Efficacy of layered imbricate reset of orbital septum tissue through palpebral margin incision combined with thermal compression in lower eyelid rejuvenation
10.3760/cma.j.issn.1671-0290.2024.04.002
- VernacularTitle:经睑缘切口眶隔组织分层叠瓦重置联合热能紧缩在下睑年轻化的效果
- Author:
Ye ZHANG
1
;
Weixin WANG
;
Weiwei CHEN
;
Xiaonan YANG
Author Information
1. 中国医学科学院 北京协和医学院 整形外科医院血管瘤与脉管畸形整形科，北京 100144
- Keywords:
Blepharoplasty;
Lower eyelid pouch;
Orbital septum reset;
Imbricate suture;
Energy hemostasis device;
Rejuvenation
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):312-315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of rejuvenation of lower eyelid through orbital septum fat and orbital repositioning combined with thermal compression.Methods:A total of 423 patients who underwent skin approach blepharoplasty with skin laxity accompanied by different degrees of lacrimal groove and palpebromalar groove deformity admitted to the Plastic Surgery Department of Hemangioma and Vascular Malformation, the Plastic Surgery Hospital of Chinese Academy of Medical Sciences, from April 2020 to January 2023 were selected, including 403 females and 20 males, aged 33-68 (45.0±11.1) years. During the operation, the combined subcutaneous and suborbicularis oculi approaches were used to separate the prezygomatic space and premaxillary space. In the space, the orbital septum fat flap was fixed with the orbital septum flap under the infraorbital margin by lmbricate suture, and the orbital septum was tightened with energy hemostasis device to reshape and strengthen the anatomical structure of the lower eyelid. The patients were followed up to evaluate the incision healing and complications after surgery.Results:All the 423 patients were followed up for 1-48 months. The patients were healed in one stage, without lower eyelid retraction, lower eyelid ectropion and other complications. The incision of the lower eyelid was concealed and smooth, and the depression of lacrimalgroove and palpebromalar groove and lower eyelid relaxation were improved significantly.Conclusions:For patients with lower eyelid bag skin laxity and different degrees of lacrimal groove and palpebromalar groove depression, the surgical design is reasonable, and the structure of orbital septum fat and orbital septum is reset, and the effect is reliable.
