Partial or Small Incision Techniques
Many variations of a partial incision technique (also called "small incision methods") for double eyelid crease creation in which only the middle third or so of the lid is opened have been said to incorporate the best features of each of the two basic methods described previously.
Unfortunately, many cosmetic surgeons have experienced just the opposite: this hybrid technique of "cutting"and "suture" operations combines the least desirable features and limitations of both methods, most notably inadequate skin reshaping, uneven or excessive fat removal, compromised structural rearrangement, minimal customization options, retained sutures, and impermanence.
Attempting to perform the rearrangement of deep eyelid tissues of the "gold standard" incisional technique through a much smaller opening limits adequate exposure and direct observation by the surgeon and risks unrecognized injury to delicate structures and insufficient suture placement.
The operation's main appeal is the prospect of a smaller external scar. In fact, the scar that results can be just as visible as with the full incision operation, which is to say, almost fully invisible after full healing regardless of partial or full approaches.
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