眉上缘真皮脂肪垫或瓣的临床应用

Clinical applications of upper eyebrow pedicled dermis-fat petal

目的 探讨应用自身组织充填颞区凹陷或隆眉弓的新方法。方法 行眉松垂上提术的同时 ,应用眉上缘真皮脂肪垫进行眉弓隆高及真皮脂肪瓣颞部凹陷充填。结果 应用眉上缘真皮脂肪垫行眉弓隆高术 5例 ,术后眉弓形态良好 ,无并发症发生 ;单纯皮下蒂真皮脂肪瓣行颞区凹陷充填术 6例 ,综合充填假体和真皮脂肪瓣行颞区凹陷充填术 8例 ,术后形态良好 ,无局部变形及排异反应 ,2例颞区发生血肿。结论 利用眉上缘真皮脂肪垫垫高眉弓及真皮脂肪瓣充填颞部凹陷具有定位良好、外形自然的优点。

Objective To explore the new methods to fill local temporal depression or augment superciliary with autotissue graft.Methods Applying upper eyebrow perdicled dermis -fat petal to fill the local temporal depression or augment superciliary, accompanied with eyebrow lifting.Results Augmentation superciliary arch plasty with upper eyebrow perdicled dermis-fat petal was performed in 5 patients. All 5 patients' superciliary arch showed good shape and accompanied with no complications. Filling of local depression of temporal with derma-fat flap was performed in 6 patients, with dermis-fat flap and prosthesis was performed in 8 patients. 2 cases had hematoma. Conclusion Upper eyebrow perdicled dermis-fat petal as a material being ultilized to augment superciliary or to fill local temporal depression has advantages of better localization and more natural shape.[