Abstract: Objective To explore the surgical method and clinical effect of modified sewing-style buried suture double eyelid blepharoplasty.Methods From May 2023 to October 2024, 16 patients with single eyelids were admitted and treated with sewing-style buried suture double eyelid blepharoplasty,and the follow-up time was 6-23 months,and the morphology,stability and complications of the double eyelid after surgery were observed.And a patient satisfaction survey was conducted,and the proportion of very satisfied and satisfied was counted.Results One patient had a slight asymmetry between the left and right sides due to continuous eyelid shaking during surgery,which improved over time.In one patient,due to improper postoperative care and touching and rubbing the eyelids,local swelling at the line knot subsided within one week after treatment,and the final effect was not affected.After 6-23 months of follow-up,all patients had smooth and natural blepharoplasty,stable morphology,no disappearance or obvious shallowness of tarpabral line,and the patient satisfaction survey showed that 15 cases (93.8%) were very satisfied,1 case (6.2%) was satisfied,and the total satisfaction was 100%.Conclusion The sewing-style buried suture double eyelid blepharoplasty is simple to operate, causes less trauma, has a quick recovery, and the effect is natural and long-lasting.

Key words: buried suture double eyelid blepharoplasty, modification, sewing-style buried suture method, clinical effect