目的 探讨选择不同眉部手术切口进行眉上提术的治疗效果.方法 对87例女性求美者进行美容性的眉上提术,年龄25～7l岁,平均52.4岁.根据上睑皮肤软组织松弛程度、眉下垂的情况及求美者个人诉求,分别采取眉上切口、眉下切口、联合眉上眉下切口进行眉上提术.行眉上切口提眉术39例,眉下切口提眉术31例,眉上下联合切口眉上提术17例.结果 87例求美者经过3个月至4年的随访(平均6.3个月),除2例因不满意眉形再次手术,其余均得到了较满意的效果,眉部形态自然流畅,眉部年轻化效果显著.满意79例(90.8％),基本满意6例(6.9％),不满意2例(2.3％).结论 通过眉上、下切口,去除眉周围部分皮肤,能有效矫正上睑皮肤松弛和下垂,加宽重睑线,同时有效减少和预防鱼尾纹.充分了解求美者的诉求,根据上睑区皮肤松弛情况结合眉眼间距形态,设计进行个性化的治疗方案,是眉上提术取得满意效果的关键.%Objective To evaluate the therapeutic effect of choosing different surgical incisions in eyebrow lifting. Methods This research recruited 87 female who underwent eyebrow lifting in our hospital from January 2015 to December 2017, with the mean age of 52. 4 years ranging from 25 to 71 years. According to the degree of the upper eyelid soft tissue laxity the level of eyebrow drooping and cosmetic patients personal requirements, we performed different surgical incisions respectively. Therefore, there were 39 cases upper-eyebrow incision, 31 cases under-eyebrow incision and 17 cases combined with upper and lower eyebrow incision. Results 87 women who had undergone the 3 months to 4 years follow-up (average period, 6. 3-month), are pleased with their eyebrow and rejuvenation after eyebrow lifting, with 90. 8％ ( 79 of 87 ) satisfaction, 6. 9％ ( 6 of 87 ) satisfaction basically and 2. 3％ ( 2 of 87 ) dissatisfaction. And only 2 patients had secondary surgery for unacceptable brow shape. Conclusions By choosing different eyebrow incisions and removing skin around the eyebrow, there were efficient ways to rectify the upper eyelid skin relaxation and eyebrow drooping, widen the double eyelid line as well as to improve crow′s-feet. We firmly believe that it is essential for surgeons to sufficiently get to know patients′requirements and design a personalized treatment scheme according to the relaxation degree of the upper eyelid soft tissue and the shape of eye-brow.
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