Correction of the first and second degree of upper eyelid depression with orbital septal fat anatomic reduction in blepharoplasty
10.3760/cma.j.issn.1671-0290.2023.04.006
- VernacularTitle:眶隔脂肪解剖复位矫正1、2度上睑凹陷的效果
- Author:
Changyong CHEN
1
;
Wenzhi LI
;
Binbin LI
Author Information
1. 首都医科大学附属北京安贞医院整形美容和激光医学科，北京 100029
- Keywords:
Eyelids;
Upper eyelid depression;
Blepharoplasty;
Orbital septal fat;
Fat reduction
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(4):276-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the method and effect of anatomic reduction of orbital septum fat in blepharoplasty to correct the first and second degree of upper eyelid depression.Methods:From January 2019 to January 2021, the data of patients with first and second degree upper eyelid depression admitted to Beijing Anzhen Hospital, Capital Medical University were retrospectively analyzed. Orbital septum was fully exposed and cut in blepharoplasty, the orbital fat of upper eyelid central group and the medial group were dissected and seperated to form the fat flap pedicled on the medial side. The fat flap was rotated 180° to the medial side and fixed with the orbital fat of the medial group to correct the upper eyelid depression. Complications such as infection, hematoma, fat liquefaction, nodules and orthers were observed after surgery. Questionnaire was used to investigate the satisfaction of patients, with 1-4 points indicating dissatisfaction, general satisfaction, satisfaction and very satisfaction, respectively.Results:A total of 62 patients were included, all patients were female, aged 18-44 years, wit mean 27 years. All patients were bilateral upper eyelid depression. After 6 months of follow-up, the curvature of the double eyelid line was smooth, the width and narrowness of double eyelid were natural, and the upper eyelid depression was significantly improved. Satisfaction survey showed that 60 cases were very satisfied and 2 cases were satisfied. Wound infection was occurred in 1 case, and was cured after dressing change. Scar hyperplasia was observed in 2 cases, which was obviously alleviated after external treatment with anti-scar hyperplasia drugs. No fat liquefaction, nodule and other complications occured.Conclusions:For the first and second degree of upper eyelid depression, it can be corrected by anatomic reduction of orbital septal fat in blepharoplasty. The operation is simple, with fewer complication and high satisfaction.
