Temporal filling technique

The ankle filling technique is applied to the bilateral ankle depression, the extent of which has affected the beauty of the face. Treatment of diseases: temporomandibular joint disease Indication The ankle filling technique is applied to the bilateral ankle depression, the extent of which has affected the beauty of the face. Contraindications 1. Local inflammation. 2. Systemic infectious diseases. Preoperative preparation 1. Preoperative examination: check the development of the skull, whether the intelligence is normal, and take X-ray films to check whether there is obvious skull deformity. 2. Preoperative preparation: According to the degree of facial sag, facial features and my requirements, the line is used to determine the filling range and degree, and the filling material is selected, namely solid silica gel, expanded polytetrafluoroethylene, medical polyacrylamide. Hydrogel, free dermal fat flap and granule fat injection. 3. Anesthesia: local infiltration anesthesia or general anesthesia. Surgical procedure Silicone rubber filling (1) First put the impression glue on the crotch to take the mold, and then sterilize according to the size and shape of the model. (2) Select the scalp incision in the hairline to cut the epidermis, superficial fascia, expose the deep fascia, and divide the cavity deeper than the filler in the deep fascia. The filling gap is located in the shallow fat pad between the deep fascia of the deep fascia or the deep fascia of the deep fascia, above the zygomatic arch. (3) Place the repaired silicone rubber into the cavity to check if the shape is satisfactory. (4) Close the incision. (5) The surgical procedure on the other side is the same. 2. Expanded polytetrafluoroethylene filling (1) The scalp incision in the hairline, cut the epidermis, superficial fascia, expose the deep fascia, and divide the cavity deeper than the filler in the deep fascia. (2) The expanded polytetrafluoroethylene patch is placed and fully flattened in the shallow fat pad between the deep fascia of the deep fascia or the deep layer of the deep fascia. (3) Close the incision. 3. Granular fat injection filling (1) Fat is derived from the abdomen, thigh, and upper part of the hip. More fat is taken by syringe liposuction. After extracting the required amount of fat in the donor area, the fat particles are repeatedly washed with antibiotic saline to filter out excess water. (2) The fat particles are evenly injected into the subcutaneous area of the crotch region with a blunt needle, and then gently flattened. 4. Medical polyacrylamide hydrogel injection ankle filling (1) Design drawing line: the upper boundary is on the sacral line, and the line is drawn forward to the upper and outer sides along the sacral line; the inner boundary is about the outer upper edge of the humerus; the horizontal extension line of the lower boundary at the outer horn is the zygomatic arch. The edge; the outside world is about the hairline. Within these three lines is the range of the fill area. (2) anesthesia: short-acting intravenous anesthesia, or nerve block anesthesia (upper and lower nerves, deafness nerve) can be used. (3) Filling skills 1 Using the guiding needle to directly penetrate the periosteum of the tibia, and then pull out the guiding needle, then use the minimally invasive needle to stick to the periosteum to penetrate the upper part of the sacral injection area, and apply the deep fascia deep injection. 2 Then retreat the needle, close to the deep fascia layer and enter the lower half into the gap of the shallow fat pad. Both the upper and lower halves are fan-shaped, and the injection volume is equal in the upper and lower halves. 3 into the needle suture. complication 1. Hematoma. 2. Infection, incision splitting, false body dew. 3. Insufficient or excessive filling, bilateral asymmetry. 4. Liquefaction, absorption or induration after fat filling. 5. The polyacrylamide hydrogel is formed by induration and is displaced to the cheeks, which is an error in the injection level.