McCord C D
Ophthalmic Surg. 1979 Mar;10(3):40-55.
The technique for upper lid blepharoplasty is presented, which emphasizes the creation of a concave, high supratarsal fold by removal of existing preaponeurotic fat pads, excision of a strip of preseptal orbicularis fibers, and portion of the orbital septum. In additon, the skin edges are fixated to the levator aponeurosis just above the tarsus. With this technique, a pleasing result can be obtained, minimizing the amount of skin that is required to excised and introducing a safety factor in the prevention of postoperative lagophthalmos. A skin technique for lower led blepharoplasty is presented which reduces a tendency for "dog-ear" formation with skin closure and minimizes chances of postoperative ectropion. The technique consists of triangulation of the excision of skin from the lower lid to insure an equal-sided wound edge for precise closure and anchoring the lower lid skin flap to the lateral orbital rim. Although the above techniques introduce a safety factor reducing the problem of lagophthalmos in the upper lid and ectropion in the lower lid, they should be considered an "advanced technique" by the occasional blepharoplasty surgeon.
本文介绍了上睑成形术的技术，该技术强调通过去除现有的眶隔前脂肪垫、切除一条眶隔前眼轮匝肌纤维以及部分眶隔来形成一个凹陷的、较高的睑板上皱襞。此外，将皮肤边缘固定在睑板上方的提上睑肌腱膜上。采用这种技术，可以获得令人满意的效果，减少所需切除的皮肤量，并在预防术后兔眼方面引入一个安全因素。本文还介绍了下睑成形术的一种皮肤技术，该技术可减少皮肤闭合时“狗耳”形成的趋势，并将术后睑外翻的几率降至最低。该技术包括对下睑皮肤切除进行三角测量，以确保伤口边缘等长以便精确闭合，并将下睑皮瓣固定在外眦眶缘。尽管上述技术引入了一个安全因素，减少了上睑兔眼和下睑睑外翻的问题，但对于偶尔进行睑成形术的外科医生来说，它们应被视为“高级技术”。
