Hu Xiaogen, Wang Chengyuan
Department of Plastic Surgery, China Japan Friendship Hospital, Beijing, China.
J Craniofac Surg. 2025 Sep 1;36(6):2088-2092. doi: 10.1097/SCS.0000000000011097. Epub 2025 Feb 13.
Subbrow blepharoplasty has become popular in Asian populations for redundant skin and lateral hooding in the upper lid. How to imrpove the effects of the procedure becomes urgent.
To investigate the effects of orbicularis muscle and suborbicularis fat fixation in subbrow blepharoplasty.
This was a retrospective study. Thirty-eight patients were subjected to the operation from January 2018 to June 2024. All patients had dermatochalasis and lateral hooding of the upper eyelid. In the procedure of subbrow blepharoplasty, the orbicularis muscle flap in combination of the suborbicularis fat was pulled up and fixed to the periosteum over the suraorbital rim. The follow-up period ranged from 6 months to 2 years. The results were evaluated. The complications were reviewed.
The resection of skin was 12.2±1.9 mm in width. The length of subbrow skin excised was 39.4±4.4 mm. The height correction of the brow descending was 2.8±1.0 mm at the midpupil line and 3.8±1.0 mm at the lateral canthus line. The operative time of both sides was about 50 minutes. Thirty-seven patients (97.4%) were satisfied with the surgical results, 1 patient (2.6%) complained about slight asymmetry. There was no serious complications related to surgery.
Subbrow blepharoplasty incorporated with orbicularis muscle and suborbicularis fat fixation is reliable with high patient satisfaction in the patients with dermatochalasis and lateral hooding of the upper eyelid.
眉下睑成形术在亚洲人群中因上睑皮肤冗余和外侧眼睑下垂而受到欢迎。如何提高该手术效果变得紧迫。
探讨眼轮匝肌和眼轮匝肌下脂肪固定在眉下睑成形术中的效果。
这是一项回顾性研究。2018年1月至2024年6月，38例患者接受了该手术。所有患者均有上睑皮肤松弛和外侧眼睑下垂。在眉下睑成形术过程中，将眼轮匝肌瓣与眼轮匝肌下脂肪联合向上牵拉并固定于眶上缘骨膜上。随访时间为6个月至2年。评估结果。回顾并发症。
皮肤切除宽度为12.2±1.9mm。眉下皮肤切除长度为39.4±4.4mm。瞳孔中线处眉下垂高度矫正为2.8±1.0mm，外眦线处为3.8±1.0mm。双侧手术时间约50分钟。37例患者（97.4%）对手术结果满意，1例患者（2.6%）抱怨有轻微不对称。无与手术相关的严重并发症。
对于上睑皮肤松弛和外侧眼睑下垂的患者，眉下睑成形术联合眼轮匝肌和眼轮匝肌下脂肪固定是可靠的，患者满意度高。
