Miotti Giovanni, Zeppieri Marco, Pederzani Giacomo, Salati Carlo, Parodi Pier Camillo
Department of Medical, Surgical and Health Sciences, Plastic and Reconstructive Surgery Unit, University of Trieste, Trieste 34123, Italy.
Department of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy.
World J Clin Cases. 2023 Mar 16;11(8):1719-1729. doi: 10.12998/wjcc.v11.i8.1719.
The demand for procedures aiming to rejuvenate the upper third part of the face and the periocular region has increased in the past several years. Blepharoplasty is one of the most frequently performed procedures worldwide to date. Surgery is currently the first choice in order to achieve permanent and effective results; however, it is burdened by potential surgical complications feared by patients. There is an increasing trend in individuals to request less invasive, non-surgical, effective, and safe procedures for eyelid treatment. The aim of this minireview is to present a brief overview of non-surgical blepharoplasty techniques that have been reported in the literature in the past 10 years. Numerous modern techniques that provide a rejuvenation of the entire area have been described. Numerous less invasive methods have been proposed in the current literature and in modern-day routine clinical settings. Dermal fillers are a commonly chosen option for providing enhanced aesthetic results, especially considering that volume loss can be one of the main underlying causes of facial and periorbital aging. Deoxycholic acid use may be considered when the problem is represented by periorbital excess fat deposits. The simultaneous excess and loss of elasticity of the skin can be assessed with techniques such as lasers and plasma exeresis. Furthermore, techniques such as platelet-rich plasma injections and the insertion of twisted polydioxanone threads are emerging as viable methods to rejuvenate the periorbital region.
在过去几年中，针对面部上三分之一和眼周区域年轻化手术的需求有所增加。睑成形术是迄今为止全球范围内最常开展的手术之一。目前，手术是实现永久性和有效效果的首选方法；然而，它存在患者所担忧的潜在手术并发症。越来越多的人倾向于寻求侵入性较小、非手术、有效且安全的眼睑治疗方法。本综述的目的是简要概述过去10年文献中报道的非手术睑成形术技术。已经描述了许多能使整个区域年轻化的现代技术。当前文献和现代常规临床环境中提出了许多侵入性较小的方法。真皮填充剂是获得更佳美学效果的常用选择，特别是考虑到容量丧失可能是面部和眶周衰老的主要潜在原因之一。当问题表现为眶周脂肪沉积过多时，可以考虑使用脱氧胆酸。皮肤同时出现的弹性过剩和丧失可以通过激光和等离子体切除术等技术进行评估。此外，富含血小板血浆注射和插入扭绞的聚二氧六环酮线等技术正成为使眶周区域年轻化的可行方法。
