Importance of managing retro-orbicularis oculi fat in double-fold eyelid surgery for patients with swollen upper-eyelid
10.3760/cma.j.issn.1671-0290.2022.05.010
- VernacularTitle:处理眼轮匝肌后脂肪对上睑臃肿重睑术的效果
- Author:
Ping LIU
1
;
Yi LIU
;
Ping MA
;
Xiaoxiao LI
;
Fuxiu YANG
;
Yinping WANG
Author Information
1. 解放军联勤保障部队第940医院烧伤整形科，兰州 730030
- Keywords:
Eyelids;
Swollen upper-eyelid;
Retro-orbicularis oculi fat;
Double-fold eyelid operation;
PARK method
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(5):379-382
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the importance of managing retro-orbicularis oculi fat (ROOF) in double-fold eyelid operation for patients with swollen upper-eyelid.Methods:From January 2018 to December 2020, 76 cases of swollen upper-eyelid were treated with double-fold eyelid operation by PARK method. In operation, an oval shape ROOF was removed from the outside-to the inside, and then appropriate lateral intraorbital fat was also removed. If fleshy orbicularis oculi muscle and anterior tarsus fat affected appearance of double-fold eyelid, both of them might be removed properly.Results:All patients were followed up from seven days to two years, two cases presented with shallowed double-fold eyelid, 5 cases of lacrimal gland prolapse had good lacrimal gland reduction and no recurrence; 4 cases of ptosis had normal corneal exposure and natural appearance after correction; the swollen upper-eyelid was obviously improved in 74 cases, and restoration stage was short, the apperaence and radian of doule-fold eyelid were beautiful, local scar was slight, satisfactory operative effect was achieved.Conclusions:In double-fold eyelid operation by PARK method for patients with swollen upper-eyelid, an ideal effect would be achieved, if transconjunctival route and fleshy orbicularis oculi muscle are appropriately removed in turn according to the reasons to give rise to swollen upper-eyelid.
