Percutaneous Autologous Fat Injection Following 2-Layer Flap Lower Blepharoplasty for the Correction of Tear Trough Deformity
Percutaneous Autologous Fat Injection Following 2-Layer Flap Lower Blepharoplasty for the Correction of Tear Trough Deformity
复制标题
DOI：
10.1097/scs.0000000000004552
复制
发表时间：
2018-07-01
影响因子：
0.9
通讯作者：
Choi, Hyungon
中科院分区：
文献类型：
--
作者：
Kim, Jeenam;Shin, Hyojeong;Choi, Hyungon
泪槽畸形一直是美容领域备受关注的一个领域。脂肪移位术是治疗泪槽畸形的常用方法。由于部分患者的眼袋状况改善甚微，我们建议采用脂肪移植联合开放眼袋成形术来补充凹陷区域，包括部分上颌前区，并评估和准确地去除多余的组织。术中评估过多或松弛的组织，并在每一皮瓣中切除。脂肪移植是在完成下睑成形术后进行的，以确保准确地放置在外科医生最初打算的位置。不建议过度矫正。在10年内没有严重并发症的报道。只有4名患者需要二次注射脂肪。需要对下睑区域进行结构性矫正的患者(如侵袭性突出的脂肪、过度的皮肤松弛或巨大的眼轮匝肌)以及需要补充材料来填充下睑区域(如深、宽凹陷区或相对突出的眼球)的患者适合于脂肪移植手术进行眼袋成形术。
Tear trough deformity has been an area that has received much attention in terms of esthetic improvements. Fat transposition has been commonly used for the treatment of tear trough deformity. As some patients have had minimal improvement by that method, we propose the use of fat grafting combined with open blepharoplasty to complement the sunken area, including some of anterior maxilla region, and evaluate and precisely remove the excessive tissue.Lower blepharoplasty was performed by separating the skin and muscle flap. The excessive or laxed tissue was evaluated during the procedure and resected in each flap. Fat grafting was performed after completing a lower blepharoplasty, to ensure accurate placement on the spot where the surgeon originally intended. Overcorrection is not recommended.No serious complications were reported during a period of 10 years. Only 4 patients required a secondary fat injection.Patients who require structural correction of the lower eyelid area (eg, aggressive herniated fat, excessive skin laxity, or bulky orbicularis oculi muscle) and who need complementary material to fill the lower lid area (eg, deep, wide sunken area or relative exophthalmos) are good candidates for blepharoplasty with a fat grafting procedure.