Anatomy Study And Clinical Application Of Upper Eyelid Aging Used Operation Treatment

Objective The present study was designed to observe the best operation type ofdifferent upper eyelid aging state through the upper eyelid anatomy and clinical use ofdifferent operation on the upper eyelid aging follow-up cases.Methods (1) Anatomy parts:10adult cadavers with total20sides of palpebral regionand eyebrow region were dissected. research Focus on the construction features ofupper eyelid skin, the anatomic structure、the existence and change of suborbicularisoculus fat of the upper eyelid、the effect of brow ptosis on upper eyelid aging andblood and neval supply of upper eyelid. All these studies offer a theoretical basis forclinic to different conditions of the upper eyelid aging choiced differnet operations forindividualized treatment.Morphology observation: measure aesthetic parameter of different age groups toobserve the change of upper eyelid and analyse the ralationship between age and uppereyelid aging.(2) Clinical cases parts: Basing on the relaxation level between upper eyelidand eyebrow、eyebrow and eyelid width and the individual patient will we choose BrowLift, double eyelid surgery, eyebrow incision joint double eyelid surgery for restoration.According to the patients’ different conditions， remove excess skin, sagging of theorbicularis muscle and orbital fat and suborbicularis oculus fat of the upper eyelid,tightening the orbital septum, complete eyebrow drooping upper and eyelid correctionrelaxation.85patients with different surgical methods and the restoration of aging uppereyelid incision to the patient group, were retrospectively reviewed after follow-upobservation and evaluation of different surgical operation on the upper eyelid to varyingdegrees of aging in elderly patient satisfaction and treatment degreesResults (1) Anatomy part: Characterized by upper eyelid skin structure closer to thethinner skin of eyelid, the more the skin near the eyebrow thicker. As the age increasing,eyelid skin occurs degenerative changes, often accompanied by loose upper eyelid skin and orbicularis muscle sagging. In the upper eyelid aging patients unless there is abloated fat hernia orbital relaxation to go out, some still under the orbicularis musclehypertrophy of fat accumulation. Specimens observed between different shapes underthe orbicularis oculi fat pad thickness difference, moderate body type and obese personsunder the orbicularis oculi fat pad thickness is larger than the thin type, which is animportant guiding role in upper eyelid surgery. As the lateral eyebrow ptosis because ofthe subgaleal fat pad under the upper eyelid orbicularis muscle fat pad on the outside ofthe presence,role of the eyebrows’ imbalance of muscle strength and eyebrow droopingupper eyelid aging is caused by increased one of the reasons. Eyelid arteries were fromthe ophthalmic artery, infraorbital artery, superficial temporal artery and facial artery.Lacrimal artery and ophthalmic artery diverge the upper eyelid artery and the lowereyelid artery,in tarsal plate and orbicularis muscle the formation of3match between theaortic arch, the upper, lower eyelid and around the arterial arch. Orbicularis muscledominate by the facial nerve zygomatic branch and the temporal branch, levatorpalpebrae superioris dominate by branch of oculomotor nerve.(2)Clinical cases parts: Application in85cases of upper eyelid aging surgeryreconstructive cases, no wound inflammation and healing well. Mild upper eyelid agingwhich used double eyelid surgery group and brow lift group gained high satisfactiondegree after surgery, no significant difference between the two groups compared. Butease of surgical procedures, the number of complications and length of recovery ofpatients, the raised eyebrow of mild upper eyelid surgery are better than the doubleeyelid surgery group. Satisfaction degree of moderate upper eyelid aging used brow liftsurgery group was lower than mild upper eyelid aging used brow lift surgery group,mainly due to surgery for the correction of upper eyelid raised eyebrow loose outer skinbetter, but the inside of the upper eyelid skin relaxation correct to a limited extent. Thedouble eyelid surgery group, and in the inner upper eyelid skin relaxation effect can becorrected, but the loose skin on the outside of the upper eyelid correction to a limitedextent. Severe upper eyelid aging used double eyelid surgery group and eyebrow liftsurgery group were satisfied lower, upper eyelid ptosis correction not thorough enoughslack bloated, most cases are still bloated appearance of upper eyelid relaxation. But severe upper eyelid aging used combined surgery group, postoperative effect, relaxationof upper eyelid ptosis be corrected better, patient’ satisfaction is high.Conclusion Middle-aged upper eyelid for different eye conditions of aging, accordingto the degree of aging and anatomic extent of the sub-district choice of different surgicalprocedures for restoration of targeted individual, the department can achieve the desiredupper eyelid rejuvenation outcome.