眉下切口上睑成形术联合A型肉毒毒素注射眶周年轻化治疗的临床效果  

Periorbital reiuvenation by infrabrow excision blepharoplasty combined with botulinum toxin A injection

作　　者：于波[1] 李明[1] 杜太超[1] 解永学[1] 

机构地区：[1]北京黄寺美容外科医院,100120

出　　处：《中华医学美学美容杂志》2012年第4期264-266,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨眉下缘切口上睑成形术，同时联合A型肉毒毒素注射眶周，达到提升上睑，改善眶阁老化，去除眶周皱纹的年轻化治疗效果。方法对146例女性，按术前眉形及上舱松弛程度沿眉下缘设计切口标记线．去除部分届下皮肤，局部服轮匝肌折叠，提升上岭，同时将眉形适度调整，分层缝合切口后．于眉间、眼角外侧注射适当剂量A型肉毒毒素，去除鱼尾纹、川字纹。结果146例经随访3～12个月，上睑松弛症状显著改善，眶周皱纹明显减少，切口愈合后瘢痕轻微且较隐蔽，无并发症发生，明显显现眶周年轻化效果。结论眉下缘切口上睑成形术联合A型肉毒毒素注射眶周进行年轻化治疗，安全、简单、有效，术后康复快，足临床上眶周年轻化的良好治疗方法。Objective To explore the therapeutic effect of infrabrow excision blepharoplasty combined with botulinum toxin A （BTXA） injection on periorhital rejuvenation. Methods A total of 146 females were involved in this study. The incision was designed, hiding at the lower edge of the brow. Eye orhieularis was folded, eyelid lift and some of the skin removed during operation, and sim- uhaneously the shape of eyebrow was better adjusted. After suture culting, BTXA was injected at the glahella and the lateral of canthus. Results All the 146 cases were followed up for 3 to 12 months. The blepharotosis symptom was improved effectively, the periocular wrinkles were alleviated obvious-ly and no complications occurred in these patients. Conclusions Combining lnfrabrow excision blepha-roplasty with BTXA injection in periocular treatment is safe, convenient and effective. It is a good clinical approach to make periorbital rejuvenation.

关 键 词：上睑成形术 A型肉毒毒素 眶周 

分 类 号：R779.6[医药卫生—眼科]