个性化抬眉切眉术的定点设计与手术方式——附98例临床报告

目的:介绍抬眉切眉术的个性化定点设计和手术方式,以改善文眉所带来的各种并发症或原有的缺陷.方法:根据每个求美者的脸型、眼型、性格、年龄及现有的眉毛条件不同等设计合适的眉型,共对98例求美者进行抬眉切眉手术.结果:所有病例切口均Ⅰ期愈合,无明显疲痕,求美者对抬眉切眉美容效果满意.结论:应用个性化设计,进行抬眉切眉术纠正不良文眉或上脸皮肤松弛、眉下垂及眼角鱼尾纹,可取得较满意的效果.     

切眉术后眉型重塑的文饰技术应用

近年来,切眉术逐渐成为美容外科常见的手术之一,由于眉毛在面部五官中起着至关重要的作用,因而切眉术后眉型重塑的重要性日益显露.2002年1月至2012年12月,我们共接诊164例切眉术后要求眉型重塑的美容就医者,采用美容文饰技术修补因切眉术导致的眉毛缺失,均获得满意的疗效.     

切眉术150例

因不良文眉或各种原因洗眉留下的眉部瘢痕,以及老年性眉下垂,常通过切眉术加以矫正.切眉术虽然简单,但要达到理想效果并不容易.近5年来,我们采用切眉术治疗上述病症并在设计、操作上进行改进,取得较好疗效.     

切眉术的临床体会

切眉术最早是针对文眉失败、洗眉又不理想的美容就医者，因其术式的改进操作简便、安全、无痛苦、术后无瘢痕，美容效果较好，近来也被用于眉形不理想的修改、或伴上睑皮肤松弛者的额部局部提升。现将近期36例切眉术临床资料进行分析总结如下。     

微创切眉整形术并同时行眉间除皱46例体会

20世纪 80年代文饰术在我国逐渐兴起 ,但受当时技术、颜料质量及时代审美观的限制 ,文饰的眉型往往过于粗黑宽大。激光或电离子洗眉效果常不令人满意 ,洗眉过深或感染后易遗留眉部瘢痕畸形 ,只有通过眉整形术才能根本矫正 ,而常规的切眉即使使用很细的缝线 ,术后痕迹仍较明显。采用微创美容缝合技术行切眉术 ,术后无需拆线 ,创口几无痕迹。我们还充分利用眉部切口同时行眉间除皱术 ,经对 4 6例的临床治疗观察 ,效果满意。一、临床资料本组 4 6例 ,均为女性 ,年龄 32～ 5 4岁 ,平均 4 4 .3岁。激光洗眉术后遗留瘢痕伴眉间皱纹 31例 ;眉下垂 ,…     

切眉术修复不理想文眉3800例

随着我国美容业的兴起，文眉在全国各美容院均占有比例。由于水平的差异，临床上文刺术后出现了不理想眉型、颜色过深发蓝，甚至形成瘢痕。由于眉型不理想，部分美容者进行了药水、激光、电刀洗眉除眉，其导致的后果是除眉的部位形成了黄白色浅瘢痕，加之原有的部分文眉就成了黑黄色，蓝黄色的不理想眉型。根据这一情况，我院于１９９５年～２０００年和其他５家医院联合共做切眉手术３８００例，临床上取得满意效果。现报道如下：１临床资料本组共３８００例，年龄在１８～６０岁之间，均为女性，其中文眉后药水洗眉、激光和电刀除眉者２５…     

个性化治疗上睑皮肤松弛的临床体会

目的：探讨个性化矫正上睑皮肤松弛的手术方法及疗效以获得最佳临床效果。方法：2011年5月至2015年4月,按照个性化特点,对308例上睑皮肤松弛患者进行手术矫正,随访并评估术后效果。结果：术后完整随访280例,随访1～12个月,271例患者自觉效果满意或基本满意,上睑松弛下垂皮肤明显改善,外眦部鱼尾纹明显减轻,眉部外形无明显下垂,眉形及重睑线流畅自然,切口瘢痕不明显,部分切眉后的残留眉经文刺美容后眉形良好,医患满意。结论：对上睑皮肤松弛患者进行手术矫正,应根据个性化的特点,个体化设计手术切口,有针对性地选择手术方式,可取得最佳的临床效果。     

提切眉术的医学审美设计及临床应用体会

提切眉术是切除眉上、眉间及眉下部位的皮肤和（或）眉毛，用于矫治眉形不佳、纹褪眉失败或眉部瘢痕，也用于上睑皮肤松弛下垂，改善眼形及减少眼角鱼尾纹等。我科自2000-2006年行提切眉术630例，取得较好效果，现报道如下。     

切眉术的临床应用体会

文眉术作为眉部美容的项目之一,已被许多求美者所接受.但如果施术者美学修养不高,就会造成各种不良的眉形.虽然激光洗眉已经是非常成功的治疗方法,但对着色深的部位经多次激光洗眉后,可形成凹陷性瘢痕,患者难以接受.我院门诊2000年至今对57例患者采用切眉术修复眉形,取得了较好效果.     

A型肉毒毒素提眉的疗效分析与评价

目的 定量评价A型肉毒毒素对眉的提升作用.方法 对30例眉下垂患者进行A型肉毒毒索治疗,与切眉术12例患者(对照组)进行比较,并应用Angel软件进行手术前后的定量测量评价.结果 本组30例患者经术后1、6、9个月时随访,疗效维持,平均眉提升2.3 mm;对照组术后上睑皱褶线平均提升2.7 mm,对眉提升无明显的效果.结论 对平均年龄42.5岁的患者采用A型肉毒毒素的治疗,在9个月内能有效提升眉毛,重复治疗依然有效,是一种值得推广的微创技术.     

额颞部微创内镜除皱术对眉眼形态的改善

目的探讨内镜下额颞部除皱术对眉眼形态的改善情况。方法采用传统的额颞部小切口方法微创行内镜除皱术,并观察内镜除皱对眉眼形态的改变和影响。结果60例术后眉眼间距较术前增大（5．0±1．2）mm,有效实现眉提升,改善下睑缘松弛下垂;内镜下额颞部除皱后眼周围皮肤紧致,长久去除外眼角鱼尾纹,并可在一定程度上对眉形进行调整。结论额颞部内镜除皱术可以矫正眉下垂及双侧眉毛不对称,改善眉眼形态,达到年轻化的效果。     

中老年人上睑松垂的治疗

目的；探讨中老年人上睑松垂的整复方法。方法：采用睑去除，眉去除及睑眉联合去除三种方法，矫正不同程度的上睑松垂，对上睑臃肿及凹限严重病例采用选择性脂肪去除，上睑去表皮翻转填充的方法整复。结果：全部病例均I期愈合良好，形态及功能满意。结论：该方法简单，实用，对矫正中老年人上睑松垂可取得较好的临床效果。     

Aesthetic considerations in the elevation of the eyebrow

In an increasingly diverse and multicultural society, it becomes increasing imperative to understand the aesthetics and proper analysis of the face, particularly as it applies to forehead lifting and elevation of the eyebrow. Most articles published to date have emphasized the surgical anatomy and/or surgical technique of forehead lifting and addressed the question of brow aesthetics in a uniform, generalized fashion. In addition, the emphasis on brow elevation as a means to brow/upper lid rejuvenation can further distract the surgeon from appreciating each person's unique brow aesthetics. This article examines current surgical concepts of brow/upper lid proportion and harmony and compares and contrasts them with cultural notions of the "pleasing brow" as represented by the makeup and fashion industries. There is great variation in what is considered to be a "beautiful brow," and the facial plastic surgeon must understand the nuanced elements of eyebrow configuration that contribute to the overall balance and harmony of the face.     

上睑皮肤松弛矫正术方法选择研究

目的:探索一种个性化矫正上睑皮肤松弛的手术方法以获得最佳临床效果。方法:按照个性化特点,依据上睑皮肤松弛程度,选择重睑切口、眉下缘切口、眉上缘切口、切眉切口、睑缘切口方法矫正,并对其临床疗效进行总结分析,从而探寻治疗上睑皮肤松弛的最佳手术方法。结果:本组505例患者,其中490例对术后效果满意,满意率为97%。15例患者效果欠佳,其中,6例重睑臃肿不自然,2例眉上切口瘢痕明显,1例眉下切口眉形变平,1例上睑出现纵褶,1例重睑线不流畅,4例皮肤松弛矫正不明显,均为重睑线去皮法。结论:对上睑皮肤松弛手术治疗者,应根据个性化特点,上睑皮肤松弛程度及眉的外形等情况选择不同的手术方式,可获得最佳临床效果。     

Browlifting with Thread: The Technique Without Undermining Using Minimum Incisions

The position of the eyebrows exerts great influence over the upper eyelids, both in terms of skin excess as well as in the overall aesthetics of the lid/orbit region. Based on the need to associate the treatment of the eyelids with that of the eyebrows, the author developed an essentially simple surgical technique for browlifting. Through minimal incisions in the scalp and in the superior margin of the eyebrow, an anchor is made and traction is exerted with 00 cotton thread, without undermining in the frontal region, exception made by the thread line which is subgaleal. The main difference between this and other techniques is its use of the glide of the eyebrow over deep soft tissues, without the necessity of undermining. The follow-up ranged from 6 to 16 months, during which the lift remained at acceptable levels in most patients, while in a few cases it dropped down a little. This procedure was well accepted by the patients, making it a good alternative for the treatment of brow ptosis.     

Concurrent brow lift and blepharoplasty with a resorbable fixation device

Background

Ageing changes on the forehead and the periocular area are of much concern to the patient not only from an aesthetic but a functional point of view as well. Many techniques exist for correction of upper periorbital ageing changes. We hereby present our technique of doing a brow lift and upper lid blepharoplasty as a combined procedure using a resorbable fixation device.

Methods

We carried out the study over a period of 36 months from July 2008 to July 2011. Only the patients requiring both brow lift and blepharoplasty were included in the study. Brow lift was performed through the upper lid blepharoplasty incision, and elevation was maintained by the resorbable fixation device screwed into the frontal bone. Following this, excess upper lid skin and muscle was excised to complete the upper lid blepharoplasty.

Results

A total of 25 cases including 17 females and 8 males were operated. The age ranged from 39 to 74 years, and the mean age was 54 years. Seven patients required both upper as well as lower lid blepharoplasty along with a brow lift, whereas 18 patients underwent only upper lid blepharoplasty along with a brow lift. In two of the patients who had a predominantly medial brow ptosis, we placed the Endotine device over the medial eyebrow. All patients were satisfied with the final result, and the device became impalpable over a period of 1 year.

Conclusions

The technique described is simple, reproducible and quick for addressing the upper lid and brow in one surgical sitting. A thorough preoperative discussion and demonstration of achievable result to the patient along with thorough understanding of the anatomy is the key to success.

Level of Evidence:

Level IV, therapeutic study.     

Use of orbicularis oculi muscle flap for undercorrected blepharoptosis with previous frontalis suspension.

The frontalis muscle and its fascia are connected with the orbicularis oculi muscle at the level of the eyebrow. Therefore, the superiorly based orbicularis oculi muscle flap, when advanced and attached to the tarsal plate, can dynamically elevate the upper lid and correct blepharoptosis with previous frontalis sling. Six patients with undercorrected blepharoptosis after frontalis sling suspension were included in this study. The superiorly based orbicularis oculi muscle flap was advanced to the tarsal plate in these patients and the redundant portion of the distal flap was resected. Postoperative results were satisfactory after 1-year follow-up.     

经重睑切口行眉上提术治疗上睑松弛伴眉下垂

目的：介绍一种经重睑切口治疗上睑松弛伴眉下垂的手术方法。方法：经重睑切口,在眼轮匝肌和眶隔之间向上分离达眉下缘,再于额肌和眉脂肪垫之间分离至眉上方,将眉下缘处的眼轮匝肌固定在眶骨骨膜上,将眉毛提升在理想位置。结果：本组20例患者,15例术后随访1周～1年,均获满意效果。眉毛位于理想位置,上睑明显年轻化,无并发症。结论：经重睑切口行眉上提固定术治疗上睑皮肤松弛伴眉下垂能获得满意效果。     

内固定技术在眉成形术中的应用

目的 探讨内固定技术在眉内小切口提眉术及眉下缘切口上睑成形术中的临床应用及效果.方法 对138例诊断有眉下垂或上睑皮肤松弛的受术者,在眉毛内或眉下缘设计皮肤切口线,切开皮肤或去皮后,在切口线垂直下方分离显露深额部骨膜组织,在相应位置上用4-0慕丝线挂住骨膜一针,然后再缝合切口上下缘皮下组织,打结后可使眉部位置上提,也可更加有效地提拉松弛的上睑外侧皮肤,同时改善鱼尾纹.结果 术后138例受术者眉下垂、外侧上睑皮肤松弛下垂及鱼尾纹均得到明显改善.结论 内固定技术可更好地提升眉部组织,改善上睑皮肤松弛下垂及鱼尾纹.     

隆眉弓术16例应用体会

目的：探讨隆眉弓术在面部美容中的作用。方法：眉下缘切口,眉脂肪垫下、骨膜上钝性分离受植腔穴,植入雕刻好的硅胶假体并与其下的骨膜固定。结果：16例受术者均达到上睑窝和眉区立体感增强、眼球过凸现象改善的美容效果,无一例假体移位及排异等并发症发生。结论：通过隆眉弓术,可以达到上睑窝加深、凸眼现象改善、并使眉眶区立体感增强的美容效果。