四步法眼袋整形术在老年眼整形中的应用

Four steps method blepharoplasty for the old's lower eyelid pouches

目的:探讨一种适合老年人病理特点的眼袋整形方法。方法:对42例(84眼)老年患者进行眼整形,其中男性4例,女性38例,平均年龄62岁。针对老年人眼袋的病理解剖特点,采用包括疝出眶隔脂肪切除或重置、眶隔加固、外眦韧带悬吊和多余皮肤切除四个步骤在内的眼袋整形技术,所有患者均于术后7天拆除切口缝线。结果:术后42例患者的眼袋和下睑松弛均得到了满意的修复,随访3～30个月,眶下区均得到年轻化改善,下睑及睑缘形态自然,无眼睑外翻发生,切口瘢痕隐蔽,不易发现,患者对外观满意。结论:四步法眼袋整形技术,对老年性眼袋的病理特点有比较强的针对性,是一种比较适合老年人的眼袋整形方法。

Objective To explore the method that is suitable for the old＇s lower eyelid pouch plasty. Methods In accordance with the characteristics of the old＇s low eyelid pouch, Blepharoplastic operations, including orbital septal fat resection or reposition, orbital septal strengthening, lateral tarsal ligament suspension and redundant skin resection, were performed for 42 cases （84 eyes）, with 4males and 38 females, average 62 years old. Stitches were released on postoperative day 7 in all patients. Results Satisfactory results that lower eyelid deformity and skin slack were improved were obtained in all 42 patients. After 3 months to 2.5 years follow-up, lower orbit area was amendedyouthfully, and the shape of lower eyelid and its margin were natural. The patients were satisfied with ectropion-free and unconspicuous scar. Conlusions The method that includes four steps is fit for old blepharoplastic on the basis of the old eyelid pouch deformity.