Chang Ray-Hon, Chang Yean-Lu
Aesthet Surg J Open Forum. 2023 Jun 16;5:ojad047. doi: 10.1093/asjof/ojad047. eCollection 2023.
The presence of static pretarsal fullness is an essential aesthetic feature in Asian culture that endows a youthful and smiling attractive look to the face. The restoration of static pretarsal fullness using acellular dermal matrix implantation or autogenous fascia grafting can result in suboptimal outcomes because of the unpredictable resorption rate. Therefore, a new method is required to achieve a stable, long-term, and natural result.
The authors describe a new method to address the deficiency of static pretarsal fullness.
Sixteen Asian female patients with a deficiency of static pretarsal fullness who received implantation of a bundle of implants consisting of segmented Gore-Tex sutures (W. L. Gore & Associates, Inc., Flagstaff, AZ) overlaid with a mastoid fascia graft were retrospectively evaluated in a 15-year period from July 2007 to July 2022. Patients were assigned to categories based on the pretarsal fullness contour.
Sixteen female patients aged between 22 and 40 years (mean age: 30.375 ± 7.580) underwent the procedure. The mean follow-up period was 52.25 (±33.757) months (range, 6-120 months). Fourteen patients were considered to have satisfactory results. However, 2 patients encountered complications, one of which was a case of infection that was successfully managed through revision and led to an excellent outcome. The other patient experienced malposition, which was also corrected successfully through revision.
Our new method for creating pretarsal fullness using Gore-Tex suture implants overlaid with a retroauricular mastoid fascia graft is effective in achieving aesthetic static pretarsal fullness and obtaining excellent permanent cosmetic outcomes.
睑板前静态饱满是亚洲文化中一项重要的美学特征，能赋予面部年轻且面带微笑的迷人外观。使用脱细胞真皮基质植入或自体筋膜移植来恢复睑板前静态饱满，由于吸收率不可预测，可能导致效果欠佳。因此，需要一种新方法来实现稳定、长期且自然的效果。
作者描述一种解决睑板前静态饱满不足的新方法。
回顾性评估了2007年7月至2022年7月这15年间的16例亚洲女性睑板前静态饱满不足患者，这些患者接受了由分段戈尔特斯缝线（W. L. 戈尔公司，亚利桑那州弗拉格斯塔夫）组成的一束植入物并覆盖乳突筋膜移植。根据睑板前饱满轮廓将患者分类。
16例年龄在22至40岁之间（平均年龄：30.375 ± 7.580）的女性患者接受了该手术。平均随访期为52.25（±33.757）个月（范围6 - 120个月）。14例患者被认为效果满意。然而，2例患者出现并发症，其中1例为感染，通过修复成功处理并获得了良好效果。另1例患者出现移位，也通过修复成功纠正。
我们使用覆盖耳后乳突筋膜移植的戈尔特斯缝线植入物来制造睑板前饱满的新方法，在实现美学上的睑板前静态饱满以及获得出色的永久性美容效果方面是有效的。
