三点微创重睑成形术的临床应用

Clinical application of three minimally invasive blepharoplasty surgery

目的:探索一种适应证广,效果稳定持久,术后肿胀轻、恢复快的重睑成形术式。方法:在重睑线内、外眦及黄金点处三点微创切开,去除睑板前部分眼轮匝肌,并去除臃肿的眶隔脂肪。三点处微切口分别与睑板上缘或提上睑肌腱膜缝合固定。结果:对93例(186只眼)进行三点微创重睑成形术,93例全部在7~15天内消肿,形成的重睑线流畅、稳定,随访1~12个月重睑外形自然逼真,无严重并发症。结论:三点微创重睑成形术操作简单,创伤小,术后肿胀期短,效果稳定持久。

Objective To explore a wide indications, stable and durable effect,postoperative swelling of the light, fast recovery of double fold eyelid operation. Methods In the double eyelid line, the lateral canthus and gold point three mini incision, removal of pretarsal part of orbicularis oculi muscle, and remove the orbital fat. Three point micro incision respectively with the upper edge or levator aponeurosis sutured. Results In 93 cases (186 eyes) of three minimally invasive double fold eyelid, 93 cases were all within 7- 15 days,detumescence,double eyelid line smooth, stable form, the followed- up of 1- 12 months, double eyelid shape lifelike,no serious complications. Conclusion Three minimally invasive blepharoplasty has the advantages of simple operation,small trauma, postoperative swellingperiod is short, lasting effect.