2021 Volume 67 Issue 5 Pages 451-462
Objective Upper blepharoplasty surgery includes both esthetic and functional considerations. Double eyelid surgery is one of the most commonly performed facial plastic and esthetic surgical procedures in Asia. Although correctly performed procedures are esthetically pleasing for patients, there are many potential complications and complaints that need to be avoided. Myanmar is a country where there are many ethnic groups and people of different cultures, appearance, and preferences. The purpose of this study is to evaluate the surgical techniques and the outcome in a limited medical environment in Myanmar.
Methods Three hundred and four patients (37 men, 267 women) who underwent double eyelid surgery were enrolled in the study. The double eyelid fold was created by placing and attaching three points between the dermis and levator aponeurosis. The directions of eyelash lines were then adjusted to be inverted approximately 100° upwards on both sides. Satisfactory outcomes were assessed by contacting and surveying the patients’ feedback via telephone whereas functional outcomes were assessed by measuring marginal reflex distance (MRD1) who could visit back to the clinic.
Results The incisional technique healed very rapidly and looked natural within 1 month in young patients but only looked natural after 2 to 6 months in the elders. The MRD1 was increased on postoperative measurement of all patients (p<0.05). Nearly all the patients were aesthetically satisfied with the result by 6 months postoperatively.
Conclusions The outcomes were esthetically satisfying with functional improvement. This is the first retrospective clinical outcome study of double eyelid surgery in Myanmar.