Sachs M E, Bosniak S L
Aesthetic Plast Surg. 1986;10(2):111-4. doi: 10.1007/BF01575278.
The presence of puffy, baggy lower eyelids is one of the first signs of the aging face. Baggy eyelids can result from excessive eyelid skin, hypertrophied orbicularis muscle, and/or periorbital fat herniation. An exact diagnosis of which components are contributing to the problem must be made in the preoperative period so that proper correction can be made during surgery. The concept of true periorbital fat herniation in the causation of baggy lower eyelids is presented. The surgical correction of this anatomic defect involves identification and approximation of the dehiscent orbital septum to the capsulopalpebral ligament. Thirty-five patients who presented with true lower eyelid fat herniation and who underwent direct suture repair are reviewed.
下眼睑肿胀、松弛是面部衰老的早期迹象之一。眼睑松弛可能是由于眼睑皮肤过多、眼轮匝肌肥大和/或眶周脂肪疝出所致。术前必须准确诊断导致该问题的具体因素，以便在手术中进行适当矫正。本文提出了真正的眶周脂肪疝出在导致下眼睑松弛中的概念。这种解剖缺陷的手术矫正包括识别裂开的眶隔并将其与睑囊韧带对合。本文回顾了35例出现真正下睑脂肪疝出并接受直接缝合修复的患者。
