Duan Ran, Gao Bowen, Gu Jieyu, Wei Boxuan, Huang Xiaolu, Wei Xian, Xie Feng
Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China.
Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, China.
J Plast Reconstr Aesthet Surg. 2025 Jan;100:179-186. doi: 10.1016/j.bjps.2024.08.053. Epub 2024 Aug 24.
Upper eyelid blepharoplasty is a common cosmetic surgery among Asians and is associated with several complications that are possibly related to the anatomical characteristics of the eyes.
A total of 364 upper eyelid blepharoplasties were performed at the Department of Plastic and Reconstructive Surgery between January 2018 and December 2019. The postsurgery complications and related eyelid types were classified as follows: upper eyelid crease too high (too high crease), upper eyelid crease too low (too low crease), medial upper eyelid crease too high (too high medial crease), bloated upper eyelid (bloated crease), and upper eyelid crease asymmetry (asymmetric crease). The correlation between the anatomical characteristics of the upper eyelid and complications was analyzed. Patients seeking upper eyelid blepharoplasty were preoperatively categorized into five types according to their anatomical characteristics, and modified surgical strategies were applied to 117 new blepharoplasties performed between January 2020 and December 2020. Five senior plastic surgeons evaluated the pre- and postoperative photographs of the previous (2018-2019) and modified (2020-2021) blepharoplasties and scored the results on the basis of specific criteria.
The postoperative scores in the modified group increased significantly after the modifications compared to that of the previous surgeries (p ≤ 0.01).
Preoperative classification based on the anatomical characteristics of the eyelid and surgical modifications can reduce the occurrence of the five common complications of double eyelid blepharoplasty.
IV.
上睑成形术是亚洲人常见的整形手术，且与多种可能与眼部解剖特征相关的并发症有关。
2018年1月至2019年12月期间，整形与重建外科共进行了364例上睑成形术。术后并发症及相关眼睑类型分类如下：上睑皱襞过高（过高皱襞）、上睑皱襞过低（过低皱襞）、上睑内侧皱襞过高（过高内侧皱襞）、上睑臃肿（臃肿皱襞）及上睑皱襞不对称（不对称皱襞）。分析上睑解剖特征与并发症之间的相关性。根据解剖特征，将寻求上睑成形术的患者术前分为五种类型，并对2020年1月至2020年12月期间进行的117例新的睑成形术应用改良手术策略。五位资深整形外科医生评估了之前（2018 - 2019年）和改良后（2020 - 2021年）睑成形术的术前和术后照片，并根据特定标准对结果进行评分。
与之前的手术相比，改良组术后评分在改良后显著提高（p≤0.01）。
基于眼睑解剖特征的术前分类和手术改良可减少双眼皮成形术五种常见并发症的发生。
IV级。
