The application of lower eyelid muscle folding technique combined with lower eyelid surgeryin lower eyelid plastic surgery
卧蚕成型术联合下至术在下睑整形中的应用效果

摘要

对于卧蚕不够饱满，形态不明显，需求卧蚕饱满、卧蚕结构明显，下睑弧度优化，眼睛放大的求美者，进行卧蚕成型术联合下至术的手术效果经验分享，分享2023年1月-2023年12月于本院行卧蚕成型术联合下至术的40例患者，进行案例分析，取下睑距睫毛2mm处切口，切开皮肤与轮匝肌，并且将切口上唇与下唇轮匝肌折叠缝合以增加卧蚕饱满度，下至通过下睑缩肌的缩短固定，优化下睑板弧度，观察术后的效果与并发症，术后前三天为肿胀期，部分求美者出现淤青和肿胀且效果不明显，系肿胀和充血导致，第四天开始快速消肿，渐渐显示卧蚕和下至的效果，术后1个月基本消肿恢复，卧蚕结构变明显，下至在位无明显回缩，术后三个月以后为稳定期，卧蚕、下至都已定型。

Abstract

To observe the surgical effect of lower eyelid muscle folding surgery combined with lower eyelid muscle folding surgery for those who are not full enough, have unclear morphology, require full and obvious structure of the lying silkworm, optimize the curvature of the lower eyelid, and seek beauty with enlarged eyes. Method: A clinical study was conducted on 40 patients (with an average age of 30 ± 10 years) who underwent lower eyelid muscle folding surgery in our hospital from January 2023 to June 2023 as needed, Take an incision 2mm away from the eyelashes, cut open the skin and orbicularis muscle, and fold and suture the upper and lower lip orbicularis muscle of the incision to increase the fullness of the silkworms. From the bottom, optimize the curvature of the lower eyelid through the shortening and fixation of the lower eyelid constrictor muscle, and observe the postoperative effect and complications. The results showed that 30 cases were excellent, 7 cases were good, and 3 cases were average. The first three days after surgery were during the swelling period, and some beauty seekers experienced bruising and swelling, but the effect was not significant, It was caused by swelling and congestion. On the fourth day, it began to rapidly reduce the swelling and gradually showed the effect of lying silkworm and descending silkworm. One month after the operation, it basically reduced the swelling and recovered, the structure of lying silkworm became obvious, and there was no obvious retraction from down to in position.
Conclusion  : The improvement rate of surgical excellence is 92.5%, and the effect is maintained for a long time. The 2-year maintenance rate needs to be observed, and the effect is long-lasting with fewer complications.