Department of Otolaryngology-Head & Neck Surgery, Division of Facial Plastic Surgery, Albert Einstein College of Medicine, New York, NY, USA; Department of Facial Plastic and Reconstructive Surgery, Northwell Health (North Shore LIJ), Manhasset, NY, USA.
Facial Plast Surg Clin North Am. 2021 May;29(2):209-228. doi: 10.1016/j.fsc.2021.01.008. Epub 2021 Apr 24.
The aging appearance of the lower eyelids is multifactorial, involving changes in the skin, orbital fat, orbicularis muscle, soft tissue of the midface, and tear trough. The extent of these changes differs in each case and happens in a background of volume loss that occurs with facial aging. We present the indications, advantages, and technique for volumizing transcutaneous lower blepharoplasty with fat transposition. The absolute and relative contraindications to transcutaneous surgery are discussed, and surgical details of transconjunctival blepharoplasty with fat repositioning and autologous fat grafting as alternative approaches are included.
下眼睑的衰老外观是多因素的，涉及皮肤、眶隔脂肪、眼轮匝肌、中面部软组织和泪槽的变化。这些变化的程度因个体而异，并且发生在面部衰老时出现的容积损失背景下。我们介绍了经皮脂肪移位下睑成形术的适应证、优点和技术。讨论了经皮手术的绝对和相对禁忌证，并包括了经结膜睑成形术联合脂肪再定位和自体脂肪移植等替代方法的手术细节。
