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Objective <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.</p> Methods <p>This retrospective analysis included 82 patients aged 18–40 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.</p> Results <p>The SAJT group had a significantly shorter operative time and faster postoperative edema resolution than the BT group (<i>P</i> &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 (<i>P</i> &gt; 0.05), whereas the dynamic movement score was higher in the SAJT group (<i>P</i> &lt; 0.05). Patient satisfaction at 6 months was similar between groups (<i>P</i> &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 (<i>P</i> &gt; 0.05), and the dynamic movement score remained higher in the SAJT group (<i>P</i> &lt; 0.05).</p> Conclusion <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.</p> Level of Evidence III <p>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 <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Comparative Clinical Efficacy of Septoaponeurotic Junctional Thickening Versus Bridge Technique in Double-Eyelid Blepharoplasty

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月28日

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  • Tianshi Li,
  • Wentao Fang,
  • Huaxin Hu,
  • Jian Hao

摘要

Objective

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.

Methods

This retrospective analysis included 82 patients aged 18–40 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.

Results

The SAJT group had a significantly shorter operative time and faster postoperative edema resolution than the BT group (P < 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 (P > 0.05), whereas the dynamic movement score was higher in the SAJT group (P < 0.05). Patient satisfaction at 6 months was similar between groups (P > 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 (P > 0.05), and the dynamic movement score remained higher in the SAJT group (P < 0.05).

Conclusion

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.

Level of Evidence III

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 www.springer.com/00266.