关键词: 赘皮, 内眦部改良去皮法, 重睑术

Abstract: Objective To improve the incision design of double blepharoplasty， enlarge the removal of medial skin， and observe the degree of skin fluency below the double eyelid line after operation. Methods From January 2017 to April 2018， 78 patients were treated with modified medial skin removal method for double blepharoplasty. They were divided into observation group. In the supine position， the amount of skin removal was evaluated. The tightness of skin in the eyelid was assessed at different stages after surgery. At the same time， 89 patients who underwent conventional double blepharoplasty from January 2016 to December 2016 were selected as the control group， and the probability of occurrence of folds on the medial double eyelid line was counted. Results The wounds of 78 patients in the observation group healed in one stage， and 4 patients had skin folds on the medial side， with a probability of 6.4%. In the control group， there were 17 cases of skin folds on the medial side of double eyelid line， with a probability of 19.1%. Conclusion Modified medial skin removal method during double blepharoplasty can effectively avoid the appearance of skin folds on the medial side of the double eyelid line and improve patient satisfaction.

Key words: modified medial skin removal method, redundant skin, double blepharoplasty