Archives of Plastic Surgery

  • 제33권3호
  • /
  • Pages.335-340
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  • 2006
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지

제거한 하안검 지방의 이식을 이용한 눈물받이 고랑의 교정

Correction of the Tear Trough Using Orbital Fat Graft from the Lower Lid

  • 유영천 (경희대학교 의과대학 성형외과학교실) ;
  • 임대원 (경희대학교 의과대학 성형외과학교실) ;
  • 양원용 (경희대학교 의과대학 성형외과학교실) ;
  • 박준 (경희대학교 의과대학 성형외과학교실)
  • You, Young Cheun (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyunghee University) ;
  • Lim, Dae Won (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyunghee University) ;
  • Yang, Won Yong (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyunghee University) ;
  • Park, Jun (Department of Plastic and Reconstructive Surgery, College of Medicine, Kyunghee University)
  • 투고 : 2006.02.24
  • 발행 : 2006.05.10
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초록

Lower palpebral bags and tear trough grooves are the common signs of aging. Weakness of the orbital septum, atrophy of the orbicularis oculi muscle, slackness and laxity of the lower lid skin are the main causes of these aging changes. Tear trough groove with skeletonization of the lower orbital rim can not be corrected easily by the conventional lower blepharoplasty, but the augmentation of the volume, can be an effective method. Lower lids provide a well vascularized recipient site, which is vital for proper grafting of fat to occur. We treated tear trough groove with free fat graft of surgically removed orbital fat. Surgical excision of the fat pad and septal reinforcement with free fat graft below the levator labii superioris alaeque nasi muscle were performed to correct tear trough groove. This technique was performed in 29 consecutive individuals from October, 2001 to January, 2005. Palpebral bags and tear trough groove were corrected concomitantly and obtained a youthful attractive midface with no secondary hollowness of lower lid and irregularity. The overall results obtained were satisfactory without any complications. Recurrence of tear trough deformity due to grafted fat absorption was not noted during the 7 months of the follow-up period. The authors conclude that the procedure is safe and effective in selected patients.

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참고문헌

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