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局部麻醉下的皮下颞部眉提升术:眼周年轻化的一种有效技术。

Subcutaneous temporal browlift under local anesthesia: a useful technique for periorbital rejuvenation.

机构信息

Institute of Reconstructive Plastic Surgery, The Methodist Hospital, Houston, Texas, USA.

出版信息

Aesthet Surg J. 2010 Nov-Dec;30(6):783-8. doi: 10.1177/1090820X10386929.

DOI:10.1177/1090820X10386929
PMID:21131449
Abstract

BACKGROUND

Various techniques have been described for periorbital rejuvenation and correction of the ptotic brow, including the coronal brow lift, the endoscopic brow lift, anterior hairline foreheadplasty in the subgaleal, subperiosteal, or subcutaneous planes, and the subcutaneous temporal brow lift.

OBJECTIVES

The authors present results from a series of 28 patients treated with subcutaneous temporal brow lift over nearly four years.

METHODS

A retrospective chart review was conducted of 28 patients who were treated with subcutaneous temporal brow lift by the senior author (JDF) between July 2003 and January 2007. All patients underwent the same subcutaneous temporal brow lift procedure under local anesthesia in an office-based setting. No combined procedures were performed on any of the patients in this series.

RESULTS

Of the 28 patients, 27 were female and one was male; mean age was 54 years. Five patients underwent a unilateral brow lift for asymmetry and 23 patients underwent a bilateral procedure. The mean length of follow-up was 10.8 months. Scarring was minimal and rated as "good" or "excellent" by both patients and surgeon. The effectiveness of the browlift was also rated as "good" or "excellent" by all but one patient. Two patients underwent revision-one for scar revision and the other for a greater degree of lift. There were no incidences of hematoma, infection, numbness, or excessive scarring.

CONCLUSIONS

The subcutaneous temporal brow lift is an effective, reproducible, and inexpensive technique that can be performed safely under local anesthesia.

摘要

背景

各种技术已被描述为眶周年轻化和矫正下垂的眉,包括冠状眉提升术、内窥镜眉提升术、额发际线前的皮下、骨膜下或皮下平面前额成形术,以及皮下颞部眉提升术。

目的

作者介绍了近四年期间对 28 例接受皮下颞部眉提升术治疗的患者的结果。

方法

对 2003 年 7 月至 2007 年 1 月期间由资深作者(JDF)进行的 28 例接受皮下颞部眉提升术的患者进行了回顾性图表审查。所有患者均在局麻下于办公室环境中接受相同的皮下颞部眉提升术。在本系列中,没有对任何患者进行联合手术。

结果

28 例患者中,27 例为女性,1 例为男性;平均年龄为 54 岁。5 例患者因不对称而行单侧眉提升术,23 例患者行双侧手术。平均随访时间为 10.8 个月。瘢痕最小,患者和外科医生均将其评为“好”或“优”。除 1 例患者外,所有患者均将眉提升效果评为“好”或“优”。2 例患者接受了 revision-one 修复术——1 例用于瘢痕修复,另 1 例用于更大程度的提升。没有血肿、感染、麻木或过度瘢痕形成的情况。

结论

皮下颞部眉提升术是一种有效、可重复且经济的技术,可以在局部麻醉下安全地进行。

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