Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, People's Republic of China.
Indian J Ophthalmol. 2022 Aug;70(8):3088-3094. doi: 10.4103/ijo.IJO_222_22.
The aim of the study was to describe a graded approach for assessment and specific treatment, which can achieve satisfactory postoperative result in East Asian personalized lower blepharoplasty.
We reviewed 913 patients who underwent lower blepharoplasty from 2008 to 2020. We preoperatively classified patients with different characteristics to provide personalized treatment.
There were 163 patients with fat herniation but no lower eyelid skin laxity, 259 patients with lower eyelid skin laxity accompanied by mild fat herniation, 313 patients with sagging lower eyelid skin accompanied by mild fat herniation and tear troughs, and a total of 178 patients with sagging skin accompanied by moderate to severe fat herniation and tear troughs. The overall success rate was 97.81%. Postoperative complications included the following: conjunctival chemosis, dry eye symptoms, and more.
For East Asian patients with different characteristics, we achieved satisfactory postoperative results through accurate preoperative clinical grading and personalized surgical plans. The success of the operation not only depends on correct manipulation during the procedure but also on the surgeon's accurate assessment and full grasp of the anatomy of each patient preoperatively.
本研究旨在描述一种分级评估和特定治疗的方法，以实现东亚人个性化下眼睑整形术的满意术后效果。
我们回顾了 2008 年至 2020 年间接受下眼睑整形术的 913 例患者。我们术前根据不同的特征对患者进行分类，以提供个性化的治疗。
163 例患者有脂肪膨出但无下眼睑皮肤松弛，259 例患者有下眼睑皮肤松弛伴轻度脂肪膨出，313 例患者有轻度脂肪膨出和泪槽伴下眼睑皮肤松弛，178 例患者有中度至重度脂肪膨出和泪槽伴皮肤松弛。总体成功率为 97.81%。术后并发症包括结膜水肿、干眼症症状等。
对于具有不同特征的东亚患者，我们通过准确的术前临床分级和个性化手术计划实现了满意的术后效果。手术的成功不仅取决于术中正确的操作，还取决于外科医生术前对每位患者解剖结构的准确评估和充分掌握。
