{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:33:10Z","timestamp":1793068390344,"version":"4.5.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"19","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study compared the clinical efficacy, safety, and fold stability of the septoaponeurotic junctional thickening (SAJT) method and the bridge technique (BT) in double-eyelid blepharoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective analysis included 82 patients aged 18\u201340 years from a prospectively collected randomized comparative cohort who underwent primary double-eyelid surgery between June 2023 and October 2024. Patients had been assigned to the SAJT group (n = 42) or the BT group (n = 40). Outcomes included operative time, edema resolution, complications, objective esthetic outcomes at 6 and 12 months, dynamic eyelid movement score, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The SAJT group had a significantly shorter operative time and faster postoperative edema resolution than the BT group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). Hematoma was numerically less frequent in the SAJT group, without a significant between-group difference. At 6 months, the overall improvement rates were comparable between groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05), whereas the dynamic movement score was higher in the SAJT group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). Patient satisfaction at 6 months was similar between groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05). Objective crease attenuation or disappearance was observed in three of 42 SAJT cases and two of 40 BT cases at 6 months. At 12 months, 36 patients in the SAJT group and 33 in the BT group remained in follow-up. The overall improvement rates remained comparable at 12 months (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; 0.05), and the dynamic movement score remained higher in the SAJT group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both techniques achieved favorable outcomes. SAJT was associated with greater operative efficiency and better dynamic fold performance, whereas BT provided comparable short-term and 12-month fold stability. Technique selection should be individualized according to eyelid anatomy and surgical goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence III<\/jats:title>\n                    <jats:p>\n                      This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-06151-0","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:33:50Z","timestamp":1785267230000},"page":"7857-7863","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Clinical Efficacy of Septoaponeurotic Junctional Thickening Versus Bridge Technique in Double-Eyelid Blepharoplasty"],"prefix":"10.1007","volume":"50","author":[{"given":"Tianshi","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wentao","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huaxin","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0907-4545","authenticated-orcid":false,"given":"Jian","family":"Hao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"6151_CR1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1055\/s-0033-1333832","volume":"29","author":"W Chen","year":"2013","unstructured":"Chen W, Park J. 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