Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2022 Sep 1;33(6):1899-1902. doi: 10.1097/SCS.0000000000008685. Epub 2022 Jul 29.
The periorbital area tends to be the first and most visible facial part where senility occurs and therefore is of great concern. Various blepharoplasty incisions are applied to correct upper eyelid dermatochalasis. In this study, we applied and evaluated the shortened infrabrow excision blepharoplasty (sIBEB) combined with the removal of the orbicularis oculi muscle to achieve more satisfactory effects. This retrospective study included 40 women who underwent sIBEB treatment at the Plastic Surgery Hospital of Beijing between February 2019 and June 2021. Preoperative and postoperative photographs, complications, objective Strasser system, and self-assessed subjective evaluations by the patient (on a scale of 1-10) were used to assess the results of the procedure. During the follow-up (6-16 mo; average, 12 mo), all 40 patients (age, 26-68 y; 47±9.44 y) presented effective correction of the dermatochalasis. The objective Strasser evaluation showed that all patients had a score of 0 to 4, and the subjective feedback revealed that 37 patients (92.5%) scored the procedure 9/10, indicating high satisfaction. No complications were detected, and repair surgery was not required in any patient. The application of a shortened incision enables the surgeon to accurately locate the excision area, resulting in less visible scars. Furthermore, removal of the orbicularis oculi muscle allows for the sagittal lifting of the superficial musculoaponeurotic system layer, adjusting the swelling and sagging appearance. The modified sIBEB may achieve more effective, sustainable, and satisfactory outcomes.
眶周区域往往是衰老最早且最明显的面部部位，因此备受关注。各种重睑术切口被应用于矫正上睑皮肤松弛。在这项研究中，我们应用并评估了缩短眉下切口重睑术（sIBEB）联合眼轮匝肌切除术，以达到更满意的效果。这项回顾性研究纳入了 2019 年 2 月至 2021 年 6 月在北京整形医院接受 sIBEB 治疗的 40 名女性。术前和术后照片、并发症、客观 Strasser 系统以及患者的自我评估（1-10 分）用于评估手术结果。在随访期间（6-16 个月；平均 12 个月），所有 40 名患者（年龄 26-68 岁；47±9.44 岁）均有效矫正了皮肤松弛。客观 Strasser 评估显示所有患者的评分为 0-4 分，主观反馈显示 37 名患者（92.5%）评分为 9/10，表明满意度高。未发现并发症，也无需在任何患者中进行修复手术。缩短切口的应用使外科医生能够准确定位切除区域，从而使疤痕更不明显。此外，去除眼轮匝肌可以使浅层肌肉腱膜系统层的矢状提升，调整肿胀和下垂的外观。改良的 sIBEB 可能会达到更有效、更持久和更满意的效果。
