眉下切口眼睑成形术的回顾与进展  

Surgical Techniques and Advances in Subbrow Blepharoplasty

作　　者：钟雪薇 王太玲[1] ZHONG Xue-wei;WANG Tai-ling(The First Department of Facial and Neck Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing City,100144,China)

机构地区：[1]北京协和医学院中国医学科学院整形外科医院面颈整形一科,北京100144

出　　处：《中国医疗美容》2024年第3期101-105,共5页China Medical Cosmetology

摘　　要：随着年龄的增长,亚洲女性的眶周出现特异性的改变,上眼睑-眉毛复合体出现老化的征象。典型的表现为上睑皮肤松弛,上睑皮肤尤其是外侧出现下垂,导致眶外侧松弛和侧向遮盖的外观,影响患者的容貌,严重者甚至可能影响睁眼功能。在临床上,通过手术的方式实现眶周年轻化有着较为广泛的应用。在亚洲群体中,眉下切口眼睑成形术主要针对具有眼睑松弛和侧向遮盖的衰老女性患者,在具有一定适应证的亚洲中老年女性中得到使用,可以带来良好的美容效果与可以接受的手术疤痕。由于传统眉下切口眼睑成形术存在一些局限性,手术医师提出多种多样的改良技术,包括对切口形状的改良、对固定方式的尝试、对眼部肌肉的处理、对眶周脂肪的处理等。不同的手术技术创新带来不同的手术效果。为了更好地评估不同手术技术的效果,对手术带来的美容结果进行统一标准的客观测量是评估手术疗效的重要环节。As the face ages,cosmetic changes in the periorbital region including eyebrow ptosis and lateral hooding.The upper eyelid-brow junction is a complex anatomic zone that undergoes many interconnected changes.It may affect the patient's appearance and even affect eye-opening function.Rejuvenation by means of surgery has a wide range of clinical applications.In the Asian population,subbrow blepharoplasty is mainly performed on aging female patients with eyelid laxity and lateral hooding.Such procedure has been used in middle-aged and older Asian women with certain indications to deliver good cosmetic results with acceptable postoperative scars.A variety of modified techniques have been proposed due to some of the limitations of traditional subbrow blepharoplasty,includes improvements in the shape of the incision,different fixation methods,manipulation of the orbicularis oculi muscle and periorbital fat.As different surgical techniques lead to different cosmetic outcomes,the objective measurement of postoperative outcomes using consistent criteria is an important part of assessing surgical effectiveness.

关 键 词：眉整形术 眶周年轻化 上睑皮肤松弛 眉毛固定术 额肌悬吊 

分 类 号：R779.6[医药卫生—眼科]