医学
眼睑成形术
眼睑
眉毛
眼轮匝肌
额肌
外科
解剖
作者
Linghan Qu,Liang Zhang,Jianzhang Wang,Juan Zhang,Yu Zhang,Beomyong Song
标识
DOI:10.1097/prs.0000000000010720
摘要
Women commonly have upper eyelid dermatochalasis and upper eyelid depression due to advancing age. Blepharoplasty is a suitable method for dermatochalasis but not sunken eyelid. This study proposed a novel technique for eyelid rejuvenation by simultaneously correcting dermatochalasis and sunken upper eyelids in middle-aged women.Forty patients underwent subbrow blepharoplasty combined with brow fat pad transfer. The ellipse-shape skin and subcutaneous tissue underneath the eyebrow were measured, demarcated, and excised. The orbicularis oculi muscle beneath the subcutaneous tissue was exposed and dissected in the upper-third area. The brow fat pad was turned downward using the lower edge as the pedicle and was fixed in the layer of retro-orbicularis oculi fat (ROOF) to fill the depressed area in the upper eyelid. The lower muscle flap was fixed to the supraorbital rim periosteum and upper musculocutaneous flaps, thereby forming a cross flap for interlocking fixation. The surgical outcomes were evaluated using Antera 3D camera and the Global Aesthetic Improvement Scale (GAIS).The depth and volume of upper eyelid depression significantly decreased 3 months after the surgery and stabilized within 6 months. The GAIS scores significantly improved after the surgery, and the postoperative outcomes were acceptable.The Novel technique is simple and effective for simultaneously correcting dermatochalasis and sunken upper eyelids in middle-aged women. The surgical outcomes are predictable and acceptable to most patients.Therapeutic, IV.
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