Dingman D L
Division of Plastic and Reconstructive Surgery, University of Utah Medical Center.
Plast Reconstr Surg. 1992 Nov;90(5):815-9; discussion 820.
Some of the patients requesting blepharoplasty have a combination of excessive eyelid fat and brow ptosis but little or no dermatochalasis. Coronal brow lift, combined with transcoronal fat removal, serves these patients well. The prelevator fat pocket is easily entered from above by incising the periosteum of the anterior orbital roof just inside the orbital rim. Since the orbital septum and anterior lamella of the eyelid rim remain undisturbed, the result appears natural. Contraindications to the procedure include significant medical pocket fat and hair patterns that would exclude a coronal or hairline incision. Two complications, unilateral ptosis and unilateral chemosis, were temporary and totally reversible. Minor changes in the procedure have prevented the recurrence of these problems.
一些要求进行眼睑成形术的患者存在眼睑脂肪过多和眉下垂的情况，但几乎没有或完全没有皮肤松弛。冠状眉提升术结合经冠状脂肪去除术对这些患者效果良好。通过在眶缘内侧切开眶顶前部的骨膜，很容易从上方进入提上睑肌前脂肪袋。由于眶隔和眼睑缘前层未受干扰，效果显得自然。该手术的禁忌症包括大量医学性眼袋脂肪和会排除冠状或发际线切口的毛发分布模式。两种并发症，单侧上睑下垂和单侧球结膜水肿，是暂时的且完全可逆。手术中的微小改变已防止了这些问题的复发。
