Zhang Jun, Wang Guo-Bao, Zhao Haiguang, Zhou Feng, Khan Aawrish, Gao Qiuni, Wang Tao, Qi Lili, Aung Zin Mar, Xu Haisong, Cui Haiyan
From the Department of Plastic and Cosmetic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai.
Department of Plastic Surgery, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, Shandong.
Ann Plast Surg. 2023 Nov 27. doi: 10.1097/SAP.0000000000003425.
The present study aimed to evaluate the effectiveness of minimally invasive 980 nm laser-assisted lipolysis and skin tightening in lower eyelid blepharoplasty of Asian patients.
Patients with mild and moderate degree of eyebags underwent 980 nm laser-assisted lipolysis via lower eyelid stab incision between December 2017 and December 2019. Evaluation criteria was reviewed by photographs taken preoperatively and 6 months postoperatively in accordance with guidelines of Global Aesthetic Improvement Scale, the patient's perspective from the questionnaire with the perception of reduction in eyebags size, the average perception of improvement in skin tightening, and the patient overall satisfaction, all with a score of 1 to 5 (5 being the most noticeable and very satisfied) and complications such as dyspigmentation, hematoma, prolonged edema, skin bump and thermal burn were documented as well.
A total of 178 cases with 137 women and 41 men (age range from 23 to 50 years) were included. Total energy of 1200 J to 2000 J was delivered to both eyebags at 6 to 10 W. They were followed up for at least 6 months. A total of 166 patients (93.26%) revealed an improvement in Global Aesthetic Improvement Scale, with the 12 patients (6.74%) complaint no change 6 month postoperatively. Perception of improvement in eye bag protrusion scored 4.39 ± 0.59, improvement in skin tightening scored 4.42 ± 0.58 and the overall patient's satisfaction scored 4.59 ± 0.53. The patients' average recovered swelling from 4.35 ± 2.3 days. There were 5 patients (2.8%) with dyspigmentation, 3 patients (1.69%) with prolonged edema and 2 patients (1.12%) with skin bump and none of the patients had thermal burn. All of them resolve after 6 months of follow up.
Patients with mild to moderate degree of eyebags who resist surgery are good candidates for laser-assisted lower eyelid blepharoplasty.
本研究旨在评估微创980纳米激光辅助脂肪分解和皮肤紧致技术在亚洲患者下睑眼袋整形术中的有效性。
2017年12月至2019年12月期间，对轻度和中度眼袋患者经下睑小切口行980纳米激光辅助脂肪分解术。根据全球美学改善量表指南，通过术前和术后6个月拍摄的照片进行评估，从问卷中了解患者对眼袋大小缩小的感知、皮肤紧致改善的平均感知以及患者的总体满意度，所有评分均为1至5分（5分为最明显且非常满意），同时记录色素沉着、血肿、水肿持续时间延长、皮肤隆起和热烧伤等并发症。
共纳入178例患者，其中女性137例，男性41例（年龄范围23至50岁）。双眼袋接受了6至10瓦、总能量为1200焦至2000焦的激光治疗。对他们进行了至少6个月的随访。共有166例患者（93.26%）在全球美学改善量表上有改善，12例患者（6.74%）术后6个月无变化。眼袋突出改善评分为4.39±0.59，皮肤紧致改善评分为4.42±0.58，患者总体满意度评分为4.59±0.53。患者肿胀平均消退时间为4.35±2.3天。有5例患者（2.8%）出现色素沉着，3例患者（1.69%）水肿持续时间延长，2例患者（1.12%）出现皮肤隆起，无患者发生热烧伤。所有这些情况在随访6个月后均得到缓解。
对手术有顾虑的轻至中度眼袋患者是激光辅助下睑眼袋整形术的良好候选者。
