脂肪移植助推器行自体脂肪精细移植治疗上睑凹陷

The fat transplantation of upper eyelid depression with autologous fat transplantation booster

目的总结采用脂肪移植助推器行自体脂肪精细移植治疗上睑凹陷的临床效果。方法2016年9月至2019年1月,解放军联勤保障部队第940医院收治58例上睑凹陷患者,男2例,女56例,年龄20~63岁,其中先天性上睑凹陷14例,老化性30例,手术性8例,外伤性6例。用1 ml注射器抽取制备好的自体颗粒脂肪,连接直径为1.0 mm的注脂针,由眶外侧进针进入眶隔内,然后将1 ml注射器卡入脂肪移植助推器卡槽中,将颗粒脂肪匀速注射至上睑凹陷处。对手术性和外伤性上睑凹陷者,可先借助小针刀分离粘连后再注射移植;对伴有上睑皮肤老化者,皮下注射纳米脂肪。结果58例患者颗粒脂肪移植量0.5~3.6 ml,平均1.5 ml;纳米脂肪注射量0.5~1.0 ml,平均0.7 ml。术后随访1个月至2年,除2例重度外伤性上睑凹陷患者外,其余患者上睑饱满、外形自然,患者均感满意。结论在脂肪移植助推器辅助下实施颗粒脂肪矫正上睑凹陷时,联合小针刀剥离技术和纳米脂肪移植,可以良好地矫正不同程度的先天性、老化性和手术性上睑凹陷,以及轻、中度外伤性上睑凹陷,并可以实现上睑皮肤年轻化。

Objective To summarize the clinical effects of meticulous fat transplantation with fat grafts in the treatment of sunken upper eyelid.Methods From September 2016 to January 2019,58 patients with sunken upper eyelid were treated in the 940th Hospital of the Joint Logistic Support Force of PLA.There were 2 males and 56 females,aged from 20 to 63 years.Among them,14 cases were congenital,30 cases were senile,8 cases were postoperative,and 6 cases were traumatic.The prepared autologous granule fat was extracted with a 1 ml syringe,which matched with a 1.0 mm diameter needle.The 1 ml syringe was packed into the card slot of a fat graft booster,and the needle was inserted into the orbital fat zone of a depressed upper eyelid to homogenously inject the granule fat.For patients with iatrogenic and traumatic upper eyelid depression,the adhesion was released by small needle knife before injection.For those with aging skin,subcutaneous injection of nano-fat was applied.Results The amount of granule fat transplantation was 0.5 ml to 3.6 ml,with an average of 1.5 ml.The amount of nano-fat injection was 0.5 ml to 1.0 ml,with an average of 0.7 ml.All patients were followed up for 1 month to 2 years.Except 2 patients with severe traumatic upper eyelid depression,the other patients were satisfied with their full and natural upper eyelids after treatments.Conclusions When the upper eyelid depression was treated with granule fat transplantation by the booster,the small needle knife peeling technique and nano fat transplantation can be combined to correct different types of congenital,aging and surgical derived sunken upper eyelid and traumatic sunken upper eyelid from mild to severe cases.At the same time,the skin of the upper eyelid can be rejuvenated as well.