眉上提联合皮下组织翻转填充矫正老年上睑松弛伴凹陷的效果观察

Eyebrow lifting combined with subcutaneous tissue flap filling to correct the senile blepharochalasis and depression of upper eyelid

目的探讨矫正老年上睑松弛伴凹陷的新方法及效果。方法2017年6月至2018年6月,天津市眼科医院医疗美容科就诊的上睑松弛伴凹陷的老年女性患者14例,年龄50~62(54.4±4.6)岁。对14例患者行眉上提联合皮下组织翻转填充术,采取眉下切口去除松弛皮肤,上提矫正上睑松弛的同时,将皮下组织制作带蒂瓣翻转填充于上睑凹陷处。结果14例患者手术切口均一期愈合,未出现感染及皮下血肿等并发症,12例随访>6个月。术后3个月有1例患者眉下瘢痕较明显,1例眉头处有皮肤牵拉皱褶;术后6个月12例患者切口瘢痕不明显,眉下垂外观消除,上睑光滑平整,填充处未见组织吸收再凹陷情况,效果满意。结论眉上提联合皮下组织瓣翻转填充矫正老年上睑松弛伴上睑凹陷,手术效果明显、创伤小、并发症少、值得临床应用。

Objective To explore a new method for correcting the senile blepharochalasis and depression of the upper eyelid.Methods Fourteen female patients with blepharochalasis and depression of upper eyelid were treated with subcutaneous tissue flap filling during eyebrow lifting.The under-eyebrow incision was used to remove the loose skin and lift the eyebrow,and a subcutaneous tissue flap was made to fill up the upper eyelid depression.Results All the incisions were healed in one stage without complications such as infection and subcutaneous hematoma.12 patients were followed up for more than 6 months.In the 3rd month after operation,1 patient had obvious scar under the eyebrow,1 patient had skin traction wrinkles at the eyebrow.After 6 months,the incision scar was not obvious in all patients,the appearance of eyebrow ptosis was eliminated,the upper eyelid was smooth and flat,and no absorption and further depression of the upper filler were observed;the effect was satisfactory.Conclusions The eyebrow lifting combined with the subcutaneous tissue flap filling to correct the senile upper eyelid chalasis and depression is significantly effective with less trauma and complications,and it is worthy to be promoted.