Scholarlink

Objective <p>To explore the relationship between the pretarsal fat fascia layer and upper eyelid morphology and to guide the reconstruction of bionic natural eyelid blepharoplasty.</p> Methods <p>The structure of the pretarsal fat fascia layer of congenital single eyelid and double eyelid was observed by ultrasound, intraoperative observation, cadaver dissection, and histological staining.</p> Results <p>By ultrasonic, intraoperative, anatomic, and histological analysis, the pretarsal fat fascia layer of congenital single eyelid and double eyelid were divided into two layers: superficial loose fat fascia layer and deep dense fascia layer. The dense fascia layer was close to the surface of tarsus, and there was no significant difference between groups A and B. The thickness and volume of the pretarsal loose fat fascia layer were significant difference. It showed the loose fat fascia layer was loose in texture, continuous with the retro-orbicularis oculus fat (ROOF) upward and covered the surface of tarsus downward, and the deep dense fascia layer clung to the surface of tarsus, and connected upward to the fusion of orbital septum and levator palpebrae superioris (LPS) aponeurosis.</p> Conclusion <p>The pretarsal fat fascia layer of single and double eyelid can be divided superficial loose and deep dense fat fascia layer. The pretarsal loose fat fascia layer may be one of the main tissue structure factors affecting the double-eyelid blepharoplasty. The treatment of pretarsal loose fat fascia layer may be beneficial to the shaping of the bionic double eyelid.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Pretarsal Fibro-adipose Fascial Layer in Congenital Single and Double Eyelids: A Cadaveric, Histologic, and Ultrasonographic Study

  • 期刊论文

  • 发表日期：

    2026年7月9日

查看全文
  • Xiren Long,
  • Qian Chen,
  • Gaofeng Li,
  • Xi Li,
  • Anqi Fu

摘要

Objective

To explore the relationship between the pretarsal fat fascia layer and upper eyelid morphology and to guide the reconstruction of bionic natural eyelid blepharoplasty.

Methods

The structure of the pretarsal fat fascia layer of congenital single eyelid and double eyelid was observed by ultrasound, intraoperative observation, cadaver dissection, and histological staining.

Results

By ultrasonic, intraoperative, anatomic, and histological analysis, the pretarsal fat fascia layer of congenital single eyelid and double eyelid were divided into two layers: superficial loose fat fascia layer and deep dense fascia layer. The dense fascia layer was close to the surface of tarsus, and there was no significant difference between groups A and B. The thickness and volume of the pretarsal loose fat fascia layer were significant difference. It showed the loose fat fascia layer was loose in texture, continuous with the retro-orbicularis oculus fat (ROOF) upward and covered the surface of tarsus downward, and the deep dense fascia layer clung to the surface of tarsus, and connected upward to the fusion of orbital septum and levator palpebrae superioris (LPS) aponeurosis.

Conclusion

The pretarsal fat fascia layer of single and double eyelid can be divided superficial loose and deep dense fat fascia layer. The pretarsal loose fat fascia layer may be one of the main tissue structure factors affecting the double-eyelid blepharoplasty. The treatment of pretarsal loose fat fascia layer may be beneficial to the shaping of the bionic double eyelid.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.