个性化治疗上睑皮肤松弛的临床体会

Clinical experience of individualized treatment of upper eyelid skin relaxation

目的：探讨个性化矫正上睑皮肤松弛的手术方法及疗效以获得最佳临床效果。方法：2011年5月至2015年4月,按照个性化特点,对308例上睑皮肤松弛患者进行手术矫正,随访并评估术后效果。结果：术后完整随访280例,随访1~12个月,271例患者自觉效果满意或基本满意,上睑松弛下垂皮肤明显改善,外眦部鱼尾纹明显减轻,眉部外形无明显下垂,眉形及重睑线流畅自然,切口瘢痕不明显,部分切眉后的残留眉经文刺美容后眉形良好,医患满意。结论：对上睑皮肤松弛患者进行手术矫正,应根据个性化的特点,个体化设计手术切口,有针对性地选择手术方式,可取得最佳的临床效果。

Objective To discuss the operation methods and curative effect of individualized correction of eyelid skin to obtain the best clinical effect. Methods From May 2011 to April 2015, according to the personalized features,surgical correction of 308 cases of upper eyelid skin relaxation, follow-up and evaluation of postoperative effect. Results Follow-up of 280 cases of postoperative is complete,followed up for 1 to 12 months,271 patients were satisfied or basically satisfied with the effect of the patients,The relaxation of the upper eyelid obviously improved,The lateral canthus wrinkles significantly reduced,The shape of the eyebrow is not obviously sagging,eyebrow and eyelidlines smooth and natural,The scar is not obvious,Part of the left eyebrow scripture camber is good after tattoo,doctors and patients are satisfied. Conclusion Surgical correction in patients with upper eyelid stack skin should according to the characteristics of personalized, individual design incision,for sexual selection of operative approach can obtain the best clinical effect.