El Paso Cosmetic Plastic Surgery Center, El Paso, TX 79912, USA.
Aesthet Surg J. 2010 Mar;30(2):161-5. doi: 10.1177/1090820X10369371.
The eyelid of a young person can be distinguished by the lateral fullness of the upper eyelid. With aging, lateral fullness decreases. Volume restoration in the periorbital area has been previously addressed by fat draping and grafting. More recently, techniques for regaining lateral fullness of the upper eyelid have focused on fat grafting, although effective graft take, reabsorption, and irregularities have been a concern. To address these issues, the concept of pedicled fat draping in the upper eyelid was explored.
In a retrospective study from June 2006 to August 2008, 31 patients underwent upper blepharoplasty with augmentation of the lateral fullness with a pedicled fat flap from the central fat pad. The fat from the central compartment was elevated, dissected, and then transposed to the lateral upper eyelid below the orbicularis muscle.
All patients were women ranging in age from 43 to 68 years. Pre- and postoperative picture comparison demonstrated a more youthful appearance with increased lateral fullness of the upper eyelids. There were no cases of fat necrosis encountered. Increased volume remained stable over an average of one-year follow-up. No complications were recorded.
Transposing a pedicled fat pad from the central compartment laterally has proven to be an effective technique for achieving predictable upper lateral eyelid fullness and thus achieving a long-lasting, more youthful appearance.
年轻人的眼睑可以通过上眼睑的外侧饱满度来区分。随着年龄的增长，外侧饱满度会下降。先前已经通过脂肪堆积和移植来解决眶周区域的体积恢复问题。最近，恢复上眼睑外侧饱满度的技术主要集中在脂肪移植上，尽管有效移植、吸收和不平整一直是人们关注的问题。为了解决这些问题，人们探索了在上眼睑中使用带蒂脂肪堆积的概念。
在 2006 年 6 月至 2008 年 8 月的一项回顾性研究中，31 名患者接受了上眼睑成形术，通过从中央脂肪垫中获取带蒂脂肪瓣来增加外侧饱满度。从中央隔室提起、解剖并将脂肪转移到眼轮匝肌下方的外侧上眼睑。
所有患者均为女性，年龄在 43 至 68 岁之间。术前和术后的照片比较显示，上眼睑的外侧饱满度增加，外观更显年轻。没有发现脂肪坏死的病例。在平均一年的随访中，增加的体积保持稳定。没有记录到任何并发症。
从中央隔室横向转移带蒂脂肪垫已被证明是一种有效的技术，可以实现可预测的上外侧眼睑饱满度，从而达到持久、更年轻的外观。
