Application of fat redistribution combined with shortening of upper eyelid levator muscle in repair of wide double-eyelid
10.3760/cma.j.issn.1671-0290.2019.02.016
- VernacularTitle:脂肪重置联合上睑提肌缩短修复宽重睑的手术效果
- Author:
Anli ZHANG
1
;
Zechun HUANG
;
Shuaihua LI
Author Information
1. 湖南省郴州市第一人民医院整形美容科 423000
- Keywords:
Blepharoplasty;
Reconstructive surgical procedures;
Construction of double eyelid;
Repair;
Shortening of upper eyelid levator muscle
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2019;25(2):137-139
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of topical fat redistribution in combination with shortening of upper eyelid levator muscle in patients with excessively wide palpebral fissure after double-eyelid operation.Methods Twenty patients with excessively wide palpebral fissure after undergoing double-eyelid operation were selected.The double-eyelid line was aesthetically re-designed,the skin or incisional scar between the original and new double-eyelid lines was excised,and the scarring adhesion among different tissues was fully isolated.The fat tissues within the orbital septum,deep orbit and anterior orbital septum combined with ROOF reconstruction were performed to block the adhesion tissues,shortening of levator muscle of the upper eyelid was equally conducted to enhance the cosmetic effect.Results Seventeen patients were satisfied with the cosmetic appearance following once double-eyelid operation.Two cases underwent twice operations due to different height between bilateral papebral fissures.One patient was unsatisfied with the cosmetic appearance.Conclusions Fat redistribution in combination with shortening of levator muscle of the upper eyelid can not only repair excessively wide palpebral fissure complicated with ptosis and upper eyelid depression,but also enhance the exposure rate of the cornea and increase the cosmetic appearance,which is consistent with contem porary aesthetic perception.
