三点小切口重睑术同期行眶隔脂肪重置矫正上睑凹陷的临床应用

Clinical application of three mini-incision double eyelid blepharoplasty with reposition of orbital fat pad to correct sunken upper eyelid deformity

目的探讨采用三点小切口重睑术同期行眶隔脂肪重置矫正上睑凹陷的可行性和有效性。方法回顾性分析首都医科大学附属北京同仁医院整形美容中心2018年1月至2021年4月采用三点小切口重睑术同期行眶隔脂肪重置矫正上睑凹陷的患者资料。术中将上睑中央脂肪团外侧延伸部通过3个微小皮肤切口内移固定至上睑中内侧。术后进行随访,观察重睑形态和上睑凹陷的改善情况,并统计患者满意度。结果共纳入72例患者(140眼),男1例,女71例,平均年龄28岁(19~40岁),术前评估为轻度上睑凹陷122眼,中度上睑凹陷18眼。术后随访6~24个月,平均11个月。术后重睑弧度流畅、两侧基本对称;术前轻度上睑凹陷的122眼中,术后118眼恢复至无上睑凹陷,4眼仍存在轻度上睑凹陷;术前中度上睑凹陷的18眼中,术后有3眼恢复至无上睑凹陷,15眼仍存在轻度上睑凹陷。患者总体满意率为93.1%(67/72)。重睑松脱率为3.6%(5/140),未发生其他严重并发症。结论三点小切口重睑术同期行眶隔脂肪重置可有效改善轻、中度上睑凹陷,术后重睑形态稳定,满意率高。

Objective To investigate the feasibility and efficacy of three mini-incision double eyelid blepharoplasty with concurrent reposition of orbital fat pad to correct sunken upper eyelids.Methods The data of patients who underwent orbital fat reposition to correct upper eyelid depression during the period from January 2018 to April 2021 in the Medical Plastic and Cosmetic Center of Beijing Tongren Hospital affiliated to Capital Medical University were retrospectively analyzed.During the operation,the central mass of orbital fat and its lateral extension were fully dissociated,and then transferred and fixed inward through three mini-incisions.Postoperative follow-up was performed to observe the improvement of the double eyelid shape and upper eyelid depression,and the patient satisfaction was recorded.Results A total of 72 patients(140 eyes)were included in this study,including 1 male and 71 females,with an average age of 28 years(19-40 years old),122 eyes with mild upper eyelid depression and 18 eyes with moderate upper eyelid depression before operation.Postoperative follow-up was 6-24 months,with an average of 11 months.The curvature of the double eyelid after operation was smooth and basically symmetrical.Among the 122 eyes with mild upper eyelid depression before operation,118 eyes were completely corrected after operation,and 4 eyes were not improved.Of the 18 eyes,3 eyes were completely corrected after operation,and 15 eyes still had mild upper lid depression.The overall satisfaction rate was 93.1%(67/72),the rate of double eyelid failure was 3.6%(5/140),and no other serious complications were found.Conclusions Three mini-incision double eyelid blepharoplasty simultaneously with orbital fat reposition can effectively correct mild and moderate sunken upper eyelid deformity.The postoperative double eyelid shape is stable with high satisfaction rate.