Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbital septum, the fat in the orbital septum was released, the blood vessels on the inside of the root of the fat mass were preserved, and the fat was sharply separated from the outside to the inside. The mass is trimmed into a strip-shaped pedunculated fat flap. A small lateral incision is made along the lateral side to separate the medial fat mass in the orbital septum. The separated fat flap is refilled into the orbital septum from the lateral incision and pulled to the medial side for fixation. Results: 33 patients were followed up for 3 to 12 months after surgery. Except for 1 patient with severe upper eyelid skin laxity who underwent surgical repair, the rest of the patients' upper eyelid depression was effectively relieved and the upper eyelids looked natural. The patients were satisfied with the surgical results. Conclusion: The intra-orbital septum transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap is a simple and effective surgical method for the treatment of upper eyelid depression, with less pain and quick recovery. It is worth recommending in the treatment of upper eyelid depression.
| Published in | Journal of Surgery (Volume 12, Issue 1) |
| DOI | 10.11648/j.js.20241201.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Upper Eyelid Depression, Autologous Fat, Pedicled Fat Flap
| [1] | Lee S, Yen M T. Nonsurgical rejuvenation of the eyelids with hyaluronic acid gel injections [J]. Semin Plast Surg, 2017, 31(1): 17-21. Ciuci P M, Obagi S. Rejuvenation of the periorbital complex with autologous fat transfer: current therapy [J]. Oral Maxillofac Surg, 2008, 66(8): 1686-1693. |
| [2] | Lee H, Park M, Lee J, et al. Histopathologic findings of the orbicularis oculi in upper eyelid aging: total or minimal excision of orbicularis oculi in upper blepharoplasty [J]. Arch Facial PlastSurg, 2012, 14(4): 253-257. |
| [3] | Chun P, Yu S, Qin H, et al. The use of p45 plastination technique to study the distribution of preseptal and preaponeurotic fat tissues inAsian eyelids [J]. Cell Biochem Biophys, 2015, 73(2): 313-321. |
| [4] | Lin T M, Lin T Y, Chou C K, et al. Application of microautologous fat transplantation in the correction of sunken upper eyelid [J]. Plast Reconstr Surg Glob Open, 2014, 2(11): e259. |
| [5] | CHE D H, Lee L, Liu L. Clinical Effect of Nanofat Transplantation in the Treatment of Upper Eyelid Depression [J]. Chinese Journal of Aesthetic Medicine, 2021, 30(3): 11-13. |
| [6] | Tamboli D, Mancini R. Hyaluronic acid gel injection for multiple eyelid folds in asian eyelids: a novel approach [J]. Ophthal Plast Reconstr Surg, 2016, 32(4): 310-312. |
| [7] | YIN Y, Lee T, WONG S P. The Clinical Efficacy of Platelet-rich Plasma Combined with Non-crosslinked Sodium Hyaluronate Solution in the Treatment of Upper Eyelid Depression [J]. Chinese Journal of Aesthetic Medicine, 2020, 29(10): 6-10. |
| [8] | Gao L, Xu S, Lee J C. Clinical Application of Preoperative Accurate Grafting Measurement of Autogenous Fat Transplantation in the Correction of Upper Eyelid Depression [J]. Chinese Journal of Aesthetic Medicine, 2020, 29(2): 6-9. |
| [9] | Watanabe M, Buch K, Fujita A, et al. MR relaxometry for the facialageing assessment: the preliminary study of the age dependency in the MR relaxometry parameters within the facial soft tissue [J]. Dentomaxillofac Radiol, 2015, 44(7): 20150047. |
| [10] | Gong Z X. Application of two different surgical methods in single eyelid with mild sunken upper eyelid [J]. China Medical Cosmetology, 2023, 13(6): 1-3. https://doi.org/10.19593/j.issn.2095-0721.2023.06.001 |
| [11] | Chen Hui, Zhang Qian, Qiu Qiu, etal. Autologous fat graft for the treatment of sighted posttraumatic enophthalmos and sunken upper eyelid [J]. Ophthalmic Plast Reconstr Surg, 2018, 34(4): 381-386. https://doi.org/10.1097/IOP.0000000000001028 |
| [12] | ZHU J W. Analysis of Clinical Application and Esthetic Effect in Patients with Sunken Upper Eyelid by Orbicularis Muscle Flap Combined with Septum Orbitale Fat Flap Method [J]. Chinese Journal of Aesthetic Medicine, 2018, 27(4): 3. https://doi.org/CNKI: SUN: MRYX.0.2018-04-017 |
| [13] | LEYNGOLD I M, BERBOS Z J, MCCANN J D, et al. Use of hyaluronic acid gel in the treatment of lagophthalmos in sunken superior sulcus syndrome [J]. Ophthalmic Plast Reconstr Surg, 2014, 30(2): 175-179. https://doi.org/10.1097/IOP.0000000000000040 |
| [14] | Yu C G, Lee Z X. Clinical effect of multi-level injection of nano-fat injection to correct the depression of upper eyelid [J]. Chinese Journal of Medical Aesthetics and Cosmetology, 2021, 27(3): 3. https://doi.org/10.3760/cma.j.issn.1671-0290.2021.03.003 |
| [15] | Lin X L, Jin H, Wang J Q. Curative effect of dermofat flap in treatment of the moderately or severe upper eyelid depression [J]. Chinese Journal of Aesthetic and Plastic Surgery, 2016(5): 3. https://doi.org/10.3969/j.issn.1673-7040.2016.05.004 |
| [16] | Sun S W, Ma J, Yu X F, Application of Dermofat-orbicularis Oculi Muscle Combined Flap in Correction of Sunken Upper Eyelid [J]. Chinese Journal of Aesthetic Medicine, 2020, 29(8): 3. https://doi.org/CNKI: SUN: MRYX.0.2020-08-005 |
| [17] | Chen T, Tian T, Chen N X. Clinical observation for the hyaluronic acid filling eyelid depression with unsatisfactory double eyelid [J]. China Medical Cosmetology, 2021, 11(10): 3. https://doi.org/10.19593/j.issn.2095-0721.2021.10.003 |
APA Style
Wang, E., Xu, B. (2024). Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents. Journal of Surgery, 12(1), 1-4. https://doi.org/10.11648/j.js.20241201.11
ACS Style
Wang, E.; Xu, B. Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents. J. Surg. 2024, 12(1), 1-4. doi: 10.11648/j.js.20241201.11
AMA Style
Wang E, Xu B. Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents. J Surg. 2024;12(1):1-4. doi: 10.11648/j.js.20241201.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20241201.11,
author = {En-Jing Wang and Bin Xu},
title = {Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents},
journal = {Journal of Surgery},
volume = {12},
number = {1},
pages = {1-4},
doi = {10.11648/j.js.20241201.11},
url = {https://doi.org/10.11648/j.js.20241201.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241201.11},
abstract = {Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbital septum, the fat in the orbital septum was released, the blood vessels on the inside of the root of the fat mass were preserved, and the fat was sharply separated from the outside to the inside. The mass is trimmed into a strip-shaped pedunculated fat flap. A small lateral incision is made along the lateral side to separate the medial fat mass in the orbital septum. The separated fat flap is refilled into the orbital septum from the lateral incision and pulled to the medial side for fixation. Results: 33 patients were followed up for 3 to 12 months after surgery. Except for 1 patient with severe upper eyelid skin laxity who underwent surgical repair, the rest of the patients' upper eyelid depression was effectively relieved and the upper eyelids looked natural. The patients were satisfied with the surgical results. Conclusion: The intra-orbital septum transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap is a simple and effective surgical method for the treatment of upper eyelid depression, with less pain and quick recovery. It is worth recommending in the treatment of upper eyelid depression.
},
year = {2024}
}
TY - JOUR T1 - Application of Intra-Orbital Septal Transfer of Lateral Orbital Septal Pedicled Fat Flap in the Treatment of Upper Eyelid Dents AU - En-Jing Wang AU - Bin Xu Y1 - 2024/02/20 PY - 2024 N1 - https://doi.org/10.11648/j.js.20241201.11 DO - 10.11648/j.js.20241201.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 1 EP - 4 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20241201.11 AB - Objective: To observe the clinical effect of intraorbital septal transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap in the treatment of upper eyelid depression. Method: During the double eyelid surgery, the fat mass on the lateral side of the upper eyelid was exposed, a small incision was made on the outside of the orbital septum, the fat in the orbital septum was released, the blood vessels on the inside of the root of the fat mass were preserved, and the fat was sharply separated from the outside to the inside. The mass is trimmed into a strip-shaped pedunculated fat flap. A small lateral incision is made along the lateral side to separate the medial fat mass in the orbital septum. The separated fat flap is refilled into the orbital septum from the lateral incision and pulled to the medial side for fixation. Results: 33 patients were followed up for 3 to 12 months after surgery. Except for 1 patient with severe upper eyelid skin laxity who underwent surgical repair, the rest of the patients' upper eyelid depression was effectively relieved and the upper eyelids looked natural. The patients were satisfied with the surgical results. Conclusion: The intra-orbital septum transfer of the lateral upper eyelid mass and orbital septum pedicled fat flap is a simple and effective surgical method for the treatment of upper eyelid depression, with less pain and quick recovery. It is worth recommending in the treatment of upper eyelid depression. VL - 12 IS - 1 ER -
Department of Plastic Surgery, Yang Zhong People’s Hospital, Zhenjiang, China
