Effects of retro-orbicularis oculus fat and orbital septum flap on repairing tissue defect of double eyelid surgery / 中华医学美学美容杂志

ABSTRACT

Objective:To explore the problem of repairing postoperative tissue defect of double eyelid with the retro-orbicularis oculus fat and orbital septum flap.Methods:From March 2016 to July 2018, a total of 23 female patients (18-41 years old, average 26.3 years) were treated in the Department of Plastic Surgery, Jiangsu Hospital of Traditional Chinese Medicine. They all had abnormal morphology and severe tissue deficiency in the incision area after blepharoplasty. It was even accompanied by different degrees of iatrogenic levator dysfunction, and they were all repaired by the retro-orbicularis oculus fat and orbital septum flap; if the fat of the posterior orbicularis oculi muscle and orbital septal layer was too " weak" during the operation, the layer was used as the carrier for the granular adipose tissue. Follow-up was conducted for more than 3 months after operation to evaluate the effect.Results:All incisions in this group were healed in one stage after operation, without hematoma and infection. Two cases with severe tissue deficiency and severe mechanical blepharoptosis in the pre-operation still had different degrees of ptosis after operation. Five patients had different degrees of ptosis after operation. Five patients had postoperative shape of " step" in the incision when they closed their eyes. The shape of double eyelid was improved in different degree in other beauty seekers.Conclusions:Loosing and releasing the retro-orbicularis oculus fat and orbital septum flap can effectively prevent the bad double eyelid line from adhesion, and it has a satisfactory effect for the reconstruction of the serious tissue defect after double eyelid surgery.