It is often said that everyone has a love of beauty! And double eyelids, also weighing lids, happens to be a point that cannot be ignored in the traditional aesthetic system, so from how to have double eyelids, to how to have double eyelids safely, permanently and naturally has become an eternal topic for beauty seekers. But double eyelid surgery is not just cut and sewn up, usually, we divide it into non-incision method and incision method according to the operation method.
The incision method has a wide range of adaptations, but is relatively traumatic, slow recovery, long swelling time, and obvious surgical scar, so it is generally not the most preferable, while the non-incision method, such as buried double eyelid surgery, although the indications are not as extensive as the incision method, but its advantages are enough to make people excited!
Buried double eyelid
Before we know the advantages of buried eyelid surgery, we need to know what it really is.
First of all, the eyelid surgery is based on the patient’s requirements for the curvature and width of the eyelid, and is performed by ligating the levator muscle or lid plate to the upper eyelid subcutaneous tissue with sutures to replace the attachment of the levator muscle fibers to the upper eyelid skin, thus forming the eyelid.
Secondly, the site of adhesion fixation can be continuous and linear or interrupted and punctate, depending on the procedure. In the buried wire method, the sutures travel beneath the dermis and vaulted conjunctiva, and the knots are buried in the subcutaneous or deeper tissues without the need for suture removal.
In addition to the fact that no suture removal is required, there are many other advantages of the buried eyelid surgery.
For example, the operation is simple, the trauma is small, the damage to blood vessels and lymphatic reflux is small, there is no obvious skin scar after the operation, the postoperative swelling reaction is light and the recovery is fast. The method has no long incision, and the postoperative scar is not obvious compared with the incision method, and the thread is buried under the skin and does not need to be removed after surgery, which is easily accepted by patients. It is also reversible, so if the result is not satisfactory or the shape of the eyelid is not satisfactory, the sutures can be removed before scar adhesions form and the upper lid can be restored to its original state.
However, there is a time limit to its reversibility.
The repair cells begin to proliferate a few hours after surgery, and the processes of extracellular matrix deposition, angiogenesis, and granulation tissue formation associated with scar formation begin to overlap 4 to 6 days after surgery.
Beyond the reversible time frame, repair can be performed by incision, but cannot be restored to the preoperative state.
No surgical operation is 100% free of disadvantages, and the same is true for the buried eyelid surgery.
First, as mentioned above, the indications for buried eyelid surgery are not as broad as those for the incisional method, so it is generally only indicated for young people with thin eyelids, little orbital fat, no laxity of the upper lid skin, and no obvious medial canthus, or for those with one eye and one lid.
Secondly, the upper eyelid crease tends to narrow after surgery and the suture tends to fall out, so the likelihood of the eyelid disappearing after surgery is high, which makes it difficult to achieve satisfactory results.
Furthermore, suture implantation as a foreign body may also cause complications such as long-term chronic pain, uncomfortable pulling sensations, and nodule formation in the upper eyelid skin. Asymmetry of the resurface line and secondary ptosis may also occur.
Finally, because the buried wire method is a non-incisional method, it is impossible to judge under direct vision whether the upper lid skin is accurately sutured to the lid plate or levator tendon membrane, so there is a high degree of reliance on the operator’s surgical skill and experience.
Therefore, you must be careful when choosing an institution for your buried eyelid surgery! It is important to consider not only the regularity of the provider, but also the qualification of the doctor or operator to avoid disfigurement or other irreversible results.
References
[1] Zhang Zhilu, Wang Yongqian. Progress in the study of buried wire blepharoplasty [J]. Tissue Engineering and Reconstructive Surgery,2021,17(04):368-372.
[2]Zhao Y,Song W. Corneal injury after blepharoplasty with the buried wire method[J]. World abstract of the latest medical information,2019,19(91):105.