重睑成形术联合眶上区脂肪填充改善睑球阴性矢量的效果

Application of double blepharoplasty combined with fat grafting of supraorbital area in improving the negative vector of the eyelid-globe

目的探讨眶上区脂肪填充在睑球阴性矢量患者重睑成形术中的效果。方法2019年1月至2020年1月,福州美莱华美美容医院行重睑成形术患者中选取睑球矢量阴性患者78例分为联合组和重睑成形术组。联合组(42例)行重睑成形术结合眶上区脂肪填充术,重睑成形术组(36例)仅行重睑成形术。结果术后随访3~12个月,平均随访6个月。两组均无手术并发症,在改善睑球矢量方面,联合组高于重睑成形术组。术后联合组总满意度高于重睑成形术组,其中眼部外观、自信心、心理健康、手术结果、面部年轻化的满意度均高于重睑成形术组,对早期生活影响差异无统计学意义。结论重睑成形术患者同期行眶上区脂肪填充,具有较高的安全性,是一种安全的美容手术方式。

Objective To investigate the application and curative effect of fat grafting in supraorbital area in double blepharoplasty in patients with negative vector of the eyelid-globe.Methods From January 2019 to January 2020,78 patients who came to Fuzhou Meilai Huamei Beauty Hospital for double blepharoplasty were collected as patients with negative eyelid-globe vector.The patients were randomly divided into 2 groups,with 42 cases in the combined group and 36 cases in the simple group.The combined group underwent double blepharoplasty combined with fat grafting in the supraorbital area,and the simple group only underwent double blepharoplasty.Results The postoperative follow-up was 3-12 months,with an average follow-up of 6 months.The efficacy of the combined group and the simple group was compared.There was no surgical complications in both groups.In improving the eyelid-globe vector,the combined group was higher than that of the simple group.The overall satisfaction of the combined group was higher than that of the simple group.Among them,the satisfaction of eye appearance,self-confidence,mental health,surgical results,decision-making and facial rejuvenation were all higher than those of the simple group,and there was no difference in the impact on early life between the two groups.Conclusions Double blepharoplasty undergoing fat grafting in the supraorbital area at the same time are safe and conforms to the aesthetic standard.The patients are satisfied with the postoperative effects.