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

摘要： 目的 通过对全切法重睑术手术切口进行改良，将内眦处皮肤去除范围向下扩大，观察术后重睑线下方皮肤的流畅程度。方法 自2017年1月至2018年4月期间，共有78例患者采用内眦部改良去皮法进行全切重睑术，设为观察组。平卧闭眼状态下设计去皮范围，观察重睑术后不同阶段重睑线下方的皮肤的紧致程度。同时对比2016年1月至2016年12月全切重睑术患者，共89例，设为对照组，统计发生重睑线内侧皱褶出现的概率。结果 观察组78例患者伤口均一期愈合，有4例患者出现内侧皮肤皱褶，发生概率6.4%。对照组89例患者重睑线内侧出现皮肤皱褶的例数为17例，概率为19.1%，差异有统计学意义（P<0.05）。结论 在全切重睑术时采用内眦部改良去皮法可有效地避免重睑线向内侧出现皮肤皱褶样外观，提高患者满意度。

关键词: 赘皮, 内眦部改良去皮法, 重睑术