Objective: To investigate the effectiveness of retro-orbicularis oculi fat resection in Park double eyelid surgery to correct the swollen upper eyelid.
Methods: Between 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.
Results: All 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.
Conclusion: Park 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.
目的: 探讨 Park 重睑术中同时切除部分上睑眼轮匝肌深层脂肪矫正上睑臃肿的效果。.
方法: 2015 年 9 月—2016 年 7 月，对 32 例双侧上睑臃肿患者行 Park 重睑术时，同时切除部分眼轮匝肌深层脂肪。男 10 例，女 22 例；年龄 19～32 岁，平均 25 岁。均为双眼手术。提上睑肌肌力均正常，均无重睑手术史。.
结果: 患者切口均 Ⅰ 期愈合，无明显淤血肿胀、提上睑肌功能障碍发生。术后患者均获随访，随访时间 2～14 个月，平均 10 个月。患者重睑线弧度自然流畅，内眦赘皮无牵拉变形，重睑形态达自然状态，无凹陷性瘢痕形成，上睑臃肿明显改善，提上睑肌功能正常。患者对手术效果满意。.
结论: Park 重睑术中部分切除眼轮匝肌深层脂肪可有效改善上睑臃肿患者重睑术后的美学效果，达到功能与形态完美结合的目的。.
Keywords: Park double eyelid surgery; Swollen upper eyelid; retro-orbicularis oculi fat.