中老年人上睑凹陷畸形的整形治疗及其成因探讨

Aesthetic surgical treatment for middle and older patients with sunken upper eye lids

目的 为修复中老年人上睑凹陷畸形 (下简称上睑凹陷 ) ,提出其针对性的整形手术 ,并对其发生机制进行探讨。方法 用抽出的适量自体脂肪颗粒 ,经处理后注射至上睑局部凹陷的眶隔后。结果 经过手术 ,3 3例眼部的外观均有明显改善。结论 由于大多数就诊者伴随上睑凹陷越明显下睑袋也越严重的同步现象 ,所以上睑凹陷可能是由于眶内脂肪组织下垂 ,致使眼睑同时出现上睑凹陷和下睑凸出的表现。中老年人上睑凹陷畸形是眼部衰老的现象之一 ,对上睑凹陷处注射自体脂肪颗粒的方法进行填充纠正 ,可使眼部外貌明显改善并年轻化 ,且操作简单 。

Objective To treat the sunken upper eyelids in the midd le and older patients with a modified procedure so as to improve esthetic appeara nce of the patients. Methods Autolipoparticles collected from patients' abdomen were injected into the sunken upper eyelids beneath the o rbital septum. 3ml of the lipoparticles were injected for each upper eyelid as u sual. The blepharoplasty was also performed for most of the patients with lower eyelids bag before or during the operation. Results The decrepit phenomena of eyes in all the patients were improved by the operations. Owing to the phenomena that the sunken upper eyelids were associated with the fa t bags of lower eyelid in most patients, it was inferable that the sunken upper eyelids were probably caused by the tissues ptosis in the orbit. Con clusions The sunken upper eyelids associated with fat bags of lower eyelids are the decrepit phenomena of eyes in middle age and old people. The sun ken upper eyelids can be corrected by the method of autolipoparticle injection. After the operation the appearance of patients' eyes is obviously improved. The method is easily performed and its curative effect is reliable.