上睑皮肤松弛患者的睑缘切口重睑术

目的：探讨经上睑缘切口的重睑成形术，同期矫治上睑皮肤松弛的可行性及其设计要点方法：在术前估测拟祛除松弛皮肤的量及重睑线的位置，沿上睑缘上方1-1．5mm刀刃平行睫毛方向斜上切开上睑皮肤，向上分离至睑板上方，切除多余皮肤，在原设计基础上微调重睑线，并适量切除重睑线下方的眼轮匝肌，将提上睑肌腱膜或睑板与真皮层固定缝合3-5点，形成重睑褶皱，最后缝合切口。结果：自2009年1月至2011年6月间，用此术式共行上睑皮肤松弛患者的重睑成形术57例，术后上睑皮肤松弛均得以矫正，重睑形态关观，瘢痕隐蔽，求美者满意率高。结论：睑缘切口的重睑成形术，对上睑皮肤松弛的求美者能有较好的矫正效果，且具有切口痕迹隐蔽的优点。

Construction of double eyelid with incision of upper palpebral margin for the patients with upper eyelid skin laxity

Objective The feasibility and the designation of the double eyelid through the palpebral margin incision and the correction of upper eyelid skin flaccidness. Methods In the preview, estimates the resection range of the loose skin and the position of eyelid line. Between the line of 1 to 1.5 mm above the eyelid margin, slices off the eyelid skin parallelly to eyelash, then stretch in oblique ascending direction. Detach the skin upward until reaching the tarsal plate. Remove the excess skin precisely with tiled method. Fine-tune the double eyelid based on the line originally designed and remove adequate amount of orbicularis muscle below the double eyelid line. Then sew up the aponeurosis of levator muscle or tarsal with dermis by 3 to 5 points. Finally suture the incision. Results From January 2009 to June 2011, we performed the surgeries on 57 patients. After the surgery, the upper eyelid skin flaccidness has been corrected and the double eyelid appears nicely with concealed scar. The patients were satisfied with the surgeries.Conclusion Double eyelid plasty through eyelid margin incision has a good effect for correction of upper eyelid skin flaccidness with concealed scar.