Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong.
Asia Pac J Ophthalmol (Phila). 2020 Sep-Oct;9(5):461-469. doi: 10.1097/APO.0000000000000311.
The aim of this study was to summarize the literature from 2012 to 2018 on 4 common cosmetic periocular operative procedures including epicanthoplasty, lateral canthoplasty, and upper and lower blepharoplasty.
Systematic review of epicanthoplasty, lateral canthoplasty, upper and lower blepharoplasty in the period of 6 years.
A systematic MEDLINE search by 2 independent reviewers was performed on PubMed using the search terms (blepharoplasty) OR double eyelid) OR lateral canthopexy) OR fat repositioning) OR epicanthoplasty) OR love band) AND (From January 2012 to January 2018).
After screening 1456 abstracts from search results, 1377 were eliminated due to irrelevant content. Full text of the remaining 79 articles and relevant cross-references were reviewed and summarized. Studies on cosmetic epicanthoplasty reported Z-plasty or modifications (n=8), advancement flap (n=4) or skin redraping procedures (n=1), removal or release of the orbicularis muscle (n = 14), with (n = 6) or without (n = 11) tightening medial canthal tendon. In lateral canthoplasty, approaches to preserve continuity of eyelid margin prevent lateral canthal deformity with inconspicuous incision via gray line (n = 2) or upper eyelid (n = 2) were described. Techniques of upper blepharoplasties described included open incision method (n = 9) with (n = 5) or without (n = 3) orbicularis resection, subbrow approach (n = 1), nonincisional suture blepharoplasty (n = 2), or partial incision blepharoplasty (n = 1). For lower blepharoplasties, techniques described included blepharoplasty with fat transposition (n = 7), transconjunctival blepharoplasty (n = 3), transcutaneous blepharoplasty and canthopexy (n = 1) or orbicularis flap (n = 2), minimally invasive or laser-assisted blepharoplasty (n = 2).
The recent trend of periocular surgical rejuvenation focuses on preserving soft tissue volume, avoiding skin or use hidden incision, taking the eyebrow and midface position into account, and measures to minimize iatrogenic eyelid malposition.
本研究旨在总结 2012 年至 2018 年关于四种常见美容眶周手术的文献，包括内眦赘皮矫正术、外眦成形术、上睑和下睑成形术。
对 6 年内的内眦赘皮矫正术、外眦成形术、上睑和下睑成形术进行系统的综述。
通过两位独立评审员在 PubMed 上进行了系统性的 MEDLINE 搜索，使用的搜索词为（眼睑成形术）或（双眼皮）或（外眦成形术）或（脂肪再定位）或（内眦赘皮矫正术）或（爱带）和（2012 年 1 月至 2018 年 1 月）。
从搜索结果中筛选出 1456 篇摘要后，由于内容不相关，排除了 1377 篇。对其余 79 篇文章的全文和相关交叉引用进行了回顾和总结。关于美容性内眦赘皮的研究报告了 Z 成形术或改良术（n=8）、推进皮瓣（n=4）或皮肤重新成形术（n=1）、去除或松解眼轮匝肌（n=14），有（n=6）或无（n=11）收紧内眦腱。在外眦成形术中，为防止外侧眦畸形，描述了通过灰线（n=2）或上眼睑（n=2）保持眼睑边缘连续性的方法。上睑成形术的技术包括开放性切口方法（n=9），有（n=5）或无（n=3）眼轮匝肌切除术，眉下入路（n=1），非切口缝线双眼皮成形术（n=2），或部分切口双眼皮成形术（n=1）。对于下睑成形术，描述的技术包括脂肪移位性睑成形术（n=7）、经结膜睑成形术（n=3）、经皮睑成形术和眦成形术（n=1）或眼轮匝肌皮瓣（n=2）、微创或激光辅助睑成形术（n=2）。
眶周手术年轻化的最新趋势侧重于保持软组织体积，避免皮肤或使用隐藏切口，考虑眉和中面部位置，并采取措施尽量减少医源性眼睑位置不正。
