Kestemont P
Clinique esthétique Saint-Georges, 2, avenue de Rimiez, 06100 Nice, France.
Ann Chir Plast Esthet. 2009 Oct;54(5):425-34. doi: 10.1016/j.anplas.2009.03.005. Epub 2009 May 15.
The usual techniques of lower blepharoplasty do not include the treatment of the palpebromalar junction. The various options of vertical facelift of the average third of the face in general require a temporal or temporofrontal approach. The technique of suspension of the orbicularis oculi muscle within the framework of a blepharoplasty of the four eyelids, described by Adamson in the USA and conveyed by Botti in Europe, allows a treatment of the ageing of the eyelids and a vertical rise of the malar area. This muscular suspension ensures a solidity in the fixing of soft tissues, authorizing a cutaneous section higher than that authorized in a traditional blepharoplasty. It does not require any orbital perished osseous gesture. The operational continuations are comparable with those of the other techniques, but it is essential to respect the stages described by the authors and the indications selected to avoid complications which tarnish the interest of this process.
通常的下睑成形术技术并不包括睑颊交界处的治疗。一般来说，面部中三分之一的各种垂直面部提升选项通常需要颞部或颞额部入路。美国的亚当森描述并由欧洲的博蒂传播的在四眼睑睑成形术框架内悬吊眼轮匝肌的技术，可用于治疗眼睑衰老和颧区垂直提升。这种肌肉悬吊确保了软组织固定的稳固性，允许进行比传统睑成形术更高的皮肤切口。它不需要任何眼眶骨质切除操作。手术后续步骤与其他技术类似，但必须遵循作者描述的步骤和选定的适应症，以避免出现并发症而影响该手术方法的优势。
