuals from Kazakhstan. For this reason, the surgery may not achieve the desired results. We conducted a study of patients from Kazakhstan who underwent upper blepharoplasty using a simplified technique for eyelid marking that we developed at our plastic surgery center. We used the Patient-Reported Outcome Measure Questionnaire (PROM-Q) to measure patient satisfaction and the Patient and Observer Scar Assessment Scale (POSAS) to measure scar quality. The results of our study showed that the majority of patients who underwent upper blepharoplasty performed by surgeons using our method of preoperative marking were extremely satisfied with the effect. The patients noted rapid tissue repair and minimal scarring. We concluded that the use of a simplified marking technique can significantly help aesthetic surgeons performing upper blepharoplasty by reducing the risk for negative postoperative effects.

A novel preoperative analysis method of upper blepharoplasty: Movable pulley concept

BACKGROUND

Up to date, many surgical techniques have been introduced on upper eyelid rejuvenation. Despite those technical advances, little attention has been put on objective preoperative analysis methods.

OBJECTIVES

The current study introduces our simplified, versatile, and predictable upper eyelid analysis method of upper blepharoplasty patients.

METHODS

A total of 1509 surgeries were performed from March 2017 to May 2021 using our preoperative analysis method.

RESULTS

As a result of the operation based on this new analysis method, it was possible to individualize the plan according to the patient's needs and obtain satisfactory outcomes.

CONCLUSIONS

Using our simplified, versatile, and predictable upper eyelid analysis method, we could counsel the surgical result with high predictability. In addition, it is a highly recommended method for beginners as it is easy to understand the mechanism of double eyelid surgery.