Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DONG Yanhui , CAO Zhe ,  LIANG Xiaoqin , CUI Jiulin , WU Jun , XIE Zhiwei , JI Caixia

Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang Shandong, 261042, P.R.China;

Corresponding author：

LIANG Xiaoqin, Email: liangxq2002@163.com

Keywords：

Swollen upper eyelid; Park double eyelid surgery; retro-orbicularis oculi fat

DOI：

10.7507/1002-1892.201703021

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ObjectiveTo investigate the effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct the swollen upper eyelid.MethodsBetween September 2015 and July 2016, partial resection of the retro-orbicularis oculi fat was performed on 32 cases with bilateral swollen upper eyelids in Park double eyelid surgery. There were 10 males and 22 females with an average age of 25 years (range, 19-32 years). The patients had normal function of the levator muscle, and had no history of double eyelid surgery.ResultsAll the incisions healed by first intention. There was no obvious congestion, swelling, levator muscle dysfunction. All patients were followed up 2-14 months, with an average of 10 months. The double eyelid fold was naturally smooth, without depressed scar; blepharochalasis was obviously improved, and the function of upper eyelid levator muscle was normal. All patients were satisfied with the aesthetic effect.ConclusionPark double eyelid surgery and partial resection of retro-orbicularis oculi fat can effectively improve the aesthetic effect in patients with swollen upper eyelid, and can achieve the perfect function and appearance.

Citation： DONG Yanhui, CAO Zhe, LIANG Xiaoqin, CUI Jiulin, WU Jun, XIE Zhiwei, JI Caixia. Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(8): 996-998. doi: 10.7507/1002-1892.201703021 Copy

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2. 王丽, 畅叶叶. 眼轮匝肌下脂肪垫的解剖学及整形外科学的研究. 中国美容医学, 2013, 22(1): 11-13.
3. 仝润泽. " 水泡眼”的剖析特点及其重睑术. 实用美容整形外科杂志, 1999, 10(4): 169-171.
4. Jeong S, Lemke BN, Dortzbach RK, et al. The Asian upper eyelid: anatomical study with comparison to the Caucasian eyelid. Arch Ophthalmol, 1999, 117(7): 907-912.
5. Dresner SC. Oriental blepharoplasty: anatomic considerations. Plast Reconstr Surg, 1989, 84(6): 1003-1009.
6. Aiache AE, Ramirez OH. The suborbicularis oculi fat pads: an anatomic and clinical study. Plast Reconstr Surg, 1995, 95(1): 37-42.
7. 杨璐, 孙红欣, 邹春艳, 等. 小切口埋线法重睑术 300 例临床分析. 中国美容外科杂志, 2013, 24(2): 102-104.
8. 陈继忠, 刘丹丹, 靳军华. 改良切开法重睑成形术 56 例临床观察. 中国美容医学, 2014, 23(22): 1878-1879.
9. 牛常英, 谭慎兴, 吴彩风, 等. 改良 Park 法重睑成形术矫正轻度上睑下垂的疗效观察. 中国修复重建外科杂志, 2015, 29(9): 1133-1136.
10. 卓丹, 徐东卫, 章祥洲. 小切口 Park 法重睑术联合改良 Park-Z 内眦赘皮成形术效果观察. 中国美容医学, 2016, 25(11): 55-57.
11. 马艳, 陆宏. 探讨三种术式重睑术后并发症及其处理方法. 中国医疗美容, 2016, 6(8): 11-13.
12. 李鑫. 东方人眼睑的解剖特点. 国外医学: 眼科学分册, 1985, (5): 302.
13. 赵海雁, 吕晓霞, 潘学良, 等. 眼轮匝肌下脂肪垫的解剖与临床研究应用. 中国医药指南, 2016, 14(12): 158-159.
14. 王兴华. 上睑老化手术矫正的解剖学与临床应用研究. 蚌埠: 蚌埠医学院, 2011.
15. 江华, 刘安堂, 孙美庆, 等. 特殊类型的重睑成形术. 中华医学美学美容杂志, 2007, 13(5): 265-269.
16. 李宇平, 朱家贵. 手术治疗睑松弛症合并泪腺脱垂 14 例的临床观察. 江西医药, 2016, 51(8): 837-838.
17. 孔宇, 梁申芝, 杨晓珂, 等. 泪腺窝微骨孔固定泪腺治疗泪腺脱垂临床探讨. 中国实用眼科杂志, 2013, 31(9): 1175-1177.
18. 于桂琴, 杨德芬, 李雁. 泪腺脱垂手术治疗的探讨. 国际眼科杂志, 2010, 10(10): 1993-1995.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct swollen upper eyelid

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