Aim: Aging affects the appearance of the eyelids and the surrounding malar region. Blepharoplasty improves the aesthetic appearance of this region, and multiple variants of the procedure have been reported. We here re...Aim: Aging affects the appearance of the eyelids and the surrounding malar region. Blepharoplasty improves the aesthetic appearance of this region, and multiple variants of the procedure have been reported. We here report our technique for modified lower lid blepharoplasty and cheek lift for patients with hypoplastic malar regions, which was introduced after observing prominent lower orbital rims in patients with flat malar prominences after blepharoplasty. Methods: This technique combines standard canthopexy and cheek-lift for rejuvenation of the mid-face with redraping of orbital fat and concurrent sub orbicularis oculi fat pad (SOOF) lift to 'double-breast' the lower orbital margin. Data on 33 patients who had undergone this modified lower lid blepharoplasty was collected retrospectively. Results: Thirty-three patients underwent the modified lower lid blepharoplasty resulting in smooth and youthful appearance of the malar region that was consistent and sustained. No recurrence of V-deformity was observed on a median follow-up of 14 months. twenty-two (66.6%) and 11 (33.3%) patients were pleased and satisfied with postoperative outcomes respectively. Three (9.1%) patients experienced minor postoperative complications and no major complication was observed. Conclusion: The proposed modified lower lid blepharoplasty is a safe and effective alternative to the existing technique with improved aesthetic outcomes and therefore is recommended in patients with flat malar prominences.展开更多
Aim:Reconstruction of defects of the eyelids and malar region following trauma may result in considerable distortion of the adjacent tissue.A clinical study was undertaken to demonstrate the ability to utilize a modif...Aim:Reconstruction of defects of the eyelids and malar region following trauma may result in considerable distortion of the adjacent tissue.A clinical study was undertaken to demonstrate the ability to utilize a modified McGregor flap for reliable soft tissue coverage.Methods:Nine patients with eyelids and malar soft tissue defects were treated over a period of 12 months from July 2013 to June 2014.In this prospective study,a McGregor flap was used for the closure of defects in 9 patients(7 men and 2 women),aged 20-36 years(mean age:27 years).Three sessions of hyperbaric oxygen therapy were administered postoperatively,and patients received subsequent follow-up.Results:Six patients presented with malar and lower eyelid defects,2 patients presented with malar defects,and one patient with upper eyelid,lower eyelid and malar defects following trauma.A McGregor flap was performed in all patients.The preexcision defects varied in size from 3 cm×2 cm to 4 cm×3 cm.No secondary procedures were required in any case.Sutures were removed between 7 and 9 days postoperatively.There were no cases of partial or total flap loss over the course of 10-14 months follow-up.Conclusion:The outcome following use of the McGregor flap procedure was functionally and aesthetically satisfactory in all cases.The McGregor flap is a useful option for the reconstruction of defects following trauma to the upper eyelid,lower eyelid,and malar regions.展开更多
目的:观察应用Medl i t e激光治疗颧部褐青色痣的临床疗效。方法:用波长1064nm的激光治疗颧部褐青色痣患者82例,根据患者年龄、皮损颜色选择不同的技术参数进行治疗,每次间隔治疗至少3个月。结果:82例患者,治疗1次者1例,治疗2次者8例,治...目的:观察应用Medl i t e激光治疗颧部褐青色痣的临床疗效。方法:用波长1064nm的激光治疗颧部褐青色痣患者82例,根据患者年龄、皮损颜色选择不同的技术参数进行治疗,每次间隔治疗至少3个月。结果:82例患者,治疗1次者1例,治疗2次者8例,治疗4次以上者73例,所有患者治疗后均无瘢痕形成。部分患者出现一过性色素沉着,大部分随时间逐渐消退。结论:Medl i t e激光治疗颧部褐青色痣安全、有效,是目前较理想的治疗方法。展开更多
文摘Aim: Aging affects the appearance of the eyelids and the surrounding malar region. Blepharoplasty improves the aesthetic appearance of this region, and multiple variants of the procedure have been reported. We here report our technique for modified lower lid blepharoplasty and cheek lift for patients with hypoplastic malar regions, which was introduced after observing prominent lower orbital rims in patients with flat malar prominences after blepharoplasty. Methods: This technique combines standard canthopexy and cheek-lift for rejuvenation of the mid-face with redraping of orbital fat and concurrent sub orbicularis oculi fat pad (SOOF) lift to 'double-breast' the lower orbital margin. Data on 33 patients who had undergone this modified lower lid blepharoplasty was collected retrospectively. Results: Thirty-three patients underwent the modified lower lid blepharoplasty resulting in smooth and youthful appearance of the malar region that was consistent and sustained. No recurrence of V-deformity was observed on a median follow-up of 14 months. twenty-two (66.6%) and 11 (33.3%) patients were pleased and satisfied with postoperative outcomes respectively. Three (9.1%) patients experienced minor postoperative complications and no major complication was observed. Conclusion: The proposed modified lower lid blepharoplasty is a safe and effective alternative to the existing technique with improved aesthetic outcomes and therefore is recommended in patients with flat malar prominences.
文摘Aim:Reconstruction of defects of the eyelids and malar region following trauma may result in considerable distortion of the adjacent tissue.A clinical study was undertaken to demonstrate the ability to utilize a modified McGregor flap for reliable soft tissue coverage.Methods:Nine patients with eyelids and malar soft tissue defects were treated over a period of 12 months from July 2013 to June 2014.In this prospective study,a McGregor flap was used for the closure of defects in 9 patients(7 men and 2 women),aged 20-36 years(mean age:27 years).Three sessions of hyperbaric oxygen therapy were administered postoperatively,and patients received subsequent follow-up.Results:Six patients presented with malar and lower eyelid defects,2 patients presented with malar defects,and one patient with upper eyelid,lower eyelid and malar defects following trauma.A McGregor flap was performed in all patients.The preexcision defects varied in size from 3 cm×2 cm to 4 cm×3 cm.No secondary procedures were required in any case.Sutures were removed between 7 and 9 days postoperatively.There were no cases of partial or total flap loss over the course of 10-14 months follow-up.Conclusion:The outcome following use of the McGregor flap procedure was functionally and aesthetically satisfactory in all cases.The McGregor flap is a useful option for the reconstruction of defects following trauma to the upper eyelid,lower eyelid,and malar regions.
文摘目的:观察应用Medl i t e激光治疗颧部褐青色痣的临床疗效。方法:用波长1064nm的激光治疗颧部褐青色痣患者82例,根据患者年龄、皮损颜色选择不同的技术参数进行治疗,每次间隔治疗至少3个月。结果:82例患者,治疗1次者1例,治疗2次者8例,治疗4次以上者73例,所有患者治疗后均无瘢痕形成。部分患者出现一过性色素沉着,大部分随时间逐渐消退。结论:Medl i t e激光治疗颧部褐青色痣安全、有效,是目前较理想的治疗方法。
