Clinical effects of upper eyelid blepharoplasty using the dermis orbicularis muscle flap technique

中华医学美学美容杂志 Pub Date : 2019-02-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.01.016

Ziwei Zhu, Yufeng Liu, N. Liu, Shuang Chen

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Abstract

Objective To develop a new technique of upper eyelid blepharoplasty for reducing surgical complications and improving cosmetic results. Methods In this study, 721 cases (9 males and 712 females, range in age 17-32 years) with single eyelid were performed with double eyelid blepharoplasty using this method (dermis orbicularis muscle flap technique, DOMF), 698 cases of which were simultaneously operated with epicanthoplastic surgery. In the operation, DOMF was harvested in the dermis edge in lower incision margin. The flap was sutured to levatoraponeuros at the superior border of the tarsus. Patients were followed up for three months to three years. Results It was concluded that unfavorable results included low fold in 12 cases, relapse in 3 cases, asymmetric crease in 4 cases, puffy eyelids in 5 cases, and sunken appearance in 4 cases. The physicians and patients were satified with the results. The eyelid appeared smooth without fold depression on downward gaze or eyes closed, and it was gentle and not overly puff as eyes opening. Conclusions The DOMF technique mimics the movement of congenital crease fold, which is easy to perform, creating a delicate, firm and smooth upper lid orientation. Key words: Blepharoplasty; Surgery, plastic; Dermis; Immobilization; Orbicularis muscle flap

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真皮轮匝肌瓣技术在上睑成形术中的临床效果

目的探讨一种新的上眼睑整形术，减少手术并发症，提高美容效果。方法对721例（男9例，女712例，年龄17～32岁）单眼皮患者采用真皮-轮匝肌瓣技术（DOMF）行重睑成形术，其中698例同时行表皮整形术。在手术中，在下切口边缘的真皮边缘收获DOMF。将皮瓣缝合在睑板上缘的提上睑神经上。对患者进行了三个月至三年的随访。结果不良反应包括低褶12例，复发3例，不对称皱纹4例，眼睑肿胀5例，凹陷4例。医生和病人对结果感到满意。向下凝视或闭上眼睛时，眼睑看起来很光滑，没有褶皱凹陷，睁开眼睛时，它很温和，不会过度膨胀。结论DOMF技术模拟了先天性折痕折叠的运动，易于操作，创造了一个精致、牢固、光滑的上盖方向。关键词：眼睑整形术；整形外科；德米斯；固定化；Orbicularis肌瓣

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来源期刊

中华医学美学美容杂志

自引率

0.00%

发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.