- 期刊
Upper Blepharoplasty Combined with Preoperative Forehead Botulinum Toxin a Injection for Aging Eyelids with Asymmetric Eyebrow Position-Case Report
上眼瞼成形術合併術前肉毒桿菌素注射改善眉毛不對稱之年老眼皮下垂－病例報告
摘要
背景：眼瞼整形術（blepharoplasty）是矯正老化眼皮之標準步驟。然而對於某些有額肌鬆弛的病人，無論是否導致眉毛的不對稱者，附帶的眉毛拉提術（brow lift）常是必要的。目的及目標：我們報告應用一簡單的治療方法，避免同時施行眉毛拉提術，來改善兩位眼皮老化下垂的患者，合併有額肌鬆弛和眉毛不對稱之問題。材料與方法：先以肉毒桿菌素A（Botox®）注射在此兩位患者之前額處，一週後待前額皺紋消失及眉毛位置對稱性改善，再施以眼瞼整形術。結果：術後眼皮下垂及眉毛對稱性都獲得矯正。兩位患者恢復期間無任何不適，在長達一年追蹤過程，對於眉毛仍然對稱，且無眼皮下垂之復發，而感到滿意。結論：對於合併眼皮老化下垂合併額肌鬆弛，無論是否有眉毛位置不對稱問題的患者，此法提供一個別於眉毛拉提術的選擇，也可避免拉提術後可能之併發症。
關鍵字
無資料並列摘要
Background:Blepharoplasty is the standard corrective procedure for aging eyelids. For patients showing associated frontalis muscle laxity and/or asymmetric position of eyebrows, auxiliary operations such as brow lift are necessary.Aim and Objectives:We reported a simple therapeutic method without simultaneous brow lift surgery employed in 2 patients who sought correction for their saggy eyelids and asymmetric eyebrow position.Materials and Methods:We injected botulinum toxin A (Botox®) into the forehead region of the patients and one week later, forehead wrinkles had disappeared and the eyebrow position became symmetric in both patients.Results:After blepharoplasty, eyelid ptosis was corrected as well as eyebrow position. Patients recovery was uneventful and remained satisfied in one-year follow-up.Conclusion:This method could be expanded to treat aging eyelids associated with saggy forehead, regardless of the eyebrow position; not only to be an alternative, but to evade the complications of brow lift surgery.