Chiu Cheng-Hung
Plastic and Aesthetic Department, Genesis Clinic, No.93-1, Xinglong Rd. Sec. 2, Taipei, Taiwan.
Aesthetic Plast Surg. 2017 Dec;41(6):1342-1350. doi: 10.1007/s00266-017-0881-4. Epub 2017 Apr 26.
Fat grafting can be used to correct age-related volume loss in the face. However, the degree of rejuvenation is difficult to be evaluated.
The author sought to objectively verify the change in patients' eyebrow position after fat grafting to the upper face.
The charts of 175 consecutive patients who underwent autologous fat grafting to the forehead and temple were reviewed. Perioperative changes in the heights of medial, middle, and lateral segments of the eyebrow and the eyebrow slant were recorded and compared. Key prevention strategies to avoid potential complications were discussed.
The eyebrow slant was increased by 2.4° after the operation which was statistically significant (p < 0.05). On the other hand, the medial eyebrow height was decreased, while the middle and lateral eyebrow heights were increased after the surgery which were of no significance. No major complications such as vision loss or vascular compromise were noted.
Simultaneous autologous fat grafting to the temple and forehead significantly increased the slant of the eyebrows and corrected the loss of upper facial fullness as well. Collectively, these changes made the patient look younger and aesthetically more pleasant.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
脂肪移植可用于纠正面部与年龄相关的容量损失。然而，年轻化的程度难以评估。
作者试图客观地验证对上半面部进行脂肪移植后患者眉毛位置的变化。
回顾了175例连续接受前额和颞部自体脂肪移植患者的病历。记录并比较了眉毛内侧、中间和外侧段高度以及眉斜度的围手术期变化。讨论了避免潜在并发症的关键预防策略。
术后眉斜度增加了2.4°，具有统计学意义（p < 0.05）。另一方面，术后内侧眉高降低，而中间和外侧眉高增加，无统计学意义。未发现视力丧失或血管损伤等重大并发症。
同时对颞部和前额进行自体脂肪移植可显著增加眉斜度，并纠正上半面部饱满度的丧失。总体而言，这些变化使患者看起来更年轻，美观度更高。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
