홍진주성형외과

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  • Non-incision & Partial incision Suture ligation technique for double eyelid folding/ Non-incisional Blepharoptosis correction
[ Non-incision & Partial incision Suture ligation technique for double eyelid folding / Non-incisional Blepharoptosis correction ]
10 Point suture technique
Duration of procedure
It takes less than 30 minutes
Anesthesia
Local anesthesia with light sedation
Hospitalization
None
No stitch to remove when non-incision/ 3days after Partial incision Recovery Period
Normal activities after 2 days, 70% of swelling fade away within 7days
What is JJ 10 point Suture ligation Method?
Unlike previous non-incision methods, your eyes will not easily return back with JJ 10 point non-incision. With our unique stitches, your new double eyelids are formed by connecting the eyelids to the muscle that opens and closes the eyes.

Additional to our stitching method, looping helps disperse the eye’s effort to resist the double eyelids, making it more difficult to return back to your eyes.

Since JJ 10 point non-incision method is done with small holes, the outcome looks more natural with less scars.
Who is Suture Method for?
Those who have double eyelid fold, but it disappear when swollen or tired-Those whose eyelids are thin and doesn’t lag
Stable and Balanced loops
JJ 10 point non-incision suture method makes five identical loops on the eyelids. A single loop or stitch might have faster recovery periods but they tend to get loose easily. With five balanced loops that we make, your double eyelids becomes stable.
Along the natural skin creases
A double eyelid line should be designed along the natural skin creases on the skin of the lid. Even in a simple non-incision technique, irregularity can be happen by the undesirable design.
Partial-incision technique
For a puffy eyelid, the septal fat should be removed through small incision on the double eyelid line before suture ligation procedure. Partial-incision technique means suture ligation method with the septal fat removal.

From Ch 12 Double-Eyelid Surgery :
Nonincisional Suture Techniques p 161Aesthetic Plastic Surgery of the East Asian Face, 2016 Thieme Written by Dr Jin Joo Hong and Hae Won Yang
The most important anatomic difference between a single and double eyelid is the level of the lid crease and skin fold formation, which is the result of the thinning and fusion of the anterior and posterior lamellae. In a double eyelid, the skin fold lies within the lid above the eyelash in a relaxed forward gaze, because the fold-forming lid crease is well defined and sufficiently high. The creation of an artificial connection of skin (anterior lamella) and levator (posterior lamella) at a higher level is the main feature of the double-eyelid procedure.
Traditionally, the procedure can be divided into two major categories: nonincisional suture ligation (buried suture technique) and the external-incision technique. While the nonincisional technique connects the skin and the deeper active levator mechanism with a simple thread loop, the external-incision technique consists of reducing the volume of both lamellae and fixing them together with scar adhesion. The external-incision technique also requires a buried suture to connect the skin and levator mechanism, so a suture loop ligation is common to both techniques. Regardless of the use of an incision, a buried suture loop in the lid is an essential part of double-eyelid creation. In fact, the nonincision suture ligation technique entails forming a fold with suture ligation without dissection. Various surgi¬cal approaches for nonincisional suture ligation have been reported. The nonincision suture ligation technique has been developed for correction of blepharoptosis as well as for the simple formation of the double-eyelid fold. From the conjunctival side, the retractor can be plicated to increase the tension of the levator mechanism.
Non-incisional blepharoptosis correction/ Transconjunctival Müller Tucking
In the unilateral or bilateral mild ptosis case, transconjunc¬tival Müller tucking can be done with the double-eyelid operation. The preoperative design of the dou¬ble fold line should be performed along the natural skin crease. The locations of Müller tucking sutures are marked on the vertical line of the medial and lateral limbi. The sur¬gical procedure is usually performed under local anesthesia using 2% lidocaine mixed with 1/100,000 epinephrine and mild intravenous sedation. Small incisions are made with a needle or no. 11 blade on points that the needle would penetrate. Everting the upper lid, a traction suture is made on the upper margin of the tarsus with nylon 5–0.
For Müller muscle tucking, 7–0 nylon thread is intro¬duced through the skin to the upper margin of the tarsus. The suture is passed through the tarsus to the point of the conjunctiva near the superior fornix and returned through the same point on the conjunctiva to the tarsus, tucking the Müller muscle. The suture exits through the tarsus to the skin and is knotted to tighten the thread. The same proce¬dure should be performed at other sites of Müller muscle tucking, and then the traction suture is removed. Next, the common procedure for the double fold is performed. The knots of the threads should be buried within the skin so that they are not exposed.
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  • Operating hours

    Weekdays
    09:30~19:00
    Tue., Thr.
    09:30~20:00(Night Operations)
    Saturdays
    09:30~16:30
  • Tel.

    (+82)2.544.8807

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