Application of lower eyelid muscle folding and implantation of silicone prosthesis in the formation of lying silkworms
Abstract
Objective: To observe the surgical effects of silicone prosthesis implantation for patients seeking aesthetic improvement who desire fuller lying silkworms. Methods: A clinical study was conducted on 50 patients (average age 30±10 years) who underwent silicone prosthesis implantation for lying silkworms at our hospital from August 2024 to May 2025. An incision was made 2 mm away from the lower eyelash, and a sharp dissection cavity was created under the orbicularis oculi muscle close to the tarsus for the implantation of the silicone prosthesis. Additionally, the orbicularis oculi muscles of the upper and lower lips of the incision were folded and sutured to increase the fullness of the lying silkworms. Postoperative effects and complications were observed. Results: Among the 50 patients, 40 were rated as excellent, and 10 were rated as good. The first three days after surgery were characterized by swelling, and some patients experienced bruising and swelling, which obscured the initial effects due to inflammation and congestion. Rapid swelling reduction began on the fourth day, gradually revealing the prosthesis effect. By one month postoperatively, most of the swelling had resolved, and the lying silkworms appeared fuller. Conclusion: The improvement rate of the silicone prosthesis implantation for lying silkworms is 100%, with long-lasting effects. The 2-year maintenance rate remains to be observed, but the effects are durable with few complications.
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