Upper eyelid skin lax excision method

Relaxation of the upper jaw is a common symptom of middle-aged and elderly people. The relaxation of upper jaw is caused by many reasons, such as heredity, the influence of menstrual cycle, alcoholism, sleep disorders, etc., but it is most common in aging. It is characterized by the loss of elasticity of the ankle skin, the drooping of the fat, the appearance of wrinkles in the lateral malleolus, the relaxation and sagging of the upper jaw (influencing the visual field), the inversion of the temporal margin (the occurrence of trichiasis), and the degree of relaxation during surgery and accompanying Symptoms, take different surgical methods. Treatment of diseases: eyelid skin flaccid ptosis Indication Eyelid skin relaxation affects appearance, and severe cases can block part of the field of view. Preoperative preparation Regular preoperative disinfection, surgery orders. patients naturally close their eyes, use the gentian purple to mark the original heavy sputum line, use the scorpion to gently clamp a certain range of skin on the top of the sacral line above the sacral line, so as not to appear the eyelid closure or valgus valgus. After determining the amount of removal. Then use the gentian violet to mark the upper skin incision line, and the iodine is fixed. Because the length of the upper and lower skin incisions is different, the wound edge is inevitably uneven when the suture is interrupted. An isosceles triangle can be marked upward on the temporal side of the upper incision. The base is slightly shorter than the length of the upper and lower skin incisions, and the length of the two waists is It can be levelly stitched, and the direction is slightly inclined to the upper side of the squat. Surgical procedure 1. Place a metal backing in the conjunctival sac. Remove excess skin and orbicularis muscles marked with gentian violet. The upper and lower wound margins are subcutaneously separated for a small range. 2. After adequate hemostasis, the triangular skin of the upper side of the ankle is deficient in the wound and is sutured intermittently. The re-twisting line incision is fixed by suture 3 to 5 needles according to the height and curvature of the original weight. complication 1. Cat ear phenomenon: The triangular side skin facing the supraorbital direction was not removed at the temporal side of the upper incision, or the amount of resection was insufficient. Those who are mild may not be treated, and those who obviously affect the appearance may be surgically corrected. 2. Mild eyelid valgus: The degree of general eyelid valgus is light, and there is no need to rush to surgery. Most of them are further relieved and relieved as time progresses. Apparent eyelid valgus can be used as a propulsion flap or translocation flap.