Application of fat redistribution combined with shortening of upper eyelid levator muscle in repair of wide double-eyelid

中华医学美学美容杂志 Pub Date : 2019-04-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.02.016

An-li Zhang, Ze-Chun Huang

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Abstract

Objective To evaluate the clinical efficacy of topical fat redistribution in combination with shortening of upper eyelid levator muscle in patients with excessively wide palpebral fissure after double-eyelid operation. Methods Twenty patients with excessively wide palpebral fissure after undergoing double-eyelid operation were selected. The double-eyelid line was aesthetically re-designed, the skin or incisional scar between the original and new double-eyelid lines was excised, and the scarring adhesion among different tissues was fully isolated. The fat tissues within the orbital septum, deep orbit and anterior orbital septum combined with ROOF reconstruction were performed to block the adhesion tissues, shortening of levator muscle of the upper eyelid was equally conducted to enhance the cosmetic effect. Results Seventeen patients were satisfied with the cosmetic appearance following once double-eyelid operation. Two cases underwent twice operations due to different height between bilateral papebral fissures. One patient was unsatisfied with the cosmetic appearance. Conclusions Fat redistribution in combination with shortening of levator muscle of the upper eyelid can not only repair excessively wide palpebral fissure complicated with ptosis and upper eyelid depression, but also enhance the exposure rate of the cornea and increase the cosmetic appearance, which is consistent with contemporary aesthetic perception. Key words: Blepharoplasty; Reconstructive surgical procedures; Construction of double eyelid; Repair; Shortening of upper eyelid levator muscle

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脂肪再分配联合上睑提肌缩短术在宽双眼皮修复中的应用

目的探讨局部脂肪重分布联合上睑提肌缩短术治疗睑裂过宽双眼皮术后患者的临床疗效。方法选择20例双眼皮术后睑裂过宽患者。对双眼皮线进行美学重新设计，切除原双眼皮线与新双眼皮线之间的皮肤或切口疤痕，充分隔离不同组织间的瘢痕粘连。眶隔内、眶深、眶前隔脂肪组织联合ROOF重建，阻断粘连组织，同时缩短上睑提上肌，增强美容效果。结果17例患者一次双眼皮手术后外观满意。2例因双侧睑裂高度不同，接受两次手术。一名患者对美容外观不满意。结论脂肪重分布联合提上睑肌缩短术不仅能修复睑裂过宽并发上睑下垂、上睑凹陷，而且能提高角膜暴露率，增加美观度，符合当代审美观念。关键词:眼睑成形术;重建外科手术;双眼皮构造;修理;上睑提肌缩短

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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.