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Patient satisfaction at 6 months post-operatively and total incidence of complications were similar between the groups. Incidence of hypertrophic scar formation was lower in the palpebral marginal incision group. Other complications showed no significant between-group differences. CONCLUSIONS The palpebral marginal incision technique has similar surgical outcomes to the traditional incision technique. Our findings confirm that the advantages of the palpebral marginal incision technique include almost indiscernible surgical scarring and f