改良睑袋整形术在伴有泪槽和睑颊沟的中老年下睑袋中的应用

Application of improved plastic surgery for eyelid bag in senile eyelid bag with tear trough and eyelid buccal groove

目的使用改良的睑袋整形手术方法 ,达到改善伴有泪槽和睑颊沟的中老年下眼袋的术后效果。方法延长睑缘内则切口过泪点至内眦部;在传统眼袋整形手术过程中将眶肌筋膜韧带提紧固定于外眦韧带上或眶外侧壁上,眼轮匝肌切口上、下缘部分叠合缝合加固,将疝出的脂肪以"脂肪瓣"的形式间断缝合于眶下缘骨膜处。结果根据156例随访资料,132例满意,24例基本满意。结论使用改良后的睑袋手术方法 ,能明显改善睑袋术后的效果。

Objective To improved plastic surgery for eyelid bag in order to improve postoperative effect of senile eyelid bag with tear trough and eyelid buccal groove. Methods Extend inside the eyelid incision through lacrimal punctum to the inner canthus;in the traditional process of plastic surgery blepharoplasty, fascia ligament of orbital muscle was tightly fixed on the outer canthus ligament or lateral orbital wall, and the two edges of the orbicularis oculi muscle incision were partly reinforced by overlapping suture,and the herniated fat was interrupted suture in inferior orbital rim periosteum in the form of ＆quot;fat flap＆quot;. Results According to the follow-up, 156 patients, 132 cases of satisfaction, 24 cases of basic satisfaction, According to the follow-up visit on 156 cases. 132 cases were satisfied. 24 cases were satisfied basically. Conclusion Modified surgical methods for eyelid bag can significantly improve the effect of eye bags.