Conversion of Double Eyelid into Single Eyelid

Nam, Seong Han; Kang, Sang Yoon; Cho, Sang Hun

Abstract

Oriental blepharoplasty or the so called "double eyelid" operation is the most common aesthetic surgical procedure performed for Asians. Nevertheless some patients who underwent double eyelid operation would be dissatisfied with the unnatural look for one reason or another. Some of them can be treated successfully with revision, but sometimes it is not easy to obtain the satisfactory result in severely complicated patients. We have performed surgery to restore single eyelid from double eyelid in ten patients who were unpleasant with the postoperative results. The operative techniques are as follows: Under local anesthesia, the scarred tissue on the palpebral fold was resected and underlying adhesion was released, then orbital fat was pulled down and fixed to the pretarsal area. The upper and lower edges of orbicularis oculi muscle were approximated and skin was repaired in different layers. We obtained a satisfactory result through this method for patients who wanted conversion to single eyelid, and we report the operative techniques as well as references.