Youn Seungki, Shin Jong In, Kim Jeong Tae, Kim Youn Hwan
From the *Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul; and †Jo N Shin Aesthetic Plastic Surgical Clinic, Seoul, Korea.
Ann Plast Surg. 2014 Nov;73(5):479-84. doi: 10.1097/SAP.0b013e31827f5455.
Fat-preserving lower blepharoplasty techniques are increasingly common, but to date there has been insufficient data comparing the results of fat repositioning and septal reset. The authors compared the aesthetic results of the 2 methods using statistical analysis. A total of 120 patients, who had undergone transconjunctival subperiosteal fat repositioning from February 2008 to April 2009, were included. Group 1 (71 patients) underwent fat reposition with pedicled infraorbital fat redraping. Group 2 (49 patients) underwent septal reset to reposition the underlying fat. Documentation of the results with grading (grade 0-III) by 2 surgeons was done, and the results were evaluated for clinical improvement.Septal reset showed statistical significance on grade improvement compared to direct fat manipulation methods in the patients with grade II and grade III deformities. Septal reset also showed a trend for a higher degree of improvement compared to the latter. There were no major postoperative complications.
保留脂肪的下睑成形术技术越来越普遍，但迄今为止，比较脂肪重新定位和中隔复位结果的数据还不够充分。作者使用统计分析比较了这两种方法的美学效果。纳入了2008年2月至2009年4月期间接受经结膜下骨膜下脂肪重新定位的120例患者。第1组（71例患者）采用带蒂眶下脂肪重新覆盖进行脂肪重新定位。第2组（49例患者）进行中隔复位以重新定位深层脂肪。由2名外科医生对结果进行分级（0-III级）记录，并对结果进行临床改善评估。在II级和III级畸形患者中，与直接脂肪操作方法相比，中隔复位在分级改善方面具有统计学意义。与后者相比，中隔复位也显示出更高程度改善的趋势。术后无重大并发症。
