睑前增强下睑成形术
Pretarsal Augmented Lower Blepharoplasty.
作者信息
Jeon Yeo Reum, Rah Dong Kyun, Lew Dae Hyun, Roh Tai Suk, Kim Young Seok, Choi Hong Lim
机构信息
Seoul, Republic of Korea.
From the Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Severance Hospital & Gangnam Severance Hospital; Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital; and the JW Plastic Surgery Clinic.
出版信息
Plast Reconstr Surg. 2016 Jul;138(1):74-82. doi: 10.1097/PRS.0000000000002315.
BACKGROUND
Narrow and chubby pretarsal fullness is a characteristic of attractiveness and youthfulness, and pretarsal augmentation has gained popularity in Asia. Conventional lower blepharoplasty has focused on correcting the aged appearance of the lower eyelids by repositioning fat and removing excess skin. However, this technique can create flat lower eyelids and provide an indication that cosmetic surgery was performed. Therefore, our pretarsal augmented lower blepharoplasty technique focuses on restoring pretarsal fullness and creating a three-dimensional lower eyelid-cheek complex. The authors present the results of this technique, which demonstrate that it simultaneously enhances lower eyelid support and restores pretarsal fullness.
METHODS
This retrospective chart review evaluated 659 consecutive patients who underwent pretarsal augmented lower blepharoplasty between 2011 and 2014. All procedures were performed by a single surgeon (H.L.C.). The outcomes and complications were assessed by evaluating the patients' preoperative and postoperative digital photographs and medical records.
RESULTS
There were no permanent major complications, such as retrobulbar hemorrhage, diplopia, or hypertrophic scarring. Chemosis occurred in 90 patients (13.7 percent), 10 patients (1.5 percent) underwent minor revision because of an undercorrected nasojugal groove or loosened orbicularis oculi muscle suspension suture, and three patients (0.46 percent) experienced mild ectropion that resolved spontaneously. Approximately 98 percent of the patients were satisfied. Our technique provided a natural and younger appearance with pretarsal fullness, rather than the flattened appearance that is associated with conventional blepharoplasty.
CONCLUSIONS
Pretarsal augmented lower blepharoplasty uses simple methods to restore pretarsal fullness. This technique improves periorbital contouring, rejuvenates the pretarsal roll, and provides excellent aesthetic results.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
背景
睑板前窄而丰满是吸引力和年轻的特征，睑板前填充在亚洲越来越受欢迎。传统的下睑成形术主要通过重新定位脂肪和去除多余皮肤来改善下睑的衰老外观。然而，这种技术可能会导致下睑变平，并显示出进行过整形手术的迹象。因此，我们的睑板前填充下睑成形术技术专注于恢复睑板前丰满度，并打造三维的下睑-面颊复合体。作者展示了该技术的结果，表明它能同时增强下睑支撑并恢复睑板前丰满度。
方法
这项回顾性图表审查评估了2011年至2014年间连续接受睑板前填充下睑成形术的659例患者。所有手术均由单一外科医生（H.L.C.）进行。通过评估患者术前和术后的数码照片及病历，对结果和并发症进行评估。
结果
未出现永久性严重并发症，如球后出血、复视或瘢痕增生。90例患者（13.7%）发生结膜水肿，10例患者（1.5%）因鼻泪沟矫正不足或眼轮匝肌悬吊缝线松动而接受了小的修复手术，3例患者（0.46%）出现轻度睑外翻，但自行缓解。约98%的患者表示满意。我们的技术提供了自然且年轻化的外观，伴有睑板前丰满度，而非传统睑成形术相关的扁平外观。
结论
睑板前填充下睑成形术采用简单方法恢复睑板前丰满度。该技术改善了眶周轮廓，使睑板前褶恢复活力，并提供了出色的美学效果。
临床问题/证据级别：治疗性，IV级。
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