By William P. Chen MD FACS
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Extra resources for Asian Blepharoplasty and the Eyelid Crease 2nd Edition
J Jpn Aesth Plast Surg 1999;20:38. 25. Satou H, Ichida M. The reliability of buried double eyelid operation and the assessment of unfavorable results at our clinic. Panel discussion at the annual meeting of the Japan Society of Aesthetic Plastic Surgery, Gifu, Japan, October 1998. 26. Lee YJ, Baek RM, Chung WJ. Nonincisional blepharoplasty using the debulking method. Aesth Plast Surg 2004;27:434–437. 27. Zubiri JS. Correction of the oriental eyelid. Clin Plast Surg 1981;8:725–737. 28. Yang PY. Double eyelid operation by the twisted needle and compressive suturing technique.
6 root canal dental ﬁle; Fig. 5-6D) is twirled through the subcutaneous plane and then through the suborbicularis plane along the pretarsal region of the upper lid (step A in illustration), first from the lateral to the central stab incision and then from the central to the medial incision. Sutures of 4/0 silk are then used to close the wound in a continuous manner, taking a bite of the tarsus and passing back to the skin side, as in steps B or Chapter 5 Suture Ligation Methods 43 2 3 2 3 Skin Orbicularis muscle Levator aponeurosis ..
5-7). One end of a suture needle is passed from one stab incision on the skin through the tarsal plate superficially and exits through the second stab incision (Step 1). The second needle enters through the same stab incision used by the ﬁrst, this time tracking intradermally and exiting through the second stab wound, as did the ﬁrst needle (Step 2). The sutures are tied and buried in the subcutaneous plane (Step 3). The previous steps are repeated over each third of the superior tarsal border.