Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Putuo district, Shanghai 200065, China.
Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Putuo district, Shanghai 200065, China.
J Plast Reconstr Aesthet Surg. 2019 Aug;72(8):1373-1378. doi: 10.1016/j.bjps.2019.04.010. Epub 2019 Apr 20.
Puffy upper eyelids are normal in Asians, and full-incision blepharoplasty is commonly performed to remove some orbital fat to ameliorate the problem, but not all patients would exhibit obvious improvement. Local retro-orbicularis oculus fat (ROOF) is a layer of fibrofatty soft tissue that lies much deep into the orbicularis oculi in the upper eyelid, which is an important factor in the formation of puffy upper eyelids. This study was carried out to evaluate the clinical application (including the evaluation of photographs for the thickness of upper eyelid) of upper blepharoplasty combined with ROOF resection for correcting puffy upper eyelids.
A total of 65 patients (5 males, 60 females) with puffy upper eyelids recruited from October 2015 to October 2016 were included in the study. Full-incision blepharoplasty combined with partial ROOF resection was performed on all patients. The thickness of soft tissue in the upper eyelid was measured by ultrasound biomicroscopy preoperatively and at 12 months postoperatively.
All patients underwent surgery successfully, and 62 patients (124 eyes) were followed up for 12-15 months (mean 13.8 ± 2.7 months). Before the surgery, the thickness of the ROOF was 0.35 ± 0.12 mm on the left and 0.42 ± 0.08 mm on the right. Twelve months postsurgery, the thickness of the ROOF was 0.18 ± 0.03 mm on the left and 0.20 ± 0.02 mm on the right. During the follow-up period, all patients were satisfied with the esthetic effect, and no severe postoperative complications were observed.
Puffy upper eyelids can be corrected effectively by local ROOF resection in esthetic blepharoplasty.
肿眼泡在亚洲人群中较为常见，通常采用切开重睑术去除部分眶隔脂肪来改善这一问题，但并非所有患者均能获得明显改善。局部眼轮匝肌眶隔脂肪（ROOF）是位于上睑眼轮匝肌深层的一层纤维脂肪软组织，是肿眼泡形成的重要因素。本研究旨在评估上睑成形术联合 ROOF 切除矫正肿眼泡的临床应用（包括上睑厚度照片评估）。
2015 年 10 月至 2016 年 10 月，共纳入 65 例（男 5 例，女 60 例）肿眼泡患者，均行切开重睑术联合部分 ROOF 切除术。术前及术后 12 个月采用超声生物显微镜测量上睑软组织厚度。
所有患者手术均顺利完成，62 例（124 只眼）获得 12-15 个月（平均 13.8±2.7 个月）随访。术前左侧 ROOF 厚度为 0.35±0.12mm，右侧为 0.42±0.08mm；术后 12 个月左侧为 0.18±0.03mm，右侧为 0.20±0.02mm。随访期间，所有患者对美学效果均满意，未观察到严重术后并发症。
在美容性重睑术中行局部 ROOF 切除可有效矫正肿眼泡。
