Yeh Cory C, Williams Edwin F
Williams Center Plastic Surgery Specialists, Latham, New York 12110, USA.
Facial Plast Surg. 2009 Nov;25(4):234-44. doi: 10.1055/s-0029-1242035. Epub 2009 Nov 18.
Aging of the lower eyelid involves a complex series of anatomic and physiologic changes that occur over time. Rejuvenation of the lower eyelid complex must systemically address the various contributions of soft tissue laxity, pseudoherniation of orbital fat, and loss of periorbital volume. This article outlines the evolution of our approach to lower eyelid blepharoplasty with a specific focus on the importance of management of fat in the periocular region. A discussion of various surgical approaches with their advantages and disadvantages is presented, and the importance of maintaining a safe lower eyelid is emphasized. A comprehensive and systematic approach to restoration of the lower eyelid is highlighted with specific postoperative results.
下眼睑老化涉及一系列随时间发生的复杂解剖和生理变化。下眼睑复合体的年轻化必须全面解决软组织松弛、眶脂肪假性疝出和眶周容积丧失等多种因素。本文概述了我们下睑成形术方法的演变，特别关注眼周区域脂肪管理的重要性。文中讨论了各种手术方法及其优缺点，并强调了维持安全下眼睑的重要性。通过具体的术后效果突出了一种全面系统的下眼睑修复方法。
