Application of levator palpebrae superioris advancement in correction of wide double eyelid with ptosis after double eyelid operation
10.3760/cma.j.cn114453-20210710-00294
- VernacularTitle:上睑提肌前徙在矫正重睑术后宽重睑伴上睑下垂中的应用
- Author:
Huan LIU
1
;
Bairong FANG
Author Information
1. 中南大学湘雅二医院整形美容烧伤外科，长沙 410011
- Keywords:
Blepharoplasty;
Wide double eyelid;
Ptosis;
Levator palpebrae superioris advancement
- From:
Chinese Journal of Plastic Surgery
2022;38(9):993-997
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application of levator palpebrae superioris advancement in correction of wide double eyelid with ptosis after double eyelid operation.Methods:From January 2015 to October 2020, patients with wide double eyelids and ptosis after double eyelid surgery were selected from the Second Xiangya Hospital of Central South University and Changsha Mylike Medical Cosmetic Hospital. In the operation of wide double eyelid correction, all the tissues were given anatomic reduction, and levator palpebrae advancement in correction of wide double eyelid patients with ptosis deformity was applied. After the operation, the patients were followed up, and the doctor, the patients and the third party were asked to compare the photos before and 6 months after the operation. Then, the outcome was evaluated. The result showed that the three parties were satisfied as significantly effective, two parties satisfied as effective, one party satisfied as average, all dissatisfied as poor.Results:A total of 98 patients were included. There were 95 females and 3 males, aged 18-49 years, with an average of 24.5 years. 68 cases were treated with bilateral, 30 cases were treated with unilateral correction. 166 upper eyelid operations were performed, including 102 cases of mild blepharoptosis and 64 cases of moderate blepharoptosis. Postoperative effect evaluation: 90 cases were significantly effective, 5 cases were effective, 3 cases were average, no case was poor, and the satisfaction rate was 96.9% (95/98).Conclusions:In the operation of wide double eyelid repair, levator palpebrae superioris muscle advancement is an important step in wide double eyelid repair, and can effectively correct the ptosis deformity of patients with wide double eyelid.
