经重睑切口眼轮匝肌后脂肪层脂肪注射矫正上睑松弛与上睑凹陷的临床疗效

Correction of superior sulcus deformity and dermatochalasis with autologous fat transferto retro-orbicu- laris oculi fat （ROOF） through upper blepharoplasty incision

目的探讨经重睑切口眼轮匝肌后脂肪层（ROOF）脂肪注射矫正上睑松弛与上睑凹陷的疗效和安全性。方法2013年3月至2017年6月，上海第九人民医院整复外科对23例美容就医者实施经重睑切口ROOF脂肪注射矫正上睑松弛与上睑凹陷。单侧上睑脂肪注射0．6～2．0ml，平均1．4ml。术后随访3～50个月，平均20．4个月。结果23例美容就医者，均一期愈合，无任何并发症。22例（95．7％）术后上睑凹陷明显改善，1例上睑凹陷有改善。23例上睑皮肤松弛明显改善，22例（95．7％）对手术满意。结论经重睑切口ROOF脂肪注射可同时矫正上睑皮肤松弛和上睑凹陷，满意度较高。

Objective To investigate an operative method of autologous fat transfer to retro-orbicularis oculi fat （ROOF） through upper blepharoplasty incision for correction of superior sulcus deformity and dermatochalasis, and to evaluate the efficacy and safety of the method. Methods ROOF lies in the lateral supraorbital area. Autologous fat transfer to ROOF through upper blepharoplasty incision was performed in patients selected by examination. The efficacy and safety were evaluated by follow-up study. Results From March 2013 to June 2017, 23 selected patients received the treatment with 3 months to 50 months （mean, 20.4 months） follow-up. The amount of fat graft for each palpebra was 0.6 to 2.0 ml, and the mean graft amount was 1.4 ml. The superior sulcus deformity improved significantly in 22 （95.7%） cases. All 23 cases achieved significant improvement of dermatochalasis. 22 （95.7%） cases were satisfied with the result. No major complications occurred. Conclusions Autologous fat transfer to ROOF through upper blepharoplasty incision is effective and safe in correction of superior sulcus deformity and dermatoehalasis, The operative method should be a good choice for selected patients.