One-stage correction of upper eyelid laxity and glabella wrinkle with partial removal of interbrow depressor muscles and filling by autologous dermis
10.3760/cma.j.cn114453-20210310-00109
- VernacularTitle:上睑松弛矫正同期行眉间降肌部分切除、自体真皮填充治疗眉间纹
- Author:
Xinxin LI
1
;
Yufeng LIU
;
Ning LIU
;
Liang HU
;
Huili WANG
Author Information
1. 南京中医药大学附属南京医院（南京市第二医院）整形外科，南京 210003
- Keywords:
Cosmetic techniques;
Dermis;
Transplantation, autologous;
Wrinkles;
Corrugator supercilia;
Depressor supercilii;
Procerus;
Orbicularis oculi
- From:
Chinese Journal of Plastic Surgery
2022;38(7):798-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the therapeutic effect of one-stage correction of upper eyelid laxity and glabella wrinkle with partial removal of interbrow depressor muscles and filling by autologous dermis.Methods:The clinical data of patients with upper eyelid skin laxity accompanied by prominent dynamic and static glabella wrinkle admitted to the Department of Plastic Surgery, Second Hospital of Nanjing from January 2018 to January 2021 were analyzed retrospectively. The upper eyelid was corrected with under-eyebrow incision or upper eyelid blepharoplasty. The resected skin from laxity was trimmed as autologous dermis for filling of glabellar wrinkle. Meanwhile, the descending brow muscle was also partially resected. All patients were followed up to observe the improvement of dynamic and static glabella wrinkles and related complications.Results:There were 16 cases, including 2 male cases and 14 female cases, aged from 37 to 57 years (mean 47.3 years). Primary healing was achieved in all cases without any hematoma and infection. Follow-up period lasted for 4-13 months. The upper eyelid laxity was corrected with improvement of dynamic and static glabella wrinkle. The patients were satisfied. Needle-like depressed scar happened in one case with no treatment. 1 case had slight prominent tissue between the eyebrows, which was improved by local injection of compound Betamethasone injection 6 months after operation. 2 cases had mild hypoplasia between the eyebrows without treatment. 2 cases had numbness, which was relieved spontaneously after 3 months.Conclusions:One-stage correction of upper eyelid laxity and glabella wrinkle with partial removal of interbrow depressor muscles and filling by autologous dermis can effectively improve periocular aging.
