{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:21:30Z","timestamp":1789104090265,"version":"build-2803163510"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T00:00:00Z","timestamp":1594166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81701901"],"award-info":[{"award-number":["81701901"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81871576"],"award-info":[{"award-number":["81871576"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81801946"],"award-info":[{"award-number":["81801946"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Double eyelid blepharoplasty is the most popular cosmetic surgery among Asian populations. Although various surgical procedures have been reported, certain complications still arise, including asymmetry or the disappearance of the double eyelid crease, an unnatural double eyelid crease curve, and distinct scars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to describe a new blepharoplasty technique intended to reduce the various complications and create dynamic, natural-looking double eyelids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From September 2018 to June 2019, the new technique was performed on 92 Chinese patients. The core of our technique was to construct a reliable motion transmitter, the orbital septum-levator aponeurosis flap, which was sutured to the tarsus. The outcomes were assessed 6 months after the surgery by reviewing medical records and photographs to assess the aesthetic outcomes, the relapse rate, and the incidence of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the aesthetic outcome assessment, 86 patients were graded as good and 4 were graded as fair; of the latter, 2 had uneven scars and 2 showed showed a slight asymmetry of the double eyelid curve in length or width. Two patients were graded as poor because of the disappearance of the double eyelid crease. The relapse rate was 2.2%. Two patients had temporary hematoma. Six patients had lagophthalmos that subsided within 30 days. No cases of infection or ptosis were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The bridge technique is an effective method for creating dynamic, natural-looking double eyelids. However, the long-term outcome of this new surgical approach requires further study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asj\/sjaa195","type":"journal-article","created":{"date-parts":[[2020,7,8]],"date-time":"2020-07-08T10:24:51Z","timestamp":1594203891000},"page":"NP648-NP654","source":"Crossref","is-referenced-by-count":32,"title":["Tarsal-Fixation With Aponeurotic Flap Linkage in Blepharoplasty: Bridge Technique"],"prefix":"10.1093","volume":"40","author":[{"given":"Rui","family":"Jin","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yirui","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjie","family":"Yu","sequence":"additional","affiliation":[{"name":"Mylike Medical Cosmetic Hospital , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shaoxing People\u2019s Hospital, Shaoxing Hospital of Zhejiang University , Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoqi","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feixue","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Di","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"issue":"1","key":"2022120220531554600_CIT0001","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1055\/s-2008-1064556","article-title":"Upper lid blepharoplasty in the Oriental eye","volume":"10","author":"McCurdy","year":"1994","journal-title":"Facial Plast Surg."},{"issue":"3","key":"2022120220531554600_CIT0002","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1177\/1090820X14523020","article-title":"The effect of \u201csingle\u201d vs \u201cdouble\u201d eyelids on the perceived attractiveness of Chinese women","volume":"34","author":"Hwang","year":"2014","journal-title":"Aesthet Surg J."},{"issue":"1","key":"2022120220531554600_CIT0003","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1055\/s-0033-1333832","article-title":"Asian upper lid blepharoplasty: an update on indications and technique","volume":"29","author":"Chen","year":"2013","journal-title":"Facial Plast Surg."},{"issue":"2","key":"2022120220531554600_CIT0004","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/0002-9394(56)90934-5","article-title":"Absence of superior palpebral fold in slit eyes; an anatomic and physiologic explanation","volume":"42","author":"Sayoc","year":"1956","journal-title":"Am J Ophthalmol."},{"issue":"1","key":"2022120220531554600_CIT0005","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.fsc.2004.07.001","article-title":"Upper blepharoplasty in the Asian patient: the \u201cdouble eyelid\u201d operation","volume":"13","author":"McCurdy","year":"2005","journal-title":"Facial Plast Surg Clin North Am."},{"issue":"10","key":"2022120220531554600_CIT0006","doi-asserted-by":"crossref","first-page":"2031","DOI":"10.1016\/j.ophtha.2009.04.005","article-title":"Orbital septum attachment on the levator aponeurosis in Asians: in vivo and cadaver study","volume":"116","author":"Kakizaki","year":"2009","journal-title":"Ophthalmology."},{"issue":"3","key":"2022120220531554600_CIT0007","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.fsc.2007.04.008","article-title":"Upper blepharoplasty in the Asian eyelid","volume":"15","author":"Kim","year":"2007","journal-title":"Facial Plast Surg Clin North Am."},{"issue":"6","key":"2022120220531554600_CIT0008","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1007\/s00266-005-0012-5","article-title":"Celebrity arcade suture blepharoplasty for double eyelid","volume":"29","author":"Liao","year":"2005","journal-title":"Aesthetic Plast Surg."},{"key":"2022120220531554600_CIT0009","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/B978-0-7506-7574-1.50012-8","article-title":"External incision methods.","volume-title":"Asian Blepharoplasty and the Eyelid Crease","author":"Chen","year":"2006","edition":"2nd ed"},{"issue":"5","key":"2022120220531554600_CIT0010","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1097\/ICU.0000000000000075","article-title":"Update on Asian eyelid anatomy and clinical relevance","volume":"25","author":"Saonanon","year":"2014","journal-title":"Curr Opin Ophthalmol."},{"issue":"5","key":"2022120220531554600_CIT0011","first-page":"316","article-title":"Oriental eyelids\u2014anatomical and surgical considerations","volume":"32","author":"Amrith","year":"1991","journal-title":"Singapore Med J."},{"issue":"1","key":"2022120220531554600_CIT0012","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/s002660010088","article-title":"Scanning electron microscopic study on double and single eyelids in Orientals","volume":"25","author":"Morikawa","year":"2001","journal-title":"Aesthetic Plast Surg."},{"issue":"4","key":"2022120220531554600_CIT0013","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/0002-9394(54)90707-2","article-title":"Plastic construction of the superior palpebral fold","volume":"38","author":"Sayoc","year":"1954","journal-title":"Am J Ophthalmol."},{"key":"2022120220531554600_CIT0014","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/00006534-196003000-00007","article-title":"Double eyelid operation in the Oriental in Hawaii","volume":"25","author":"Fernandez","year":"1960","journal-title":"Plast Reconstr Surg Transplant Bull."},{"issue":"1","key":"2022120220531554600_CIT0015","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1097\/00006534-199707000-00027","article-title":"Simplified anatomic method of double-eyelid operation: septodermal fixation technique","volume":"100","author":"Lee","year":"1997","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"2022120220531554600_CIT0016","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1001\/archfaci.1.2.90","article-title":"Orbicularis-levator fixation in double-eyelid operation","volume":"1","author":"Park","year":"1999","journal-title":"Arch Facial Plast Surg."},{"issue":"6","key":"2022120220531554600_CIT0017","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1007\/s00266-019-01454-x","article-title":"Orbicularis-white line fixation in Asian blepharoplasty: kiss technique","volume":"43","author":"Zhou","year":"2019","journal-title":"Aesthetic Plast Surg."},{"issue":"2","key":"2022120220531554600_CIT0018","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1007\/s00266-019-01317-5","article-title":"A flexible suspension technique of blepharoplasty: clinical application and comparison with traditional technique","volume":"43","author":"Pan","year":"2019","journal-title":"Aesthetic Plast Surg."},{"issue":"6","key":"2022120220531554600_CIT0019","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1097\/SAP.0000000000001650","article-title":"A new method for double-eyelid blepharoplasty using orbital septum","volume":"81","author":"Li","year":"2018","journal-title":"Ann Plast Surg."},{"issue":"4","key":"2022120220531554600_CIT0020","first-page":"281","article-title":"The levator aponeurosis consists of two layers that include smooth muscle","volume":"21","author":"Kakizaki","year":"2005","journal-title":"Ophthalmic Plast Reconstr Surg."},{"issue":"5","key":"2022120220531554600_CIT0021","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1097\/SAP.0000000000000951","article-title":"Using levator aponeurosis to create physiologically natural double eyelid: a new reconstruction technique based on three key factors in double eyelid formation","volume":"78","author":"Lu","year":"2017","journal-title":"Ann Plast Surg."},{"issue":"2","key":"2022120220531554600_CIT0022","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1097\/SCS.0000000000002369","article-title":"Shape and height of tarsal plates","volume":"27","author":"Kim","year":"2016","journal-title":"J Craniofac Surg."}],"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjaa195\/33475013\/sjaa195.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/40\/12\/NP648\/47546607\/sjaa195.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/40\/12\/NP648\/47546607\/sjaa195.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T15:54:07Z","timestamp":1669996447000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/article\/40\/12\/NP648\/5868874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,8]]},"references-count":22,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,7,8]]},"published-print":{"date-parts":[[2020,11,19]]}},"URL":"https:\/\/doi.org\/10.1093\/asj\/sjaa195","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,7,8]]}}}