真皮筋膜肌肉悬吊在上睑皮肤提升和隆眉弓中的应用  

Application of suspension technique between dermal fascia and frontalis in upper lid lift and eyebrow augmentation

作　　者：杨涛 刘立强 宋英杰 Yang Tao;Liu Liqiang;Song Yingjie(Center of Plastic Surgery,South California Care International,Beijing 100195,China;29th Department,Plastic Surgery Hospital,Chinese Academy of Medcial Science and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]整形美容中心South California Care International,北京100195 [2]中国医学科学院北京协和医学院整形外科医院九科,北京100144

出　　处：《中华医学美学美容杂志》2019年第6期468-470,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨筋膜肌肉悬吊的眉周提升结合眉弓隆起技术在矫正上睑皮肤老化的应用价值。方法2008年8月至2018年10月,整形美容中心South California Care International和中国医学科学院整形外科医院九科收治上睑皮肤松弛患者186例(女178例,男8例;年龄35~70岁,平均42岁),均行眉周切口上睑皮肤提升术,将额头或上睑靠近眉毛区多余皮肤浅表层组织切除,保留切口区域的皮下深层真皮及筋膜,沿切口肌肉表面向眉毛区皮下分离暴露眉弓处肌肉,将保留的真皮筋膜瓣向眉弓区域的肌肉折叠缝合,固定于眉弓下肌肉表面。结果186例患者手术切口均一期愈合,眉弓饱满且切口瘢痕平整隐蔽。52例女性患者(眉上切口10例,眉下切口42例)随访6~50个月;45例非常满意;3例(2例眉上切口)出现双侧上提不对称中2例行单侧修复;3例眉下切口矫正效果欠佳;1例眉下切口出现单侧眉尾猫耳,未修复。结论该法具有改善眼睑皮肤松弛和增加眉弓高度的优点。Objective To explore the application of the technique of eyelid lift combined with eyebrow arch augmentation in the correction of upper eyelid skin ptosis.Methods The incision was taken below or above the eyebrow,the superficial epithelium removed from the skin area with subcutaneous dermis and fascia preserved;the eyebrow skin flap was separated from the underlying muscles plane through the incision near the eyebrow and to expose the muscle superior to the eyebrow arch.The reserved dermis and fascia flap was folded and fixed to the muscle near the eyebrow arch area.Results Using this method we corrected 186 patients with upper eyelid skin relaxation from August 2008 to October 2018,including 178 females and 8 males.52 patients were followed up from 6 to 50 months post operation.All the incision healed well with improved skin lift and augmented eyebrow arch,the incision scar were almost invisible.45 patients were very satisfied with their appearance;asymmetry was encountered in 3 cases and 2 of them experienced revision surgery.3 patients were not satisfied with the insufficient skin lift.1 case was complaint of her unilateral dog ear in the early stage post operation.Conclusions This technique can augment the low eyebrow arch while improve the upper eyelid ptosis.The preserved dermis and fascia folding technique can also reduce the incision tension and obtain a invisible incision scar as a result.

关 键 词：眼睑 皮肤衰老 真皮筋膜肌肉 悬吊术 上睑皮肤松弛 

分 类 号：R65[医药卫生—外科学]