Division of Oculoplastic Surgery, Department of Ophthalmology, Federal University of Goiás, Goiânia, Brazil.
Division of Oculofacial Plastic and Orbital Surgery, Department of Ophthalmology, Gavin Herbert Eye Institute, University of California, Irvine, Irvine, California, USA.
Facial Plast Surg Aesthet Med. 2024 May-Jun;26(3):288-293. doi: 10.1089/fpsam.2020.0586. Epub 2021 Jun 24.
A full lateral brow-eyelid complex may help rejuvenate and feminize the face. To compare periorbital volume change of patients as measured by three-dimensional (3D) stereophotogrammetry before and after blepharoplasty with or without internal browpexy sutures. This is a prospective randomized controlled study of 124 eyelids of 62 adult female patients who underwent cosmetic upper eyelid blepharoplasty by a single surgeon. Subjects were randomized to blepharoplasty alone (control) or blepharoplasty with an adjunctive "brassiere suture" internal browpexy (intervention). An observer masked to the intervention measured the brow-eyelid volume using standardized images obtained with a 3D camera, before and after surgery. The minimum follow-up was 6 months postoperatively. Sixty eyelids (30 patients) were treated with upper blepharoplasty alone and 64 eyelids (32 patients) had blepharoplasty plus internal browpexy. The mean volume gain was 0.85 mL in the internal browpexy intervention group and 0.19 mL in the control group. The volume increased in all patients receiving browpexy and this change was greater than after blepharoplasty alone ( < 0.05). The mean follow-up time was 16.8 months (range 6-24 months). Adjunctive internal browpexy during blepharoplasty was associated with increased volume of the lateral brow-eyelid complex.
全侧眉-睑复合结构可能有助于使面部年轻化和更具女性化。比较三维（3D）立体摄影术测量的患者术前和术后的眶周体积变化，这些患者接受了或未接受内眉固定缝线的双眼皮成形术。这是一项前瞻性随机对照研究，纳入了 62 名成年女性患者的 124 只眼，由一位外科医生行美容性上睑成形术。受试者随机分为单纯行上睑成形术（对照组）或行上睑成形术联合附加“胸罩缝线”内眉固定术（干预组）。观察者对干预措施进行盲法评估，使用 3D 相机获得的标准化图像，在术前和术后测量眉-睑体积。术后的最低随访时间为 6 个月。60 只眼（30 例）接受单纯上睑成形术治疗，64 只眼（32 例）接受上睑成形术联合内眉固定术。内眉固定术干预组的平均体积增加为 0.85mL，对照组为 0.19mL。所有接受内眉固定术的患者的体积均增加，这一变化大于单纯行上睑成形术（ < 0.05）。平均随访时间为 16.8 个月（6-24 个月）。在双眼皮成形术中附加内眉固定术与外侧眉-睑复合结构的体积增加相关。
