基于解剖基础下泪沟凹陷畸形综合治疗的临床观察

Clinical observation of comprehensive treatment of eyelid groove depression based on anatomy

目的泪沟处解剖结构复杂,根据动静态下泪沟凹陷的不同表现,提出更优化的泪沟综合治疗方案;方法选择有轻中度泪沟凹陷求美者,根据静态下泪沟凹陷程度及动态时眼轮匝肌与提上唇鼻翼肌对于泪沟形态的影响,设计泪沟畸形改善方案,评估注射后静态下维持时间、动态情况下泪沟区域形态及顾客满意度;结果动态与静态泪沟表现不同则需要的注射方案不同,注射设计方案选择与眶周解剖结构高度相关,维持时间与注射材料的分解时间相关度高,综合治疗方案对于眶周年轻化的改善维持时间长,动静态改善自然,求美者满意度高;结论综合治疗方案提出是基于泪沟解剖结构基础及其动静态下形态的差异进行合理解决,不只是单纯泪沟凹陷的填充,此方法即可明显改善眶区老化外观,且避免出现治疗后动态时不自然的状态出现,求美者满意度高,是改善眶周老化的一种安全有效的手段。

Objective The anatomy of eyelid grooves is complex.According to the different groove depression under dynamic and static conditions,a more optimized comprehensive treatment of eyelid groove is proposed.Methods According to the degree of eyelid groove depression under static state and the influence of orbic ularis oculi muscle and levator labialis nasalis muscle on the shape of eyelid groove,the improvement plan of eyelid groove deformity was designed.The maintenance time,the shape of eyelid groove area under static state and dynamic condition,customer satisfaction were all evaluated.Results Different dynamic and static conditions requires different injection scheme.The choice of injection design scheme is highly related to the orbital anatomic structure,and the maintenance time is highly related to the injection materials.The comprehensive treatment scheme can improve the orbital lightness for a long time,improve the naturally of the eyelid area under dynamic and static conditions,and have high customer satisfaction.Conclusion The comprehensive treatment plan is based on the anatomical structure of eyelid groove and the difference under dynamic and static conditions.It is not only the filling of eyelid groove depression,but also can significantly improve the aging appearance of orbital region,and avoid the unnatural state after treatment.It is a safe and effective method to improve periorbital aging.