Department of Plastic and Cosmetic Surgery and Burns, Qilu Hospital of Shandong University, Jinan, PR China.
J Craniofac Surg. 2023;34(2):704-707. doi: 10.1097/SCS.0000000000009174. Epub 2023 Jan 23.
Sunken upper eyelid deformity results in an aged and unnatural appearance and is common among Asians along with the single eyelid. The upper eyelid volume restoration is as important as the creation of a supratarsal fold for patients with sunken eyelids. In the present study, the combination of orbital fat pad repositioning and orbicularis oculi muscle flap folding was established to correct the upper eyelid depression during blepharoplasty.
A retrospective study was conducted on patients who underwent the orbital fat pad repositioning and orbicularis oculi muscle flap folding to correct the upper eyelid depression between July 2020 and October 2021. The preoperative and postoperative sunken depths were calculated and compared, and overall patient satisfaction was performed to evaluate the operation efficiency.
There were 40 patients, including 39 females and 1 male, who underwent surgery with an average age of 25.4 years. During the mean follow-up period of 12.7 months, the sunken depth improved from 3.2 mm preoperatively to 1.5 mm postoperatively with a statistical significance. Satisfactory results were achieved without major complication.
For patients with mild to moderate sunken upper eyelids, the combination of orbital fat pad repositioning and orbicularis oculi muscle folding has been proved efficient and consistent to restore the upper eyelid volume and helpful to build esthetic double eyelids.
上睑凹陷畸形会导致衰老和不自然的外观，在亚洲人中很常见，同时还伴有单眼皮。对于上睑凹陷的患者，上睑体积的恢复与重睑线的形成同样重要。本研究采用眶隔脂肪垫复位联合眼轮匝肌折叠的方法，在重睑成形术中矫正上睑凹陷。
回顾性分析 2020 年 7 月至 2021 年 10 月期间采用眶隔脂肪垫复位联合眼轮匝肌折叠矫正上睑凹陷的患者。计算并比较术前、术后上睑凹陷深度，评估手术效果，并通过患者满意度评价手术效率。
共纳入 40 例患者，其中女性 39 例，男性 1 例，平均年龄 25.4 岁。平均随访 12.7 个月，患者上睑凹陷深度由术前的 3.2mm 改善至术后的 1.5mm，差异有统计学意义。所有患者均取得满意效果，无严重并发症发生。
对于轻中度上睑凹陷的患者，眶隔脂肪垫复位联合眼轮匝肌折叠术式可有效改善上睑凹陷，同时有助于形成自然美观的重睑。
