Wang Sifan, Kang Yuanbo, Zhu Lin
Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Shuaifuyuan 1#, Dongcheng District, Beijing, 100730, People's Republic of China.
Department of Dermatology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, 100730, People's Republic of China.
Aesthetic Plast Surg. 2025 May;49(9):2668-2669. doi: 10.1007/s00266-024-04326-1. Epub 2024 Aug 20.
The chief objective of this paper is to respond to the comment regarding "Static and Dynamic Filler-Associated Tear Trough Deformities: Manifestations and Treatment Algorithm" and to provide further explanation on the surgical details discussed therein. For patients undergoing transcutaneous approaches, if there are significant lower eyelid laxity and poor skin elasticity, we recommend lateral canthopexy to reduce postoperative ectropion and enhance midface suspension. For patients undergoing transconjunctival approaches, although mainstream techniques suggest no need for conjunctival suturing, we believe that in the absence of more evidence-based medicine, both suture and sutureless are acceptable.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
本文的主要目的是回应关于“静态和动态填充剂相关泪沟畸形：表现及治疗方案”的评论，并对其中讨论的手术细节提供进一步解释。对于采用经皮入路的患者，如果存在明显的下睑松弛和皮肤弹性差的情况，我们建议行外眦固定术以减少术后睑外翻并增强中面部悬吊。对于采用经结膜入路的患者，尽管主流技术表明无需结膜缝合，但我们认为在缺乏更多循证医学依据的情况下，缝合和不缝合都是可以接受的。证据级别V 本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
