Fat management in upper blepharoplasty:Addition or subtraction blepharoplasties,how and when  

作　　者：Giovanni Miotti Jacopo Di Filippo Martina Grando Carlo Salati Pier Camillo Parodi Leopoldo Spadea Caterina Gagliano Mutali Musa Marco Zeppieri 

机构地区：[1]Department of Plastic Surgery,University Hospital of Udine,Udine 33100,Italy [2]Department of Internal Medicine,Azienda Sanitaria Friuli Occidentale,San Vito al Tagliamento 33078,Italy [3]Department of Ophthalmology,University Hospital of Udine,Udine 33100,Italy [4]Eye Clinic,Policlinico Umberto I,"Sapienza"University of Rome,Rome 00142,Italy [5]Department of Medicine and Surgery,University of Enna"Kore",Enna 94100,Italy [6]Eye Clinic,Catania University San Marco Hospital,Catania 95121,Italy [7]Department of Optometry,University of Benin,Benin 3000283,Nigeria [8]Department of Ophthalmology,Centre for Sight Africa,Nkpor,Onitsha 434112,Niger

出　　处：《World Journal of Clinical Cases》2024年第16期2796-2802,共7页世界临床病例杂志

摘　　要：BACKGROUND As one of the most common aesthetic surgical procedures carried out today,blepharoplasty should be in the repertoire of every plastic surgeon.The term blepharoplasty encompasses a wide range of techniques and options that must be tailored to the specific defect and patient one has to treat.A sound knowledge of the upper and lower eyelids’anatomy is essential for proper surgical execution.Trends have shifted towards more conservative methods(especially of the fat compartment)and sometimes in combination with augmentation techniques,helping to reach a rejuvenated appearance.AIM To present an overview of the surgical techniques considered for upper lid blepharoplasty and fat pad management,in addition to information on how a surgeon may approach the best treatment for his patient based on current publications in literature.METHODS We searched the literature published between 2013,to 2023 using Medline and Reference Citation Analysis.The database was searched using the keywords“upper blepharoplasty”AND“fat”.Papers without full text/abstracts and reviews were excluded.The search strategy followed the PRISMA.The American Society of Plastic Surgeons guidelines for Therapeutic Studies checklist was used to assess all articles.Two authors individually reviewed each article and rated them for importance and relevance to the topic.A consensus was sought and the most relevant studies.RESULTS After the application of the selection criteria used in our review,13 publications were found to address upper lid blepharoplasty specifically.Three of these studies were reviews and three were retrospective studies.Five publications were comparative studies and a further two were clinical trials.CONCLUSION The tendency of modern surgery is to be conservative,by removing adipose tissue only if strictly necessary and restoring the volume of the upper eyelid in a concept of beauty that espouses a"full"sight.There is no gold standard technique to achieve younger and enhanced eyelids.Long-term prospective comparative stu

关 键 词：BLEPHAROPLASTY Fat pads Eye lid surgery Cosmetic aesthetic surgery REJUVENATION Plastic surgery 

分 类 号：R779.6[医药卫生—眼科]