联合眼睑整形的外眦鱼尾纹除皱术

Rhytidectomy of the lateral canthus in combination with blepharoplasty

目的 :对中青年眼睑整形受术者提供同期外眦鱼尾纹除皱手术方式。方法 :对 36例 2 8～ 4 5岁上下眼睑整形受术者同期施行真皮切割外眦鱼尾纹除皱术 ,按 2 8～ 30岁 ,31～ 35岁 ,36～ 4 0岁 ,4 1～ 4 5岁四组观察和评价手术前外眦鱼尾纹表现及手术后效果 ,提出手术操作要点。结果 :手术后及随访结果表明 4 0岁以下受术者外眦中细鱼尾纹消除取得满意效果 ,但 4 0岁以上受术者外眦中粗鱼尾纹消除效果不甚满意。结论 :真皮切割重塑皮肤结构除皱术是效果优良的中细皱纹去除方法。

Objective:To perform the rhytidectomy of the lateral canthus in combination with blepharoplasty for youth and middle-aged persons.Methods:The rhytidectomy of the lateral canthus with subdermal incision were used in 36 patients at the age of 28～45 years who underwent simultaneous blepharoplasty.The 36 cases were divided into four groups of 28～30,31～35,36～40,and 41～45 years old in order to observe and evaluate the changes of the lateral canthus before and after operation.The keys to operative technique were presented.Results:Postoperative and follow-up results demonstrated the effects were desirable in the cases lower than 40 years of age who showed slight-middle degree crow's feet wrinkles,but unsatisfactory results were showed in the cases above 40 years of age who showed rough-deep degree wrinkles at the lateral canthus preoperation.Conclusion:The rhytidectomy with subdermal incision is an excellent method to reconstruct the skin structure and to eliminate slight-middle degree wrinkles.