From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine.
Plast Reconstr Surg. 2022 Sep 1;150(3):550-557. doi: 10.1097/PRS.0000000000009461. Epub 2022 Jun 28.
Lower blepharoplasty techniques continue to improve over time. With discovery of the numerous fat compartments of the face, surgeons noticed that the appearance of the lower eyelid area through aging could be improved through midface lifting. This article introduces a vertical V-Y advancement lifting technique using the concept of fat compartments for lower lid and midcheek rejuvenation.
Eighty female patients were categorized into four age groups at 20 patients each from 20 to 59 years old. The average measurement for the lower lid length in each group was recorded. An additional 318 patients who underwent lower eyelid blepharoplasty combined with fat compartments advancement lifting for lid-cheek junction rejuvenation from April of 2015 to May of 2018 were included in this study. The postoperative effect was evaluated based on preoperative and postoperative photographs, lower lid length measurements, and three-dimensional facial analyses.
Lower lid lengths gradually increased with age, with the greatest increase occurring in the 30- to 39-year-old group. A total of 318 Asian female patients (age range, 35 to 58 years) underwent the surgical procedure. Measurements of lower lid length showed an average reduction of 0.31 cm 6 months after surgery. Three-dimensional facial analysis indicated that midcheek volume increased at varying degrees after surgery.
Lower eyelid blepharoplasty combined with vertical V-Y advancement lifting makes it possible to restore facial fat compartments. This procedure improves projection in the midcheek without fillers, thus achieving a more youthful appearance of the lower lid and lid-cheek contour in middle-aged women.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
随着时间的推移，下眼睑整形技术不断进步。随着对面部脂肪室的深入研究，外科医生发现，通过中面部提升术可以改善因衰老导致的下眼睑区域外观。本文介绍了一种使用脂肪室概念的垂直 V-Y 推进提升技术，用于下眼睑和中面部年轻化。
80 名女性患者分为四组，每组 20 名，年龄分别为 20-59 岁。记录每组下眼睑长度的平均测量值。此外，纳入了 2015 年 4 月至 2018 年 5 月期间因下眼睑成形术联合脂肪室推进提升术进行眼睑-面颊交界处年轻化而接受治疗的 318 例患者。根据术前和术后照片、下眼睑长度测量值和三维面部分析评估术后效果。
下眼睑长度随年龄逐渐增加，30-39 岁组增加最明显。共 318 例亚洲女性（年龄 35-58 岁）接受了手术。下眼睑长度测量值显示，术后 6 个月平均减少 0.31cm。三维面部分析表明，术后中面部体积不同程度增加。
下眼睑成形术联合垂直 V-Y 推进提升术可恢复面部脂肪室。该手术无需填充物即可改善中面颊的突出度，从而使中年女性的下眼睑和眼睑-面颊轮廓更显年轻。
临床问题/证据水平：治疗，IV。
