Baylis H I, Goldberg R A, Kerivan K M, Jacobs J L
Department of Ophthalmology, UCLA Jules Stein Eye Institute, USA.
Dermatol Clin. 1997 Oct;15(4):635-47. doi: 10.1016/s0733-8635(05)70472-1.
Blepharoplasty is one of the most successful aesthetic surgical procedures. Careful preoperative planning and conservative tissue resections can help to minimize complications and optimize results. Although some young patients request blepharoplasty specifically because of age-related changes in the eyelid skin, the surgery is that of sculpture and contouring of the entire aesthetic unit. The aging process in the eyelid complex is characterized by skin texture changes with loss of elasticity and formation of wrinkles, fat redistribution, enophthalmos, and anterior displacement of fat with a lower eyelid orbital fat prolapse. Once the etiology of the deformity and the associated periorbital anatomy are recognized, a local assessment and surgical treatment plan can produce optimal results.
眼睑成形术是最成功的美容外科手术之一。仔细的术前规划和保守的组织切除有助于将并发症降至最低并优化手术效果。尽管一些年轻患者因眼睑皮肤的年龄相关变化而特别要求进行眼睑成形术，但该手术是对整个美学单元进行塑形和轮廓塑造。眼睑复合体的衰老过程表现为皮肤质地改变，弹性丧失和皱纹形成，脂肪重新分布，眼球内陷以及脂肪向前移位伴下睑眶脂肪脱垂。一旦认识到畸形的病因和相关的眶周解剖结构，局部评估和手术治疗计划就能产生最佳效果。
