Department of Plastic Surgery, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
Aesthetic Plast Surg. 2012 Oct;36(5):1039-46. doi: 10.1007/s00266-012-9950-x. Epub 2012 Aug 14.
The surgical procedure aimed at constructing the upper eyelid crease is the cosmetic operation most commonly requested by Asian patients. The incisional approach leaves a permanent crease, but the swelling period can last longer than 3 months, and a distinct scar usually is unavoidable. Many mini-incisional techniques with incisions of varying sizes and locations have been developed, but the removal of pretarsal tissue has not been sufficient because these procedures wipe out only small pockets of soft tissue immediately inferior to skin for placement of the suture. Thus, the formed double eyelid may not be durable. The technique the authors introduce is a modified mini-incisional technique that combines the benefits of both the incisional and the usual mini-incisional methods.
Three 3- to 4-mm mini-incisions were made on each upper eyelid. The orbicularis muscle was isolated carefully from the skin and then cut off as much as possible in three directions: down (toward the palpebral margin), left, and right. Finally, the three incisions were sutured, and a vivid fold was created. This technique was applied for 110 patients. The follow-up period ranged from 3 to 12 months. The patients were welcomed for further treatment if any problems occurred at any time. An extra 3 years of follow-up evaluation was applied for 24 patients (46 cases) to assess the long-term maintenance of the fold.
This study enrolled 110 patients (212 cases). A natural-looking skin fold appeared after the edema period. The scar was not obvious. Disappearance of the fold was not found in any case during 3-12 months (mean, 9 months) of follow-up evaluation. Obvious shifting of the fold was found in four cases during the additional 3 years of follow-up evaluation, but disappearance of the fold was not found in any case.
This modified technique was found to be successful in developing a natural-appearing, long-lasting suprapalpebral fold with an inconspicuous scar. It combines the best of both the open and usual mini-incisional techniques. Because a large amount of pretarsal soft tissue is removed, the double fold is less likely to fade away.
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旨在构建上眼睑褶皱的手术程序是亚洲患者最常要求的美容手术。切开法会留下永久性的褶皱，但肿胀期可能会持续超过 3 个月，而且通常不可避免地会留下明显的疤痕。已经开发出许多具有不同大小和位置切口的微创切口技术，但由于这些手术只是擦除了位于皮肤下方的小袋状软组织，因此无法充分去除睑板前组织，以放置缝线。因此，形成的双眼皮可能不持久。作者介绍的技术是一种改良的微创技术，结合了切开法和常规微创方法的优点。
在上眼睑的每一侧各做 3 至 4 毫米的 3 个小切口。小心地将眼轮匝肌从皮肤中分离出来，然后尽可能地从三个方向切除：向下（朝向睑缘）、向左和向右。最后，将三个切口缝合，形成一个生动的褶皱。该技术应用于 110 名患者。随访时间为 3 至 12 个月。如果任何时候出现问题，患者都可以随时来接受进一步治疗。对 24 名患者（46 例）进行了额外 3 年的随访评估，以评估褶皱的长期维持情况。
这项研究共纳入 110 名患者（212 例）。水肿期过后，出现了自然的皮肤褶皱。疤痕不明显。在 3 至 12 个月（平均 9 个月）的随访评估中，没有发现任何病例的褶皱消失。在额外的 3 年随访评估中，发现有 4 例褶皱明显移位，但没有发现任何病例的褶皱消失。
这种改良技术在形成自然、持久、无明显疤痕的上睑褶皱方面取得了成功。它结合了切开法和常规微创技术的优点。由于去除了大量的睑板前软组织，因此双眼皮不太可能消失。
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