Simultaneous fat removal with suture upper blepharoplasty.
BACKGROUND
Suture blepharoplasty for double eyelids is one of the most common aesthetic plastic surgery procedures in Asia. Because the technique of celebrity arcade suture blepharoplasty is effective and reliable, it has gained in popularity over the past 10 years. During this period, a significant group of patients has requested double-eyelid suture blepharoplasty combined with correction of upper eyelid puffiness. In the past, upper eyelid fat removal was performed primarily by an open excision technique, which could result in a visible scar and a prolonged recovery period. Fat removal performed simultaneously with suture blepharoplasty was a technique not considered. The reported technique is introduced to achieve simultaneous fat removal and suture blepharoplasty for double eyelids.


METHODS
The operative design is almost the same as that of the celebrity arcade suture blepharoplasty technique. The difference is that the lateral incision should be longer (3-4 mm) and placed 5-mm medially to the vertical line of the lateral canthus. From this lateral incision, a bulky fat pad can be removed with cauterization.


RESULTS
From June 2001 to December 2011, 79 of 807 patients who received celebrity arcade suture blepharoplasty also had simultaneous fat removal. No complications of hematoma, granuloma, or transient dry-eye symptoms occurred.


CONCLUSIONS
The results show that fat removal simultaneous with celebrity arcade suture blepharoplasty is a reliable and easily duplicated technique for patients who request correction of puffy eyelids and suture blepharoplasty for double eyelids.


METHODS
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Celebrity Cosmetic Center, 3F-1, No. 243, Sec. 1, Fu-Hsing S. Road, Da-an District, Taipei City, 10666, Taiwan. tung@celebritycosmetic.com
Tung-Chain
TC
Tung
Tzong-Ru
TR
Tsai
Chung-Chih
CC
Yu
Kuan Sheng
KS
Chang
D000273:Adipose Tissue / Q000601:surgery*; D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D013536:Suture Techniques; D013624:Taiwan; D055815:Young Adult