眉部形态解剖及相关整形美容方法  

Anatomy of the eyebrow and related aesthetic surgical methods

作　　者：张艺璇 孙怡馨 俞楠泽[2] 龙笑[2] Zhang Yixuan;Sun Yixin;Yu Nanze;Long Xiao(Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100005,China;Department of Plastic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100032,China)

机构地区：[1]中国医学科学院北京协和医学院,北京100005 [2]中国医学科学院北京协和医学院北京协和医院整形美容外科,北京100032

出　　处：《中华整形外科杂志》2024年第12期1344-1350,共7页Chinese Journal of Plastic Surgery

基　　金：北京协和医学院研究生教育教学改革项目(2024yjsjg001)。

摘　　要：眉部的运动主要依赖额肌、降眉间肌、眼轮匝肌和皱眉肌4块肌肉, 随着面部老化, 眉部4块肌肉力量逐渐失衡、脂肪垫移位、皮肤弹性下降, 眉部常出现眉下垂和眉周皱纹。眉部肌肉和脂肪垫分布存在个体差异, 临床医生只有熟练掌握眉部的解剖结构, 才能为患者设计个性化的整形美容方案。该文对眉部形态解剖结构和功能进行了阐述, 对眉下垂和眉周皱纹的形成机制及治疗方法进行了分析和总结, 以指导临床医生为患者选择更精确、创伤更小的眉部整形美容方式, 达到理想的眉形与眉周状态。The movement of the eyebrows primarily depends on four muscles:the frontalis,procerus,orbicularis oculi,and corrugator supercilii.As the face ages,the strength of these four brow muscles gradually becomes unbalanced,the fat pads shift,and skin elasticity decreases,often resulting in brow ptosis and periorbital wrinkles.Due to the individual differences in the distribution of eyebrow muscles and fat pads,clinicians need to master the anatomical structure of the eyebrow before designing a personalized treatment for patients to achieve the ideal eyebrow shape and perieyebrow status.This article elaborated on the anatomy of the eyebrows,analyzed and summarized the mechanisms behind the formation of brow ptosis and periorbital wrinkles,and discussed treatment method to guide clinicians in selecting more precise and less invasive brow cosmetic techniques to achieve the ideal eyebrow shape and peri-eyebrow condition.

关 键 词：外科 整形 眉部 解剖 眉提升术 A型肉毒毒素 透明质酸 

分 类 号：TS9[轻工技术与工程]