组织工程与重建外科杂志2024，Vol.20Issue(5)：542-547,6.DOI:10.3969/j.issn.1673-0364.2024.05.007
脂肪胶联合手术一期改善中老年女性上睑衰老的经验
The clinical efficacy of blepharoplasty combined SVF-gel grafting for upper eyelid rejuvenation in Asian mid-aged and elderly female
聂丽丽 1鲁华 1郭美利 1刘乾坤 1罗菁 2丁飞雪2
作者信息
- 1. 450000 河南省郑州市 河南整形美容医院整形外科
- 2. 200011 上海市 上海交通大学医学院附属第九人民医院整复外科
- 折叠
摘要
Abstract
Objective To explore the feasibility of SVF-gel fat grafting to sunken upper eyelid combined with blepharoplasty to improve upper eyelid laxity and depression in middle-aged and elderly women.Methods In this study,214 patients who underwent blepharoplasty and ROOF layer SVF-gel fat filling were retrospectively studied.All patients underwent abdominal liposuction and blepharoplasty under local anesthesia,and the SVF-gel was injected into the layers between orbicularis oris muscle and periosteum layer of designed grafting area in the form of micro-droplets in ROOF layers by using 25g blunt needles,finished by overcorrection of sunken upper eyelid.The laxity of upper eyelid was then corrected by blepharoplasty with bridge skill,fully released septum fat and removed the appropriate amount of skin as well as muscle.Standard photos were taken before and on the day after surgery,6 months after surgery,and aesthetic evaluation of upper eyelid depression,satisfaction score and postoperative effect evaluation were also performed.Postoperative effect evaluation included improvement of depression,double eyelid symmetry and complications.Results The 214 patients were all female,with an average age of (38.61±10.22) years.The overall follow-up period was 6 to 23 months,and the average follow-up period was (12.36±3.132) months.All the patients underwent bilateral blepharoplasty with SVF-gel fat grafting to ROOF layer,the amount of fat grafting ranged from 1.2-2 mL on one side,mean (1.535±0.282) mL on one side.The final overall ratio of upper eyelid depression scored 3.569±1.517,while the preoperative ratio scored 1.115±0.502 (n=428,P<0.0001),indicating a significant improvement in upper eyelid depression.The GAIS score was 2.384±0.193 (n=214).Only 14 (6.54％) patients presented with hematomas within 7 days of surgery which resolved completely within two weeks.Eventually at six months after surgery,47 (21.96％) patients still had insufficient improvement of the upper eyelid depression and required secondary fat grafting to achieve a better result,with a reoperation rate of 21.96％.Majority of patients were satisfied with the results of the procedure,with an average satisfaction score of (3.974±0.473) out of 5 (full mark).Conclusion SVF-gel fat grafting to ROOF layer combined with blepharoplasty is safe and effective in improving upper eyelid laxity and depression in middle-aged and elderly women.SVF-gel has a good effect in the fine filling of the upper eyelid,and it can be further developed with other surgical methods in the future.关键词
自体脂肪移植/脂肪胶/上睑年轻化/重睑术Key words
Autologous fat grafting/SVF-gel/Upper eyelid rejuvenation/Blepharoplasty分类
医药卫生引用本文复制引用
聂丽丽,鲁华,郭美利,刘乾坤,罗菁,丁飞雪..脂肪胶联合手术一期改善中老年女性上睑衰老的经验[J].组织工程与重建外科杂志,2024,20(5):542-547,6.
