Stein Ran, Holds John B, Wulc Allan E, Swift Arthur, Hartstein Morris E
Department of Ophthalmology, Assaf Harofeh Medical Center, Tel Aviv University-Sackler School of Medicine, Tel Aviv, Israel.
Ophthalmology.
Ophthalmic Plast Reconstr Surg. 2018 Sep/Oct;34(5):491-496. doi: 10.1097/IOP.0000000000001167.
The Golden ratio, or Phi, has been used to explain the substrates of two-dimensional beauty utilizing the faces of models. A "Phi point" has been identified at the apex of the cheek mound that can be targeted in filler injections. The authors report herein how they have applied this algorithm for surgical shaping of the "beautiful" cheek as a routine part of their lower blepharoplasty procedure. The authors present their technique and results with patients undergoing lower blepharoplasty along with the adjunct of liposculpture to areas of volume deficiency in the midface with a particular goal of enhancing the Phi point.
This study was retrospective, consecutive, nonrandomized, interventional case series. The authors reviewed the medical records of 113 consecutive patients who underwent lower blepharoplasty with autologous fat transfer to the Phi point. The aesthetic outcome, patient satisfaction, and complication/revisions were evaluated.
One hundred two out of 113 patients achieved excellent lower lid position and cheek enhancement as assessed by both patient and surgeon. In these 102 patients, there was significant improvement in lower lid appearance, contour, transition to the cheek, and cheek projection as observed by the surgeon. Three patients required revision to achieve sufficient volume. Eight patients were satisfied with the outcome, nevertheless, requested additional filler injection to optimize.
Lower blepharoplasty combined with autologous fat transfer to reshape the Phi point is a safe and reliable technique and another step further in our quest for recreating the beautiful face.
黄金比例，即1.618，已被用于利用模特面部来解释二维美的基础。在颊丘的顶点已确定一个“黄金点”，可作为填充注射的靶点。本文作者报告了他们如何将该算法应用于“美丽”脸颊的手术塑形，作为其下睑成形术常规操作的一部分。作者展示了他们对接受下睑成形术患者的技术和结果，以及对中面部容量不足区域进行脂肪雕塑辅助治疗，特别目标是增强黄金点。
本研究为回顾性、连续、非随机的干预性病例系列。作者回顾了113例连续接受下睑成形术并将自体脂肪转移至黄金点患者的病历。评估美学效果、患者满意度以及并发症/修复情况。
113例患者中，102例患者经患者和外科医生评估均获得了良好的下睑位置和脸颊改善。在这102例患者中，外科医生观察到下睑外观、轮廓、与脸颊的过渡以及脸颊突出度均有显著改善。3例患者需要修复以获得足够容量。8例患者对结果满意，但仍要求额外注射填充剂以优化效果。
下睑成形术联合自体脂肪转移重塑黄金点是一种安全可靠的技术，也是我们追求重塑美丽面容道路上的又一进步。
