结膜入路下睑袋去除联合自体脂肪填充在下睑年轻化中的应用

Application of Conjunctival Approach to Lower Eyelid Blepharoplasty Combined with Autologous Fat Filling in Lower Eyelid Rejuvenation

目的:介绍眼周年轻化的“画框”美学理念,探讨结膜入路下睑袋去除联合自体脂肪填充的下睑年轻化效果。方法:收集2018年1月-2019年10月于笔者科室行结膜入路下睑袋去除联合自体脂肪填充中面部和泪沟的患者,采用眼周“画框”理念对术后效果进行评价。结果:本组共382例患者,随访3~12个月,患者术后睑袋、泪沟改善,眼周“画框”减小,获得下睑年轻化效果。结论:眼周年轻化的“画框”美学理念适用于我国人群,结膜入路下睑袋去除联合自体脂肪填充的手术方法遵循此美学理念,下睑年轻化效果可靠。

Objective To introduce the artistic model of Benslimane’s Frame Concept for orbital rejuvenation,and discusses the effect of conjunctival approach to lower eyelid blepharoplasty combined with autologous fat filling on lower eyelid rejuvenation.Methods From January 2018 to October 2019,patients with conjunctival approach to lower eyelid blepharoplasty combined with autologous fat filling in the middle face and lacrimal groove in our department were collected.The Benslimane’s Frame Concept,an orbital artistic model,was used to evaluate rejuvenation effects of the operation.Results A total of 382 patients received the surgery.The follow-up period ranged from 3 to 12 months.Post-operation,effacement of the eyelid bag and tear trough deformity was achieved,and low-eyelid youthful appearance by narrowing the frame of peri-orbital shadows was restored.Conclusion The Benslimane’s Frame Concept is applicable for Chinese population.Conjunctival approach to lower eyelid blepharoplasty combined with autologous fat filling operation method follows this aesthetic concept,lower eyelid rejuvenation effect is reliable.