double eyelid surgery

Heavy sputum, also known as "heavy sputum plasty", refers to the operation of changing the structure of the eyelids, reshaping the shape of the eyelids, and forming new folds of the upper jaw. The incision method is used to perform all the mouths on the upper eyelids, remove excess skin and adipose tissue, and then fix the eyelid skin on the slab of the desired height to form a heavy sputum. Best time: recovery after severe sputum formation: good effect treatment of diseases: eyelid closure Indication 1, where the eyelids, phlegm fat is accompanied by internal ecdysis, or suede loose, should choose skin incision surgery. One operation not only solves the problem of internal hemorrhoids and suede relaxation. 2, where the eyelids are thin, less fat, no internal suede, no eyelids, loose skin, especially one eyelids, you should choose the suture method. Contraindications 1. Insufficient mental or psychological barriers, lack of recognition of their own eyelid conditions, and blind pursuit of unrealistic forms. 2. Patients with bleeding-prone diseases and hypertension, as well as active and progressive diseases of vital organs such as heart, lung, liver, and kidney, and infectious diseases of diabetes that have not been effectively controlled. 3, facial paralysis caused by cleft palate closure. 4, a variety of reasons lead to eyeballs. Preoperative preparation 1, check the vision, both eyes must be checked, to avoid pre-operative amblyopia or even blindness is ignored, until after surgery, and mistakenly believe that due to surgery, medical disputes. 2. Check the skin for scars, lesions, and symmetry between the eyes. 3, there is no true mild ptosis or eye type myasthenia gravis, so as not to have double sputum after surgery. 4, with or without internal skin, with or without eyeballs or cleft palate. 5. Check the excess level of the skin and the fat in the sputum. 6, to understand the patient's occupation, split size, face type. Literary workers, double eyelids can be made higher; long face and big eyes, upper folds are more suitable; round face small eyes, the upper folds are lower. 7, drawing line design (1) The subject takes the sitting position, because the lying position is not easy to see the slack of the eyelid skin. Regardless of the skin incision surgery or suture method, the line should be drawn with methylene blue iodine before surgery to facilitate the accuracy of the operation. (2) 5~7mm from the rim (the highest point), the highest point should be in the center of the rim of the rim, not in the center, and the rim should be closer to the rim, and the outside can be flat with the curvature of the rim. For example, the upper crease line is divided into four equal parts, the highest point is 7mm from the rim, 6mm and 5mm to the inside, and 6mm and 6mm to the outside. Pay attention to avoiding menstrual period, otherwise there will be more bleeding and more reaction during operation. Surgery should be delayed when there are infectious lesions on the face. Also pay attention to the general condition, with or without surgical contraindications. Surgical procedure Can be divided into the whole process of cutting, part of the small incision method, the Korean three-point method. The incision of the upper eyelid skin is performed by a pre-designed double-twisted line, and the orbicularis muscle is exposed to expose the tarsal plate, and a narrow strip of the orbicularis muscle and excess subcutaneous tissue are cut. If there is too much fat, open the septum, press the eyelids to make the fat stand out, and remove the right amount, then let the fat return to the septum and electrocoagulate to stop the bleeding. Finally, the upper edge of the orbital incision was sutured to the levator aponeurosis of the iliac crest. complication 1, infection. 2, edema and hematoma. 3, scars (more common in the incision double sputum surgery). 4, Shangyugou depression. 5, the upper jaw drooping, the incision to the gingival margin, swelling, corneal ulcer. 6. The upper jaw retracts and the upper jaw has irregular wrinkles other than the wrinkle line. 7, heavy wrinkles are too high. 8, the upper fold wrinkles disappear or become shallow (more common in the embedding method double ankle surgery). 9, the weight is too narrow. 10. The width of the wrinkles is asymmetrical. 11, lift the diaphragm muscle weakness, facial sensation abnormal.