Ichinose Akihiro, Sugimoto Takao, Sugimoto Isao, Ishinagi Hiroyoshi, Kuwazuru Kenji, Nagai Koji, Tahara Shinya
Department of Plastic Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan.
Arch Facial Plast Surg. 2011 Sep-Oct;13(5):327-31. doi: 10.1001/archfacial.2011.53.
To describe extended infrabrow excision blepharoplasty (IBEB), whereby skin excision is extended to a substantial part of intrabrow skin and the intrabrow incision is made perpendicular to the hair shaft.
A total of 194 Asian patients with moderate to severe dermatochalasis underwent extended IBEB. The mean width of excised skin at its widest was 12.8 mm (range, 6-22 mm).
Extended IBEB significantly reduced eyelid laxity but produced a natural-looking eyelid because it did not damage the eyelid framework. With application of eyebrow makeup by women, routine social activity was resumed soon after surgery. Infrabrow scarring became inconspicuous in patients with thick eyebrows after regrowth.
Extended IBEB is recommended for middle-aged and older Asian women with moderate to severe dermatochalasis. With precise incision and fine suturing, regrowth alleviates eyebrow reduction and scarring among Asians who do not use makeup (male patients and young female patients).
描述扩大眉下切除睑成形术（IBEB），即皮肤切除范围扩展至眉内皮肤的大部分，且眉内切口与毛干垂直。
共194例亚洲中重度皮肤松弛患者接受了扩大IBEB手术。切除皮肤最宽处的平均宽度为12.8毫米（范围6 - 22毫米）。
扩大IBEB显著减轻了眼睑松弛，且由于未损伤眼睑结构，术后眼睑外观自然。女性患者术后涂抹眉妆后，可很快恢复日常社交活动。眉毛浓密的患者术后毛发再生后，眉下瘢痕变得不明显。
对于亚洲中重度皮肤松弛的中老年女性，推荐采用扩大IBEB手术。通过精确切口和精细缝合，毛发再生可减轻不使用化妆品的亚洲人（男性患者和年轻女性患者）的眉毛减少及瘢痕问题。
