Center for Facial Cosmetic Surgery, University of Michigan Department of Otolaryngology, Livonia, MI 48152, USA.
Clin Plast Surg. 2013 Jan;40(1):139-46. doi: 10.1016/j.cps.2012.08.008.
Traditional upper blepharoplasty typically involves resection of excess upper eyelid skin and muscle with or without fat excision. Well-established concepts in periorbital aging have been challenged by newer morphologic and histologic studies that have characterized the changes that occur in the various periorbital soft tissue components. Several modified or adjunctive techniques have recently emerged to improve esthetic outcomes in upper blepharoplasty. The authors review surgical technique in detail: nasal fat repositioning, orbicularis oculi preservation, increasing lateral upper eyelid fullness, lacrimal gland resuspension, internal brow elevation, and glabellar myectomy, along with complications and aftercare involved with procedures.
传统的上睑成形术通常涉及切除多余的上眼睑皮肤和肌肉，伴有或不伴有脂肪切除。眼周老化的既定概念受到了新的形态和组织学研究的挑战，这些研究描述了各种眼周软组织成分发生的变化。最近出现了几种改良或辅助技术，以改善上睑成形术的美容效果。作者详细回顾了手术技术：鼻侧脂肪复位、眼轮匝肌保留、增加外侧上眼睑饱满度、泪腺复位、内眉提升和眉间肌切除术，以及涉及的手术并发症和术后护理。
