Clinical effects of fat redistribution and transplantation on complicated sunken upper eyelid deformation after blepharoplasty
10.3760/cma.j.issn.1671-0290.2024.03.013
- VernacularTitle:脂肪组织重置或移植修复重睑术后上睑凹陷畸形的效果
- Author:
Yucheng YAN
1
;
Mingyong YANG
Author Information
1. 中国医学科学院 北京协和医学院 整形外科医院综合整形科，北京 100144
- Keywords:
Reconstructive surgical procedures;
Double eyelid repairment;
Sunken upper eyelid;
Orbital septum fat redistribution;
Fat transplantation;
Dermis-fat trans
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(3):247-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the repair technique of complicated sunken upper eyelid deformation, caused by postoperative extensive adhesion within upper eyelid, by using adipose tissue transplantation or reset, and to introduce the outcomes of our clinical practice.Methods:From January 2020 to January 2022, 40 female patients (76 eyes) with complicated sunken upper eyelid deformity after double eyelid surgery were repaired in the Comprehensive Ward of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, with an average age of 34 years (19-49 years). For the sunken upper eyelid with the extensive adhesion after blepharoplasty, reasonably choosing the method of orbital septum fat redistribution, free adipose tissue clump transplantation, and dermo-fat tissue clump transplantation were of great importance. The effectiveness of surgical methods were observed.Results:The repairing surgeries, performed in 40 patients (76 eyelids), were all successful and without severe complications. 98.7% of surgeries got good outcomes appraised by other doctors, and 88.2% of patients were satisfied after follow-up for 4-28 months.Conclusions:The thorough lysis of adhesion and fat clumps distribution or transplantation could not only recover the function, but also improve the appearance of upper eyelid. The surgical method introduced in the present study is a relative ideal approach for repairing the complicated sunken upper eyelid deformation.
