Fodor P B
Aesthetic Plast Surg. 1989 Fall;13(4):273-7. doi: 10.1007/BF01570360.
The majority of patients seeking lower-lid blepharoplasty find that a muscle roll under their lower-lid ciliary margin is a desired postoperative feature. Very few prefer a flat postoperative lower lid. In addition to the cosmetic advantage obtained by more closely simulating a youthful lower eyelid, preservation of the pretarsal portion of the orbicularis oculi muscle also has a physiologic value in maintaining lower eyelid tone and support. A method to create this fold, which included placement of tarsal fixation sutures, has been previously described. It was accompanied by prolonged postoperative swelling. In hands other than masterful surgeons, it often resulted in irregular shape and asymmetry. Perhaps this is why the technique never became very popular. The technique described here consists of overlapping two layers of orbicularis oculi muscle over the lower lid tarsal plate. The method is simple, quick, requires no additional sutures, and does not complicate or prolong the postoperative course. The result is that of a soft, even, and natural appearing lower eyelid roll and lower eyelid.
大多数寻求下睑成形术的患者发现，下睑睫毛缘下方的肌肉褶皱是理想的术后特征。很少有人希望术后下睑是平整的。除了通过更逼真地模拟年轻下眼睑而获得的美容优势外，保留眼轮匝肌的睑板前部在维持下睑张力和支撑方面也具有生理价值。此前已描述过一种形成这种褶皱的方法，其中包括放置睑板固定缝线。但该方法会导致术后肿胀时间延长。在非熟练外科医生手中，它常常会导致形状不规则和不对称。也许这就是为什么该技术从未变得非常流行的原因。这里描述的技术包括将两层眼轮匝肌重叠在下睑睑板上。该方法简单、快速，无需额外缝线，也不会使术后过程复杂化或延长。结果是形成一个柔软、均匀且自然的下睑褶皱和下睑。
