Ptosis: An Underestimated Complication after Autologous Fat Injection into the Upper Eyelid
Ptosis: An Underestimated Complication after Autologous Fat Injection into the Upper Eyelid
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DOI：
10.1093/asj/sjv015
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发表时间：
2015-08-01
影响因子：
2.9
通讯作者：
Wang, Jia-Qi
中科院分区：
文献类型：
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作者：
Li, Xiu-Qi;Wang, Tai-Ling;Wang, Jia-Qi
自体脂肪注射到上眼睑是一种常用的技术，在整形外科的体积恢复。然而，上睑下垂，作为手术的潜在并发症之一，一直没有得到很好的讨论比其他complications.To介绍5例自体脂肪注射矫正眼睑凹陷畸形后上睑下垂，并探讨其原因。在这个回顾性的，非比较性的，介入性的病例系列，我们确定了5例上睑下垂。所有患者都有由不同整形外科医生进行的上眼睑自体脂肪注射史。通过术前、术中、术后的照片分析上睑下垂的原因，其中5例患者在自体脂肪注射上睑后发生上睑下垂，并被转诊到我们组进行治疗。其中三名患者接受了两次自体脂肪注射。所有五个病例都需要去除移植脂肪，同时或不同时进行提上睑肌腱膜的推进。外科医生应该意识到这种并发症，这种并发症很少在手术过程中出现。自体脂肪注射技术和上睑解剖学知识应加以完善，以避免术后下垂。5风险。
Autologous fat injection into the upper eyelid is a commonly used technique in plastic surgery for volume restoration. However, ptosis, as one of the potential complications of the procedure, has been less well-discussed than other complications.To present five cases of ptosis after autologous fat injection for the correction of sunken eyelid deformity and explore its causes.In this retrospective, non-comparative, and interventional case series, we identified five patients with ptosis. All patients had a history of previous autologous fat injection into the upper eyelid, performed by different plastic surgeons. Preoperative, intraoperative, and postoperative photographs were taken to analyze the causes of ptosis.Five patients developed ptosis after autologous fat injection for upper eyelid augmentation and were referred to our group for treatment. Three of the patients had received two injections of autologous fat each. Grafted fat removal with or without levator aponeurosis advancement was required in all five cases.Ptosis can develop following autologous fat injection into the upper eyelid. Surgeons should be aware of this complication, which rarely manifests during the procedure itself. Techniques for performing autologous fat injection and knowledge of upper eyelid anatomy should be refined to avoid postprocedural ptosis.5 Risk.