Division of Plastic Surgery, University Hospital of Santa Catarina, R. Profa. Maria Flora Pausewang, S/N-Trindade, Florianópolis, Sc, 88036-800, Brazil.
Clinica Athena, Rua Desembargador Vieira Cavalcanti, 590, São Francisco, Curitiba, PR, 81170-290, Brazil.
Aesthetic Plast Surg. 2019 Jun;43(3):695-701. doi: 10.1007/s00266-019-01353-1. Epub 2019 Mar 20.
With aging, progressive changes occur in the eyelid region. The novel technique for repositioning of the fat pads described herein addresses Hester classification type II, lower eyelid aging with minimal decrease in the eyelid/cheek juncture.
In this retrospective study of patients undergoing surgery at our clinic between 2000 and 2018, 92 were classified as Hester II and a transconjunctival surgical procedure was performed with repositioning of the fat pads and intranasal fixation assisted by the Casagrande needle.
Erasure of the nasojugal fold was observed in all patients, offering a greater uniformity in the convexity of the middle third and resulting in better rejuvenation of the target area while eliminating visible scarring from a suture through the skin.
The repositioning of fat pads using intranasal fixation offers the necessary anchoring qualities without worrying about unsightly scars or the need to remove stitches early, which can decrease the proper scarring and adhesion of the pads in their new pockets.
The quality and longevity of the results of this retrospective study allow us to offer this novel fat pad fixation method in transconjunctival blepharoplasty.
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随着年龄的增长，眼睑区域会发生渐进性变化。本文描述的脂肪垫重新定位新技术针对 Hester 分类 II 型，即下眼睑老化，下眼睑/脸颊交界处仅略有下降。
在我们诊所 2000 年至 2018 年期间进行手术的患者的回顾性研究中，92 例患者被归类为 Hester II 型，并进行了经结膜手术，通过 Casagrande 针辅助重新定位脂肪垫和鼻腔内固定。
所有患者的鼻侧皱襞都消失了，使中三分之一的凸度更加均匀，从而更好地恢复了目标区域的年轻化，同时消除了通过皮肤缝线的可见疤痕。
使用鼻腔内固定重新定位脂肪垫提供了必要的固定质量，而不必担心难看的疤痕或需要早期拆线，这可能会减少垫在新口袋中的适当疤痕和粘连。
这项回顾性研究结果的质量和持久性使我们能够在经结膜眼睑成形术中提供这种新的脂肪垫固定方法。
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