Plastic Surgery Department, University of Santo Amaro School of Medicine, São Paulo, Brazil.
Aesthetic Plast Surg. 2010 Dec;34(6):734-7. doi: 10.1007/s00266-010-9534-6. Epub 2010 Jun 8.
Eyebrow positions differ in many ways. They vary in shape, thickness, length, and distance between the eyebrows, making the face more or less harmonious. When a large distance exists between the eyebrows and the medial brow is slanting downward, the glabellar area is larger, giving the face an awkward appearance.
To correct this deformity, the authors propose using two Z-plasties to allow transposition of flaps in the region of the medial brow. The Z-shaped flap is outlined at the medial third of the brow, in the glabellar region, with the eyebrow centered in the lower portion of the "Z" and the hairless skin in the upper portion. The flaps then are transposed and sutured.
Transposition of the flaps, lifting the brow flap to the glabellar region, results in horizontal positioning of the medial and central third of the eyebrow.
The proposed transpositioning of "Z" flaps in this region corrects this type of deformity of the medial and central portions of the eyebrows, with an aesthetically satisfactory result.
眉毛的位置在很多方面都存在差异。它们在形状、厚度、长度和眉毛之间的距离上有所不同,使面部更加和谐或不那么和谐。当眉毛之间存在较大的距离,并且内眉向下倾斜时,眉间区域较大,使面部看起来很尴尬。
为了纠正这种畸形,作者建议使用两个 Z 成形术来允许在眉毛内侧区域转移皮瓣。Z 形皮瓣在眉毛的内侧三分之一处、眉间区域画出,眉毛位于“Z”的下部,无毛皮肤位于上部。然后将皮瓣转移并缝合。
皮瓣的转移,将眉瓣提起至眉间区域,导致内侧和中央三分之一的眉毛呈水平位置。
该方法通过在该区域转移“Z”皮瓣来纠正这种内侧和中央部分眉毛的畸形,获得了美学上令人满意的效果。