Chen William P D
Department of Ophthalmology, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, Calif.; Department of Surgery (WOS), Aesthetic and Plastic Surgery Institute, UCI College of Medicine, Irvine, Calif.
Plast Reconstr Surg Glob Open. 2019 May 23;7(5):e2271. doi: 10.1097/GOX.0000000000002271. eCollection 2019 May.
Asian blepharoplasty is a deceptively simple procedure where the goal is to create an upper lid crease. The author presents a retrospective self-analysis of 362 cases performed over the past 12 years.
362 cases that fits the inclusion criteria were tabulated into spreadsheet data format. Recorded were age, gender, date of service and follow-ups, whether the AB performed was for primary or revisional purpose; the preoperative lid crease status, the patient-chosen crease height as well as shape preferred. Intraoperative observation included presence or absence of preaponeurotic fat, whether partially resected, or reposited were noted.
Of 362 patients (724 upper lids), primary AB constituted 81% (295) and revisional AB contributed 19% (67). The gender distribution was 87% female (315) and 13% male (47). The age distribution ranged from 12 to 75 years. The crease height selected ranged from 6.0 to 8.0 mm, with the median being 7.0 mm. Of the crease shape chosen, parallel shape was 65% (236) and nasally-joining crease shape was 35% (126).
Asian blepharoplasty via trapezoidal debulking of preaponeurotic platform is a safe, effective and anatomically-based technique that does not involve the use of permanent buried sutures. The article discussed the 5 essential factors (, selective clearance of preaponeurotic space, precise positioning of the formation loci, detection of latent eyelids and avoidance of suture effect) and the author's benchmarks to achieve a better success rate. Results for primary and revisional Asian blepharoplasty, strategies and potential pitfalls are presented. ( http://links.lww.com/PRSGO/B141).
亚洲人眼睑成形术看似是个简单的手术，其目的是形成上睑皱襞。作者对过去12年里实施的362例手术进行了回顾性自我分析。
将符合纳入标准的362例病例制成电子表格数据格式。记录内容包括年龄、性别、手术日期及随访情况，实施的亚洲人眼睑成形术是初次手术还是修复手术；术前睑皱襞状态、患者选择的皱襞高度以及偏好的形状。术中观察包括是否存在眶隔前脂肪、是否部分切除或重新定位。
362例患者（724只上睑）中，初次亚洲人眼睑成形术占81%（295例），修复性亚洲人眼睑成形术占19%（67例）。性别分布为女性87%（315例），男性13%（47例）。年龄分布在12至75岁之间。选择的皱襞高度在6.0至8.0毫米之间，中位数为7.0毫米。在选择的皱襞形状中，平行形占65%（236例），鼻侧连接皱襞形占35%（126例）。
通过梯形减容眶隔前平台进行的亚洲人眼睑成形术是一种安全、有效且基于解剖学的技术，不涉及使用永久性埋藏缝线。本文讨论了5个关键因素（眶隔前间隙的选择性清除、皱襞形成位点的精确定位、潜在眼睑的检测以及避免缝线效应）以及作者为提高成功率所设定的基准。介绍了初次和修复性亚洲人眼睑成形术的结果、策略及潜在陷阱。（http://links.lww.com/PRSGO/B14）
