Department of Plastic Surgery, China-Japan Union Hospital of Jilin University, 126 Xiantai street, Erdao District, Changchun, 130000, Jilin Province, People's Republic of China.
Division of Thyroid Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China.
Aesthetic Plast Surg. 2023 Aug;47(4):1441-1446. doi: 10.1007/s00266-023-03259-5. Epub 2023 Jan 27.
To investigate the effect of buccal fat pad transplantation in front of the aponeurosis to correct Asian upper eyelid depression.
Eighty-five individuals who were treated with buccal fat pad transplantation were recruited for this study. The upper eyelid depression data were collected before and after treatment, and the aesthetic outcomes were assessed using the Global Aesthetic Improvement Scale (GAIS) and the Likert scale.
All patients obtained natural-looking eyelids, and the sunken contour deformity improved. The mean preoperative sunken depth was 6.7±1.0 mm (4-12 mm), and the mean sunken depth at the last follow-up was 4.2±0.9 mm (2-6 mm) (P <0.05). The visual analogue scale score was 2.12±1.75 (1-4) in the immediate postoperative period. The GAIS scores were satisfactory (very much improved, 89.4%; much improved, 7.1%; and improved, 3.5%). According to the Likert scale scores, all patients were satisfied with the clinical outcomes (excellent, 87.1%; very good, 9.4%; and good, 3.5%). A 'fair' or 'poor' result was not reported by any patient.
Buccal fat pad transplantation corrects upper eyelid depression in a simple, safe, and effective manner and can efficiently fill the depressed portion and restore a beautiful double eyelid.
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探讨颊脂垫移植于腱膜前矫正亚洲人上睑凹陷的效果。
本研究纳入 85 例行颊脂垫移植的患者。收集患者治疗前后的上睑凹陷数据，并采用全球美学改善量表（GAIS）和李克特量表评估美学效果。
所有患者均获得自然外观的眼睑，凹陷轮廓畸形得到改善。术前凹陷深度的平均值为 6.7±1.0mm（4-12mm），末次随访时凹陷深度的平均值为 4.2±0.9mm（2-6mm）（P<0.05）。术后即刻视觉模拟评分（VAS）为 2.12±1.75（1-4）。GAIS 评分为非常满意 89.4%，很满意 7.1%，满意 3.5%。根据李克特量表评分，所有患者均对临床效果满意（优秀 87.1%，非常好 9.4%，好 3.5%）。无患者报告“一般”或“差”结果。
颊脂垫移植可简单、安全、有效地矫正上睑凹陷，能有效填充凹陷部位并重塑美丽的双眼皮。
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