Asaria Jamil
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Facial Plast Surg. 2023 Feb;39(1):20-27. doi: 10.1055/s-0042-1760114. Epub 2023 Jan 27.
Aesthetic surgical management of the inferior periorbital region should include an approach to volume augmentation of the midface and infraorbital hollow, reduction of fat pseudoherniation in the lower eyelids, and treatment of the overlying skin. A combined approach using volume augmentation with fat grafting, a transconjunctival approach to the lower eyelid fat pads, and conservative management of the lower eyelid skin can produce optimal aesthetic results while minimizing complications. Fat harvest from the thigh and abdominal region allows for ample grafting material to the lateral cheek, midface, and orbital rim. The treatment paradigm is to restore volume optimally while minimizing fat resection in the lower eyelids. Volume augmentation is used to restore youthful contours, as well as to counter deflation and laxity in the periorbital and midfacial regions.
眶下区域的美容手术管理应包括增加中面部和眶下凹陷的容积、减少下睑脂肪假性疝出以及治疗其上覆盖的皮肤。采用脂肪移植增加容积、经结膜途径处理下睑脂肪垫以及保守处理下睑皮肤的联合方法，可在将并发症降至最低的同时产生最佳的美学效果。从大腿和腹部区域获取脂肪可为外侧脸颊、中面部和眶缘提供充足的移植材料。治疗模式是在尽量减少下睑脂肪切除的同时，最佳地恢复容积。增加容积用于恢复年轻的轮廓，以及对抗眶周和中面部区域的凹陷和松弛。
