Clinical efficacy of anteriorly displaced orbicularis oculi flap and autologous granular fat injection via sub-brow incision for correction of different degrees of sunken upper eyelid
10.3760/cma.j.cn114657-20241112-00184
- VernacularTitle:经眉下切口前徙眼轮匝肌瓣和自体颗粒脂肪注射矫正不同程度上睑凹陷的临床效果
- Author:
Guoqiang HU
1
;
Shan ZHANG
;
Hao CHEN
;
Tianqi ZHANG
;
Qiuyue FU
;
Gang CHEN
Author Information
1. 无锡星馨医疗美容门诊部，无锡 214041
- Publication Type:Journal Article
- Keywords:
Eyelid;
Depression;
Orbicularis oculi myocutaneous flap;
Sub-brow incision;
Upper eyelid skin laxity;
Particles fat
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(2):110-114
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical results of anteriorly displaced orbicularis oculi flap and autologous granular fat injections via sub-brow incision for correction of different degrees of sunken upper eyelid.Methods:From September 2021 to September 2022, a total of 80 patients with upper eyelid skin laxity and sunken upper eyelid were recruited prospectively from the Department of Plastic Surgery, Jiangsu Province Hospital of Chinese Medicine. There were 18 males and 62 females, aged 28 to 60 years, with a mean age of (42.7±9.2) years. According to Park's method, 59 patients with grade Ⅰ and grade Ⅱ sunken upper eyelid were treated with eyebrow lifting and orbicularis oculi flap correction, and 21 patients with grade Ⅲ upper eyelid sunken were treated with eyebrow lifting combined with autologous particles fat filling. The patients were followed up for 6 months. The depth of sunken upper eyelid was measured before and after operation. The incidence of adverse reactions and patient satisfaction were recorded.Results:The mean depth of depression measured preoperatively was (6.01±2.25) mm in the grades Ⅰ and Ⅱ sunken upper eyelid, which was improved to (2.00±1.06) mm at the 6-month postoperative follow-up ( P=0.001), and the mean depth of depression was (13.15±1.75) mm in the group of grade Ⅲ, which was improved to (4.15±1.49) mm at the 6-month postoperative follow-up ( P=0.001). After 6-month follow-up, the incidence of complications was 6.3% (5/80) and the satisfaction rate was 90.0% (72/80). Conclusions:Different correction methods should be chosen according to the degree of sunken upper eyelid. Grades Ⅰand Ⅱ sunken upper eyelid are corrected with orbicularis muscle flap through sub-eyebrow incision, and grade Ⅲ is corrected with autologous fat injection. Both the clinical effect and patient satisfaction rate are higher.
