上睑年轻化三维立体形态重塑的效果  

Effect of three-dimensional remodeling surgery for upper eyelid coronal S-shaped curve rejuvenation

作　　者：陈文莉[1] 张诚 陈遐[1] 胡文琦 徐珊[1] 霍平颖 李琳[1] 罗妮娜[1] 

机构地区：[1]天津市眼科医院医疗美容科,300020 [2]中国医学科学院整形外科医院国贸门诊部

出　　处：《中华医学美学美容杂志》2017年第5期303-306,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探索上睑三维立体曲线衰老的变化,观察手术恢复冠状面横S形曲线的效果,以寻找一种理想的重塑年轻态上睑的手术方法.方法 回顾分析经三维立体重建手术矫正上睑老化者48例.利用双重睑皱褶切口切除松弛冗余的皮肤,切取眶隔内侧疝出的脂肪移植填充于眶骨外上骨性轮廓清晰区域的眼轮匝肌深面,折叠并上提眶隔筋膜,同时通过眉部切口上提眉毛,制取复合组织瓣转移填充进行上睑冠状面横S曲线的重塑.结果 48例中随访6个月以上41例,除1例因双重睑不对称术后1年行二次修复外,其余40例上睑老化形态均得到不同程度改善：年轻化效果非常满意33例,占80.49％;较满意6例,占14.63％;不满意1例,占2.44％.结论 通过切除皮肤、折叠眶隔筋膜、脂肪移植、复合组织瓣转位填充的方法,可以重塑上睑内侧的凹度和外侧的饱满凸度,恢复上睑年轻的立体三维和饱满圆润的轮廓曲条,是眼部抗衰老治疗的理想手术方法.Objective To explore the transformation of three-dimensional curve,and to observe effect of three-dimensional remodeling surgery in order to find an ideal method to achieve upper eyelid rejuvenation.Methods Retrospective analysis was conducted after surgical correction for three-dimensional reconstruction in 48 patients with upper eyelid that were female,aged 58 to 76 years;all of them had simultaneous surgery of both eyes.Using double eyelid crease incision to remove loose and redundant skin,we transplanted the herniated fat of the medial orbital septum to the deep surface of the orbicularis oculi muscle in the distinct bony structure of the extra-supraorbital margin,folded and lifted orbital septum fascia;at the same time lifted eyebrow through eyebrow incision,transplanted and filled dermis and muscle fascia flap to remodel the transverse S-shaped stereo curve of the coronal plane of the upper eyelid.Results A lot of 41 cases were followed up more than 6 months from 48 patients,except that one patient had a second surgery due to double eyelid asymmetry after one year,eyelid rejuvenation in 40 patients were improveed.Effect of 33 cases was satisfactory.Satisfaction rate was 80.49%.Less satisfaction were 6 cases,accounting for 14.63%.No satisfaction was 1 case,ac counting for 2.44 %.Conclusions The surgery can reshape the concavity inside,the full crown outside of upper eyelid by the skin removing,fat shifting,leather fat muscle flap filling,and restore the upper eyelid to three-dimensional full round young shape.It is an ideal surgical method for eye anti-aging treatment.

关 键 词：眼睑 三维曲线 年轻化 

分 类 号：R779.6[医药卫生—眼科]