Abstract：
BACKGROUND: Double-eyelid blepharoplasty is a popular cosmetic procedure in Asia; however, there are some drawbacks to this procedure for mild blepharoptosis. Enhancing movement of the levator aponeurosis can correct blepharoptosis through the release of fibrous web bands present between the preaponeurotic fat pad and levator aponeurosis.
OBJECTIVE: To improve our understanding of the anatomical link between the levator aponeurosis and orbital septum fat and to introduce that the release of the link can provide favorable results in double-eyelid blepharoplasty.
METHODS: We included patients with latent ptosis or subclinical blepharoptosis who underwent double-eyelid blepharoplasty with the release of fibrous web bands between June 2021 and March 2023. Mild ptosis was corrected following complete release of the fibrous bands beneath the preaponeurotic fat pad. Patients were followed up for 4-12 months postoperatively, and surgical outcomes were evaluated. Patient demographic variables and photographs were collected pre- and postoperatively. Patients, surgeons, and laypersons were asked to evaluate the outcomes postoperatively. The Friedman\'s nonparametric (for repeated measures) two-way analysis of variance was used for statistical analyses.
RESULTS: Outcomes were assessed in 45 individuals with an average monitoring period of 6.9 months. There were no cases of incomplete eyelid closure or upper eyelid ectropion. Over 50% of the surgical outcomes were deemed \"satisfactory\" by each of the three groups in relation to the widening of the eyelid fissure. Most of the examined patients demonstrated favorable long-term results.
CONCLUSIONS: Fibrous web bands are implicated in subclinical or mild blepharoptosis. The release of fibrous web bands between the preaponeurotic fat pad and levator aponeurosis can provide favorable results in double-eyelid blepharoplasty.
OBJECTIVE: To improve our understanding of the anatomical link between the levator aponeurosis and orbital septum fat and to introduce that the release of the link can provide favorable results in double-eyelid blepharoplasty.
METHODS: We included patients with latent ptosis or subclinical blepharoptosis who underwent double-eyelid blepharoplasty with the release of fibrous web bands between June 2021 and March 2023. Mild ptosis was corrected following complete release of the fibrous bands beneath the preaponeurotic fat pad. Patients were followed up for 4-12 months postoperatively, and surgical outcomes were evaluated. Patient demographic variables and photographs were collected pre- and postoperatively. Patients, surgeons, and laypersons were asked to evaluate the outcomes postoperatively. The Friedman\'s nonparametric (for repeated measures) two-way analysis of variance was used for statistical analyses.
RESULTS: Outcomes were assessed in 45 individuals with an average monitoring period of 6.9 months. There were no cases of incomplete eyelid closure or upper eyelid ectropion. Over 50% of the surgical outcomes were deemed \"satisfactory\" by each of the three groups in relation to the widening of the eyelid fissure. Most of the examined patients demonstrated favorable long-term results.
CONCLUSIONS: Fibrous web bands are implicated in subclinical or mild blepharoptosis. The release of fibrous web bands between the preaponeurotic fat pad and levator aponeurosis can provide favorable results in double-eyelid blepharoplasty.
摘要：
背景：重睑成形术在亚洲是一种流行的整容手术；然而，这种方法对于轻度上睑下垂有一些缺点。增强提上肌腱膜的运动可以通过释放存在于腱膜前脂肪垫和提上肌腱膜之间的纤维网带来纠正上眼睑。
目的：为了提高我们对提上睑膜和眶隔脂肪之间的解剖学联系的认识，并介绍该联系的释放可以在重睑眼睑成形术中提供良好的效果。
方法：我们纳入了在2021年6月至2023年3月期间接受双睑眼睑成形术并释放纤维带的潜伏性上睑下垂或亚临床上眼睑下垂患者。在膜前脂肪垫下方的纤维带完全释放后，轻度下垂得到纠正。术后随访4～12个月,和手术结果进行评估。术前和术后收集患者人口统计学变量和照片。患者,外科医生,并要求外行人评估术后结局。Friedman的非参数（重复测量）双向方差分析用于统计分析。
结果：对45名患者的结果进行评估，平均监测期为6.9个月。没有眼睑闭合不全或上眼睑外翻的病例。三组中的每一组都认为超过50％的手术结果与眼睑裂的扩大有关。大多数被检查的患者表现出良好的长期结果。
结论：纤维网带与亚临床或轻度上睑下垂有关。在膜前脂肪垫和提上睑膜之间释放纤维带可以在重睑眼睑成形术中提供良好的结果。
目的：为了提高我们对提上睑膜和眶隔脂肪之间的解剖学联系的认识，并介绍该联系的释放可以在重睑眼睑成形术中提供良好的效果。
方法：我们纳入了在2021年6月至2023年3月期间接受双睑眼睑成形术并释放纤维带的潜伏性上睑下垂或亚临床上眼睑下垂患者。在膜前脂肪垫下方的纤维带完全释放后，轻度下垂得到纠正。术后随访4～12个月,和手术结果进行评估。术前和术后收集患者人口统计学变量和照片。患者,外科医生,并要求外行人评估术后结局。Friedman的非参数（重复测量）双向方差分析用于统计分析。
结果：对45名患者的结果进行评估，平均监测期为6.9个月。没有眼睑闭合不全或上眼睑外翻的病例。三组中的每一组都认为超过50％的手术结果与眼睑裂的扩大有关。大多数被检查的患者表现出良好的长期结果。
结论：纤维网带与亚临床或轻度上睑下垂有关。在膜前脂肪垫和提上睑膜之间释放纤维带可以在重睑眼睑成形术中提供良好的结果。
