Clinical outcomes of pretarsal fullness formation by capsulopalpebral fascia plication with silicone prosthesis implantation and pretarsal fullness surgery [RETRACTED]

Pretarsal fullness, also known as aegyo-sal, is a critical component of periorbital aesthetics, and its absence often contributes to a fatigued or aged appearance. This retrospective study evaluated the outcomes of capsulopalpebral fascia plication combined with silicone prosthesis implantation and pretarsal fullness surgery performed at our institution between August 2021 and August 2024. A total of 68 patients (mean age, 32.6 ± 6.8 years; 91.2% female) were included. All procedures were completed without intraoperative conversion or major complications. The mean operative time was 46.3 ± 8.5 minutes, with minimal blood loss (12.4 ± 3.6 mL). Objective measurements demonstrated significant improvements in pretarsal protrusion (from 1.2 ± 0.5 mm to 2.9 ± 0.6 mm), inferior tarsal curvature (from 2.1 ± 0.7 mm to 4.3 ± 0.9 mm), and vertical eyelid aperture (from 7.8 ± 1.1 mm to 9.6 ± 1.0 mm; all P