Volume 10,Issue 4
Analysis of the Application Effect and Complications of Modified Buried-Guide Suture Technique in Double Eyelid Plasty
Objective: To explore the clinical application effect and the pattern of complications of the modified buried-guide suture technique in double eyelid plasty, providing a basis for optimizing surgical plans. Methods: A retrospective analysis was conducted on the clinical data of 60 patients who underwent double eyelid plasty using the modified buried-guide suture technique from January 2022 to January 2024. The surgery employed a dual-anchoring technique of “horizontal suture + vertical fixation” to achieve three-dimensional fixation of the levator palpebrae superioris aponeurosis, the pretarsal fascia, and the deep dermis through a buried-guide needle. Patients were followed up for 6 to 18 months postoperatively to observe the stability of the double eyelid morphology, changes in the marginal reflex distance (MRD1), and to calculate the incidence of complications and patient satisfaction. Results: All 60 patients successfully developed a natural double eyelid morphology with a smooth dynamic arc postoperatively. The retention rate of the double eyelid line at 12 months postoperatively was 93.33%. The preoperative MRD1 was (2.41 ± 0.58) mm, and the postoperative MRD1 was (2.68 ± 0.61) mm, with no statistically significant difference (p > 0.05). A total of 5 cases (8.33%) developed complications, including 2 cases (3.33%) of delayed resolution of mild swelling, 2 cases (3.33%) of slightly asymmetric double eyelid lines, and 1 case (1.67%) of suture knot reaction. No severe complications such as hematoma, infection, or disappearance of the double eyelid line were observed. The overall patient satisfaction rate was 95.00%, with 47 cases (78.33%) reporting very high satisfaction, 10 cases (16.67%) reporting satisfaction, and 3 cases (5.00%) reporting dissatisfaction. Conclusion: The modified buried-guide suture technique significantly enhances the stability of double eyelids through three-dimensional tissue fixation, reduces the incidence of complications, and offers rapid postoperative recovery and natural-looking results, meeting the aesthetic needs of the Asian population.
[1] Long X, Chen Q, Li G, et al., 2025, A Comparative Study on the Tissue Structure Differences of the Pre-Tarsal Fat Fascial Layer Between Congenital Single Eyelid and Double Eyelid. Chinese Journal of Aesthetic and Plastic Surgery, 36(09): 518–523.
[2] Yang L, Wang H, Li X, et al., 2025, Comparative Effectiveness of the “Floating Bridge” Technique and Levator Aponeurosis Shortening in the Treatment of Mild to Moderate Ptosis. Chinese Journal of Aesthetic and Plastic Surgery, 36(09): 536–539.
[3] Chen S, Guo X, Du F, et al., 2025, Retrospective Analysis of the Efficacy of Frontalis Suspension Combined with Therapeutic Bandage Lens in the Treatment of Congenital Ptosis in Children. Chinese Journal of Aesthetic and Plastic Surgery, 36(09): 544–547.
[4] Wang Z, Zhang J, Li N, 2025, Evaluation and Analysis of the Efficacy of Lidocaine Infiltration Anesthesia Combined with Topical Anesthesia in Double Eyelid Plasty. Chinese Journal of Drug Abuse Prevention and Treatment, 31(09): 1592–1594.
[5] Zhu Z, Xu H, 2025, Clinical Application of Orbital Septum Flap Internal Fixation in Double Eyelid Plasty. Chinese Journal of Aesthetic Medicine, 34(09): 17–19.
[6] Chen R, Tu X, Ding Y, 2025, Correlation Analysis of Motivation for Decision-Making and Postoperative Satisfaction Among Female Double Eyelid Surgery Recipients. China Medical Cosmetology, 15(08): 39–43.
[7] Xia H, Chen X, Xia H, et al., 2025, Clinical Observation of Double Eyelid Formation Surgery with Fixation at the Refolded Site of the Posterior Orbital Septum. China Medical Cosmetology, 15(07): 71–75.
[8] Lv Q, Tong R, Sun D, 2025, Comparative Study on the Efficacy of Orbicularis Oculi Muscle “Window Method” Double Eyelid Formation Surgery and Traditional Park Method Double Eyelid Surgery. China Medical Cosmetology, 15(05): 43–46.
[9] Xu Y, Wang D, Xu Y, 2025, Clinical Application and Efficacy Observation of Z-Shaped Flap Transfer Method for Epicanthoplasty Combined with Double Eyelid Formation Surgery in the Treatment of Upper Eyelid Skin Laxity. China Medical Cosmetology, 15(05): 47–50.
[10] Deng H, Huang X, Zhang L, et al., 2025, Application of Modified Uchida Method for Epicanthoplasty Combined with Double Eyelid Formation Surgery in the Treatment of Upper Eyelid Scar Deformity. Chinese Journal of Aesthetic and Plastic Surgery, 36(05): 271–273 + 282.