Jeon Myeong Su, Jung Gyu Yong, Lee Dong Lark, Shin Hea Kyeong
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea.
Arch Plast Surg. 2015 Jul;42(4):469-74. doi: 10.5999/aps.2015.42.4.469. Epub 2015 Jul 14.
Many methods have been proposed for the correction of sunken upper eyelids. These methods include surgical treatments, such as micro-fat, dermofat, or fascia-fat grafts, or the use of alloplastic materials. Here, we present our experience of sunken upper eyelid correction involving the simple addition of anchoring the central fat pad to the medial fat pad during upper blepharoplasty.
We performed 74 cases of upper blepharoplasty with sunken upper eyelid correction between October 2013 and September 2014. The lateral portion of the central fat pad was partially dissected to facilitate anchoring. The medial fat pad was gently exposed and then pulled out to facilitate anchoring. After the rotation of the dissected lateral portion of the central fat pad by 180° to the medial side, it was anchored spreading to the medial fat pad. Photographs taken at 6 months postoperatively were presented to three physicians for objective assessment. Of the 74 patients, 54 patients followed at 6 months postoperatively were included in this retrospective, objective assessment.
Sunken eyelids were effectively corrected in 51 of the 54 patients, but 3 had minimal effect because preaponeurotic fat pads had been removed during previous upper blepharoplasty. In addition to correcting sunken eyelids, lateral bulging was corrected and a better definition of the lateral portion of upper lid creases was obtained.
Anchoring the central fat pad to the medial fat pad provides an effective means of correcting sunken upper eyelids during upper blepharoplasty.
已经提出了许多用于矫正上睑凹陷的方法。这些方法包括手术治疗，如微脂肪、真皮脂肪或筋膜脂肪移植，或使用异体材料。在此，我们介绍我们在重睑成形术中将中央脂肪垫简单地固定于内侧脂肪垫来矫正上睑凹陷的经验。
2013年10月至2014年9月期间，我们对74例伴有上睑凹陷的患者实施了重睑成形术。将中央脂肪垫的外侧部分进行部分解剖以利于固定。轻柔暴露内侧脂肪垫，然后将其拉出以利于固定。将解剖后的中央脂肪垫外侧部分向内侧旋转180°后，展开固定于内侧脂肪垫。将术后6个月拍摄的照片呈递给3位医生进行客观评估。在这74例患者中，54例术后6个月接受随访的患者被纳入此次回顾性客观评估。
54例患者中有51例上睑凹陷得到有效矫正，但3例效果甚微，因为其在之前的重睑成形术中已去除了眶隔前脂肪垫。除矫正上睑凹陷外，外侧膨隆也得到矫正，上睑皱襞外侧部分的轮廓更清晰。
在重睑成形术中将中央脂肪垫固定于内侧脂肪垫是矫正上睑凹陷的一种有效方法。
