Department of Plastic and Reconstructive Surgery, University Magna Graecia of Catanzaro, Viale Europa loc. Germaneto, 88100, Catanzaro, Italy.
Aesthetic Plast Surg. 2012 Feb;36(1):18-22. doi: 10.1007/s00266-011-9760-6. Epub 2011 Jun 15.
Blepharoplasty of the upper eyelids is one of the most commonly performed procedures in aesthetic plastic surgery. The orbicularis muscle flap technique provides good results for patients with atonic skin and an atonic orbicularis muscle when there is excessive fullness in the lateral aspect of the upper lid. This flap also can be used to contain a prominent lacrimal gland or retro-orbicularis oculi fat (ROOF) without dangerous removal of the last one.
A total of 30 patients underwent upper lid blepharoplasty through a supratarsal incision approach. Dissection of the orbicularis muscle flap was made 5-8 mm above the supratarsal fold. Before the muscle flap suspension, the excess skin and fat pad were removed. The flap suspension was achieved with its rotation and motion of a tunnel in the suborbicularis plane, which anchored it on the periosteum of the orbital lateral rim of the frontal bone with a permanent suture.
This technique restores the sharp and crisp tarsal folds and pretarsal show with deepening of the orbitopalpebral sulcus. The orbicularis muscle flap also can be proposed for cases with a ptosis of the lateral upper lid. The authors believe this technique reduces the risk for "rounding" of the eyelid and produces better contact of the lid with the ocular globe.
The orbicularis muscle flap procedure is a feasible technique that can be used reliably to reshape the lateral upper lid. It would be a useful addition to the armamentarium of the plastic surgeon who is called on to perform upper blepharoplasty.
上睑成形术是美容整形手术中最常见的手术之一。对于上睑外侧过度丰满、皮肤和眼轮匝肌弛缓的患者，眼轮匝肌皮瓣技术可获得良好的效果。该皮瓣还可用于包含突出的泪腺或眶隔后脂肪（ROOF），而不会危险地去除最后一个。
共有 30 例患者通过上睑切开术接受了上睑成形术。在眉弓上方 5-8mm 处切开眼轮匝肌皮瓣。在悬吊肌皮瓣之前，去除多余的皮肤和脂肪垫。通过在眼轮匝肌下平面旋转和运动隧道，实现皮瓣悬吊，并将其固定在额骨眶外侧缘的骨膜上。
该技术可恢复清晰的睑板褶皱和睑板前显露，加深眶睑沟。对于外侧上睑下垂的病例，也可以提出眼轮匝肌皮瓣。作者认为，该技术降低了眼睑“变圆”的风险，并使眼睑更好地与眼球接触。
眼轮匝肌皮瓣术是一种可行的技术，可可靠地重塑外侧上睑。对于需要行上睑成形术的整形医生来说，这是一种有用的附加技术。
