double eyelid surgery

Double eyelid surgery, also known as double eyelid surgery, also known as double eyelidplasty, is one of the most common operations in plastic surgery. In general, the double eyelids visually increase the contour of the eye, adding a three-dimensional effect to the eye, making the eye appear larger, and the eyelashes are upturned, giving a vivid and expressive feeling. The single eyelids are thicker, the eyelashes are drooping, the eyes are smaller, the eyes are sluggish, and the eyes are lacking. In addition, the Orientals have more single eyelids, accounting for more than 50%, so there are many surgeons. Treating diseases: Indication Single eyelid patients are for cosmetic purposes. Contraindications People with high blood pressure, heart disease, diabetes, and a history of mental illness are over-optimized or over-optimized. Preoperative preparation Double sputum surgery pays attention to avoid 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 Skin tarsal fixation 1. Conventional disinfection, double-hole surgical towel. 2. Mark the position of the incision with gentian violet as designed, and fix the iodine. 3. Place a metal backing in the conjunctival sac. The operator's left thumb and index finger fix the internal and external ankle. 4. According to the gentian violet marking line, the skin and the orbicularis oculi muscle are cut, and the medial end of the incision continues with the skin fold of the medial malleolus. 5. Remove the orbicularis muscle below the incision, taking care not to injure the hair follicle at the rim. Expose the seesaw, if the surface of the seesaw has adipose tissue, cut it with a curved shear. 6. Make a 5-needle skin splint fixed suture, suture the skin in the original position, pay attention to the suture height and the arrangement arc of the fixed suture. Suture method Use 3-0 double-needle black thread, at the junction of the inner 1/3 and the middle and outer 1/3 of the upper jaw, the needle is inserted into the conjunctiva from the upper iliac crest, and the suture is sutured. The two needles are separated by about 3~5mm, and the suture is passed. The edge of the sputum plate is placed in front of the scorpion plate and is worn at the gentian purple line of the skin surface. The suture underpad is narrowly rubberized and ligated. Continuous burying suture method 1. Mark the heavy sputum line with gentian violet and fix it with iodine. Mark 5 points equidistant from a, b, c, d, and e on the line. The operator's left thumb and index finger fix the upper and outer iliac crests. Two needles wearing a 5-0 nylon thread were used as a 2-needle continuous suture. 2. The first stitch continuous suture method is that the skin at a is perpendicular to the skin, and is passed through the subcutaneous tissue or the dermis portion at the skin at b. Then at the same point, the same skin needle eye enters the skin vertically, and the aponeurosis or tarsal plate is lifted through the surface of the tarsal plate through the subcutaneous tissue or dermis portion of the eyelid. From d to e through the upper levator aponeurosis or tarsal plate. 3. The second stitch continuous suture method is to vertically enter the skin from the skin at a, and pass through the skin at the b point through the upper levator aponeurosis or the tarsal plate. Then at the same point, the same skin needle eye enters the skin vertically, and the skin is worn through the subcutaneous tissue or the dermis at c. Using the same method and sequence, from c to d, the aponeurosis or tarsal plate is lifted from d to e through the subcutaneous tissue or dermis. Finally, the suture is tightened at e, ligated, and the thread is buried under the skin. Intermittent buried suture method Use the gentian violet to mark the heavy sputum line according to the design requirements, and make 3 skin incisions with a length of 2 mm on the heavy sputum line. Flip the upper palate and make a pair of suture stitches at the corresponding points of the upper incision and the skin. Using a pair of triangular needles wearing a 5-0 nylon thread, the needles were placed at the upper edge of the upper iliac crest, and wrapped around the anterior tarsal plate at the skin incision. The two triangular needles should have the same position except for the upper conjunctiva needle insertion point, and the intraocular approach and skin penetration should be slightly spaced. Finally, 3 pairs of sputum sutures were ligated, and the sutures were cut and buried under the skin. complication The upper eye is bruised and swollen.