eyelid bag surgery

The sputum bag is obvious and affects the beauty. Treatment of diseases: eyelid skin flaccidity Indication The sputum bag is obvious and affects the beauty. Contraindications High blood pressure, diabetes, and some bleeding-prone diseases. Preoperative preparation The sputum bag is more common in the elderly, so pay attention to the general condition, such as high blood pressure, diabetes, and some bleeding-prone diseases, head and face infectious lesions. Surgical procedure Upper ankle correction 1. Cut in the double-twisted line and remove the skin and orbicularis muscles according to the calibration, and expose the seesaw. 2. Sneak off on the face of the seesaw, expose and cut the septum. 3. Gently press the eyeball, the fat is naturally pulled out, the sputum fat is removed by the vascular clamp, and the fat is removed by the vascular clamp, and the margin is burned to stop bleeding. Then, gently press the eyeball and repeat the above action until the fat is no longer released. Stitch the septum. Layer suture the orbicularis muscle and skin. Lower ankle bag correction 1. Place a metal backing plate in the conjunctival sac. 2. Make a skin incision with a parallel rim at 2 mm below the edge of the eyelash. The length is from the lower side of the lower tear to the lateral iliac crest. Cut the skin and the orbicularis muscle. At the temporal side of the incision, a skin extension incision was made in the direction of the inferior iliac crest, and the length was about 1.0 to 1.5 cm, and the skin and the orbicularis oculi muscle were cut. 3. Remove the metal pad in the conjunctival sac and pull the suture at the center of the inferior temporal margin. Tighten and fix it up. 4. Stalking between the tarsal plate and the orbicularis muscle, to the lower iliac margin, fully exposing the septum. 5. Cut the septum horizontally, gently press the eyeball, the fat is naturally released, usually three groups, the central part of the cellulite is most easy to escape, the two sides of the cellulite can be slightly separated by vascular clamp if necessary. The detached cellulite was clamped with a vascular clamp, and after cutting, the margin was burned to stop bleeding. Repeat the above actions until the eyeball is lightly pressed and the fat is no longer released. 6. Separate the septum by different methods according to the septum: 1 continuous suture. 2 overlapping stitching. 3 fold stitching. 7. Reset the anterior layer of the lower jaw (skin and orbicularis) and tighten to the upper side of the ankle. Remove excess skin and orbicularis muscles. Layer suture the orbicularis muscle and skin. complication 1. Lower valgus valgus: related to excessive overlap and over-tightening when the skin is removed and the orbicularis muscle is too much and the suture is separated. After a period of observation, some patients may be relieved or resolved as the surgical response subsides and tissue relaxes. If there is still obvious eversion, and there are symptoms of shame, tears, and eye irritation, the translocation flap can be used 2 to 3 months after surgery. 2. Internal hemorrhage: add appropriate amount of adrenaline to the local anesthetic.