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Objective:Gradually increase with aging, facial aging is first expres-sed as the aging eyelid:skin slackening, fold appeared, outer canthal droop, severe impact of vision; frontals muscle slackening, eyebrow ptosis; some due to septum orbitale slackening, orbital fat prolapse, showed swollen upper eyelid, part of orbital fat atrophy, invagination of upper eyelid; Some showed different degrees of ptosis upper eyelid. By studying the clinical manifestations and anatomical changes of aging in elderly upper eyelid. study a surgical method which is simpler, less damage and one-time improve upper eyelid aging.Methods:84 cases out-patient surgery, all are women, aged 40-80 years, there were varying degrees of aging upper eyelid appearance. Eyebrow edge incision is used for patients whose eyebrow lines were good and the original double eyelid, in a different incision, the distance between the eyebrow and lower eyelid is different; for the poor eyebrow use eyebrow incision, removed some eyebrows; double eyelid incision is used for patients with single eyelid who require double eyelid blepharoplast, for serious relaxation of upper eyelid underwent palpebral incision; for brow ptosis and single eyelid who require double eyelid blepharoplast use raised eyebrow or cut eyebrow surgery and double eyelid blepharoplast. Have an operation for removal of excess skin, fat and slack orbicularis muscle and so on in different circumstances. Eyebrow edge incision frontalis muscle flap fold and shifted is used for aged patients who have invagination of upper eyelid; Eyebrow edge incision frontalis muscle and levator muscle flap are used for The elderly ptosis upper eyelid patients,they are fold and suspension. Results:all the 84 cases of out-patient with upper eyelid rejuvenation were implemented to correct a drooping brow, upper eyelid relaxation, invagination of upper eyelid and senile upper eyelid ptosis and other aging eyelid performance. Both the double eyelid line and eyebrow shape are natural after surgery, scar is not obvious, aging eyelid will be corrected.Conclusion:For the upper eyelid in aging, using multiple incisions and the frontalis muscle flap frontalis muscle and levator muscle flap to treat the upper eyelid relaxation for maximum. Both the invagination of upper eyelid and senile upper eyelid ptosis are corrected. This method is simple, smallest in the tissue injury, function is improved and achieve a lasting improvement in eyelid beautification, rejuvenation. Easily accepted by patients and effective.
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