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摘要


對於有著明顯上眼眶部外突或是眉部下垂的病患,我們可以在上眼瞼成形術中經由切除外側眉部下脂肪層而得到改善。尤其是合併有上眼眶部外側肥厚沈重的症狀,更可經由這個附加的步驟來去除多餘的脂肪層而達到更理想的效果。後眉部脂肪墊位於眉毛皮膚及眼輪匝肌之後方,可以幫助臉部表情動作時眉毛有順暢的滑動。後眼輪匝肌脂肪延著上眼眶塉深入眼輪匝肌並且是後眉部脂肪墊的延伸。我們認為在有上述症狀的病患中,經由傳統的上眼瞼手術而附加後眼輪匝肌脂肪切除術,並且在有輕度到中度眉毛下垂的病患中再給予眉毛固定術,可以有更令人滿意的結果,所以這些附加的手術是相當值得推廣使用的。

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並列摘要


In patients seeking upper eyelid blepharoplasty who also have ptosis of the eyebrows, the lateral brow fat pad can be contoured to help in highlighting the lateral aspect of the superior orbital rim. Excision of brow fat pad is an extremely valuable adjunct to blepharoplasty surgery in some patient with heaviness and bulkiness in the lateral upper orbital region. The brow fat pad lies directly posterior to the eyebrow skin and orbicularis oculus muscle and aids in smooth gliding of the eyebrow with animation. Retroorbicularis oculus fat (ROOF) is in reality an extension of the brow fat pad that lies along the superior orbital rim and directly deep to the orbicularis muscle. Through the incision of standard blepharoplasty, resection of retroorbicularis oculus fat and elevate the eyebrow would appear to be a useful adjunct in select patients.

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