Treatment of upper eyelid cutis laxa by constructing a double eyelid combined with thread-burying fixation in the eyebrow

Objective To introduce a technique of constructing double eyelid combined with thread-burying fixation in the eyebrow to treat upper eyelid cutis laxa of young and middle-aged patients. Methods To remove the superfluous skin of upper eyelid, we performed an operation using 3-0 non-injurious intradermic suture to fix the eyebrow onto the periosteum of the eyebrow bone, and then constructed a double eyelid. Twenty-nine cases with upper eyelid cutis laxa were treated with this method. Results All twenty-nine cases showed primary healing postoperatively. After 6～24 months follow up, 21 patients of these were very satisfied with the youngful appearance of the upper eyelid, and there were no complications. Conclusion This technique of constructing a double eyelid combined with thread-burying fixation in the eyebrow is a simple, effective method for treatment of uppper eyelid cutis laxa of in middle-age and young individuals.