McCord C D, Doxanas M T
Department of Ophthalmology, Greater Baltimore Medical Center, Md.
Plast Reconstr Surg. 1990 Aug;86(2):248-54. doi: 10.1097/00006534-199008000-00007.
Surgical approaches to the eyelids and eyebrows have been refined by application of their anatomy and appreciation of their pathophysiology. Sexual variations in eyebrow appearance can be attributed in part to the eyebrow fat pad. In females, the eyebrow is generally arched and above the level of the supraorbital rim. The male eyebrow is flatter and at the level of the supraorbital rim. The eyebrow fat pad is more prominent in the male, producing a fuller appearance in the lateral brow area. Many women are concerned about the flatter, full lateral brow, which assumes a masculine quality. The authors describe a surgical technique that permits identification of the brow fat pad and then the ability to debulk the eyebrow (browplasty). In addition, the brow can be elevated by internal plication suture to physically elevate the eyebrow (browpexy). This procedure is designed to utilize an eyelid crease incision, and it reduces the indications for more involved procedures to eliminate brow ptosis, such as midforehead or coronal approaches.
通过应用眼睑和眉毛的解剖结构以及了解其病理生理学，眼睑和眉毛的手术方法得到了改进。眉毛外观的性别差异部分可归因于眉脂肪垫。在女性中，眉毛通常呈拱形且高于眶上缘水平。男性的眉毛更扁平，与眶上缘齐平。眉脂肪垫在男性中更突出，使眉外侧区域看起来更饱满。许多女性担心眉外侧扁平、饱满，呈现出男性化特征。作者描述了一种手术技术，该技术能够识别眉脂肪垫，进而能够减少眉部体积（眉整形术）。此外，可通过内折缝合抬高眉毛以实际提升眉毛（眉固定术）。该手术旨在利用眼睑皱襞切口，减少了诸如额中部或冠状切口等更复杂手术来消除眉下垂的适应症。
