[The orbicularis muscle partial resection combined with orbital fat flap or orbicularis muscle flap graft for treatment of crow's feet in women].

Abstract

Objective: To observe the effect of the outer orbicularis muscle partial resection combined with orbital fat flap or orbicularis muscle flap transfer to block orbicularis muscle for improvement of crow's feet.

Methods: From October 2010 to May 2015,82 cases of females (aged from 27 to 54 years old) with crow's feet were treated with new method(n =41) and traditional method(control, n =41).The new method included partial resection and orbital fat flap or orbicularis muscle flap transfer to block orbicularis muscle. The traditional method was performed to lift the skin and orbicularis oculi muscle to improve the crow's feet. The operation time, the postoperative recovery time, eyes closing function and hematoma, nerve injury and other complications were recorded.1,3,6 and 12 months after operation, the effect was assessed by one cosmetic surgeon who is unkown the groups. Completely correction was assed as 5 points and no improvement or even worse as 0 point.12 months after operation, the patients satisfactory rate was recorded.

Results: 75 cases were followed up, including 39 in new method group and 36 in control group. The operative time and postoperative recovery time were (50 ± 5) min,(58 ± 4) min and (5 ±1) d,(6.0±1.5) d in the new method group and control group respectively (P＜0.05).The two groups both had good eyes closing function, no eyes closing fatigue or difficult or other serious complications such as hematoma, nerve injury. Visual analog scale were 3.2 ± 0.6,3.5 ± 0.5,4.2 ± 0.8,4.3 ±0.8 and 3.1 ±0.6,3.4 ±0.9,3.0 ±0.6,2.8 ±0.5 in the new method group and control group at 1,3,6,12 months after surgery respectively. Obviously, the effect in new method group was much better than that in control group after 6 and 12 months with statistical significance (P ＜ 0.05).12 months after surgery, the satisfaction surveys showed satisfactory in 33 cases; fairly satisfactory in 4 cases; dissatisfactory in 2 cases in new method group, and satisfactory in 10 cases; fairly satisfactory in 15 cases; dissatisfactory in 11 cases in the control group, showing significant difference between the 2 groups (P ＜0.05).

Conclusions: The outer orbital orbicularis muscle partial resection combined with orbital fat flap or orbicularis muscle flap is reasonable and reliable to correct crow's feet with short recovery and less complication. It is a worthy new method for recommendation.