Weinberg D A, Baylis H I
Jules Stein Eye Institute, UCLA School of Medicine 90024-7006, USA.
Dermatol Surg. 1995 May;21(5):407-10. doi: 10.1111/j.1524-4725.1995.tb00206.x.
Although transconjunctival lower eyelid blepharoplasty was described as far back as 1924 and it offers certain advantages over the skin-muscle flap, many surgeons continue to use the transcutaneous approach. This is likely due to unfamiliarity with the transconjunctival approach and general overestimation of the ability of skin excision to improve lower eyelid wrinkles. Transconjunctival lower eyelid blepharoplasty, however, continues to gain favor over the transcutaneous approach as more surgeons appreciate the absence of a visible scar and significantly lower incidence of postoperative lower eyelid retraction or change in lower eyelid margin contour, allowing a nonsurgical look.
尽管经结膜入路下睑成形术早在1924年就已被描述，且与皮肤肌肉瓣法相比具有某些优势，但许多外科医生仍继续采用经皮肤入路。这可能是由于对经结膜入路不熟悉，以及普遍高估了皮肤切除改善下睑皱纹的能力。然而，随着越来越多的外科医生认识到经结膜入路下睑成形术不会留下明显瘢痕，且术后下睑退缩或下睑缘轮廓改变的发生率显著降低，能呈现自然外观，该方法越来越受到青睐，逐渐超过了经皮肤入路。
