Sara Moncada Clinic, Av. Pedro de Valdivia 2219, Providencia, Santiago de Chile, Chile.
Aesthetic Plast Surg. 2013 Feb;37(1):46-50. doi: 10.1007/s00266-012-9953-7. Epub 2012 Aug 14.
Upper-eyelid blepharoplasty is a very common procedure in aesthetic plastic surgery. Among all the literature in favor of orbicularis muscle resection, there are no commentaries associated with orbicularis muscle suture and its convenience. This article discusses a new approach: independent resection of the orbicularis oculi muscle similar in size to the resected skin and the subsequent suture of the orbicularis muscle after its resection. This results in a fine reconstruction of the upper-eyelid crease, achieves a good definition of this anatomical structure, and allows correction of asymmetries with the contralateral upper eyelid. The results obtained (98 % of patients satisfied) and no complications with this procedure make it a safe alternative for upper blepharoplasty.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：上睑成形术是美容整形外科学中一种非常常见的手术。在所有支持眼轮匝肌切除术的文献中，没有关于眼轮匝肌缝合及其便利性的评论。本文讨论了一种新的方法：切除与切除的皮肤相似大小的眼轮匝肌，并在切除后缝合眼轮匝肌。这样可以精细地重建上睑褶皱，很好地定义这个解剖结构，并允许与对侧上睑的不对称进行矫正。该手术获得了良好的效果（98%的患者满意），且无并发症，是一种安全的上睑成形术替代方法。
证据等级：IV 级：本刊要求作者为每篇文章分配一个证据等级。如需了解这些循证医学分级的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
