自体脂肪颗粒填充矫正泪槽畸形

Correction of Tear Trough Deformity with Autologous Fat Granules Grafting

目的:探讨在下睑袋矫正术中应用自体脂肪填充矫正泪槽畸形的效果。方法:2017年6月-2018年12月,对112例皮肤松弛的睑袋伴泪槽畸形(伴或不伴有睑颊沟畸形)患者,采用皮肤入路,去除多余的眶隔脂肪,不离断泪槽韧带,用自体脂肪颗粒填充矫正泪槽畸形及睑颊沟畸形。结果:术后随访3~18个月,其中107例睑袋及泪槽畸形、睑颊沟畸形消失,无睑缘退缩、睑外翻发生,睑颊过渡平滑,矫正效果好;3例睑袋改善效果好,但仍有泪槽畸形,3~6个月后予以再次填充改善;2例填充区域外观不平整。结论:经皮肤入路,去除多余眶脂肪,不离断泪槽韧带,自体脂肪颗粒填充可以有效矫正睑袋和泪槽畸形。

Objective To investigate the effect of correct the tear trough deformity by using autologous fat grafting in lower blepharoplasty.Methods From June 2017 to December 2018,112 patients with saggy skin and eyelid bags and tear trough deformities(with or without palpebromalar groove deformities)were treated,the percutaneous approach was used to remove excess of orbital fat,the tear trough ligament was not released and autologous granule fat was filled to correct the tear trough deformities and the palpebromalar groove deformities.Results The patients were followed up for 3 to 18 months.In 107 cases,eyelid bags and tear trough deformities and palpebromalar groove deformities disappeared,no lid retraction and ectropion,the transition between eyelid and cheek was smooth,the effect of treatment was satisfied.In 3 cases,the improvement effect of the eyelid bags was well,but there were still tear trough deformities,the patients were filled again after 3-6 months.In 2 cases,the contour of the filling area was irregular.Conclusion The method of removing excess orbital fat without releasing tear trough ligaments and filling with autologous fat through the cutaneous approach can effectively correct the eyelid bags and tear trough deformities.