Soft tissue composition and tailor-made blepharoplasty for upper eyelid puffiness
10.3760/cma.j.issn.1671-0290.2021.03.010
- VernacularTitle:上睑臃肿的软组织构成及个性化处理
- Author:
Le DU
1
;
Xiaolei JIN
;
Xianlei ZONG
;
Guodong SONG
;
Changsheng YANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院整形十六科，北京 100144
- Keywords:
Blepharoplasty;
Upper eyelid puffiness;
Retro-orbicularisoculus fat (ROOF);
Lacrimal gland prolapse
- From:Chinese Journal of Medical Aesthetics and Cosmetology
2021;27(3):195-198
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the soft tissue composition underlying upper eyelid puffiness and the experience in treating it with tailor-made procedure during upper blepharoplasty.Methods:In a retrospective study from January 2017 to December 2018, 165 patients with upper eyelid puffiness underwent full-incision upper blepharoplasty. During the procedure, the anterior wall of orbital septum was exposed, and the volume of the retro-orbicularis oculus fat (ROOF) and preaponeurotic fat was observed. The orbital septum would be opened if lacrimal gland prolapse was suspected. The puffy upper eyelid would be targeted with tailor-made procedure such as partial ROOF resection, removal or transposition of the preaponeurotic fat, as well as lacrimal gland refixation.Results:All 165 cases were healed by first intention. No relapse was found after a 6 to 24 months follow-up. Persistent mild pain and local skin tightness epiphora chemosis were presented in isolated cases with self-resolution within a short time. There were no severe adverse reaction or complications occurred during the operation and follow-up.Conclusions:The tailor-made procedure during upper blepharoplasty targets the soft tissue anatomy underlying upper eyelid puffiness. It is safe and effective in maintaining a natural look of upper eyelids while retaining the appropriate amount of adipose tissue in the upper eyelid.
