Double eyelid surgery is one of the most common cosmetic operations at present. It seems simple, but it is not easy to satisfy all patients. It not only requires the performer to have exquisite surgical skills, good aesthetic views and rich design experience, but also requires an accurate grasp of the patient's facial anatomy and psychology. Incorrect design often leads to poor curvature and shape of double eyelids. Dissatisfaction with double eyelid surgery is often manifested in the inconspicuous lines of double eyelids, partial and complete disappearance; Double eyelids are too wide or too narrow; The radian is intermittent and bilateral asymmetry; Double eyelids are too thick; Scar hyperplasia: difficulty in eyelid lifting, poor eyelid closure, etc. Most patients with unsatisfactory double eyelid surgery can get good results after reoperation, and some even exceed patients with the same eye condition. Because the prototype condition is poor, the effect is not ideal, but it can be improved to some extent after operation, reducing psychological pressure.

Double eyelid repair is a cutting-edge operation. Because I have done double eyelids, the muscles, fat and other tissues inside have been destroyed once. Once the tissues are destroyed, there is no substitute. Double eyelid repair surgery makes many failed double eyelids beautiful again.

Double eyelid repair is a kind of operation that pays attention to symmetry, height and appearance, makes it natural and improves the image. It is an operation with perfect anatomy and necessary aesthetic feeling.

Preoperative preparation

1, redesign the incision line of double eyelids, and try to remove all scars from the original incision;

2, two weeks before the operation, no drinking, smoking, avoid oral aspirin or aspirin-containing drugs, Chinese patent medicines with blood circulation function, etc. ;

3. Prepare sunglasses, ice packs and other items before the operation;

4, the doctor to check whether the subjects meet the requirements of surgery, if there is a contraindication to cut double eyelid surgery, can't surgery. About the postoperative effect, we should fully communicate with the doctor;

5. Try to understand the risks of surgery and possible diseases, and prepare for these diseases just in case; 6. Women must avoid menstruation and pregnancy. 1, double eyelid asymmetry: generally, the upper eyelid swelling will completely subside after 3-6 months after operation.

2. Overwidth of double eyelids: 3-6 months after operation, the incision was redesigned to separate the adhesion formed by the first operation, and other steps were the same as those of double eyelid surgery. 3, the double eyelids are too low: the second stage of surgery after swelling. Move the incision line into the new incision, peel it down to make the old and new incision become a whole, and then sew the double eyelids.

4, the curvature of double eyelids is not good: after swelling, redesign the double eyelid line according to natural folds, and cut and redo.

5. Double eyelids disappear: After swelling, the catgut embedding method is changed to incision double eyelid surgery. The incision method is to cut off enough subcutaneous tissue and orbicularis oculi muscle through the original incision, and the skin is close to the meibomian or eyelid muscle tissue when sewing, so that patients can open their eyes and observe during the operation to achieve satisfactory double eyelid.

6, triple eyelid formation: after swelling, cut the original incision, remove too much skin, the upper fold can disappear.

7. ptosis: sew the severed levator palpebrae aponeurosis to the tarsal plate again.

8. Lower eyelid ectropion: Mild patients can use local massage or local injection of glucocorticoid to promote the release of lower eyelid skin, which can be recovered or improved in a few months; In severe cases, the lateral V-shaped skin can be removed and sutured, or the orbicularis oculi muscle flap can be lifted and fixed to the upper orbital margin, or the upper eyelid rotation flap, nasal flap and temporal flap can be used to correct ectropion. Severe cases need free skin grafting.

Principles of failed repair of double eyelid

1, carefully analyze the reasons for the failure of the previous operation.

2. Redesign the incision line of double eyelids and try to remove all scars from the original incision.

3. Remove the scar in front of the meibomian and fully separate the adhesion between the muscle and aponeurosis in front of the meibomian.

4. When sewing, the arc is smooth and natural, and the aponeurosis in front of the tarsal plate is firmly fixed.

5. When the orbital septum fat is excessively removed in the early stage of surgery, the medial fat can be released, or the lower eyelid orbital septum fat can be transplanted freely, or autologous fat can be injected in several times.

6. Be careful about the tissue during the operation, be gentle and minimally invasive, shorten the recovery period and reduce scar hyperplasia.

Repair method

One is to fill with various foreign bodies to make up for the tissue loss and adhesion caused by surgery, which is characterized by easy rejection, easy infection, uneven operation with scars and unnatural shape; The other is to supplement the lack and adhesion of tissue by stretching its own tissue, which is characterized by transplanting autologous fascia fat treated with gel medium to fill the missing tissue. The fat survival rate of this method is as high as 95%, which is much higher than other fat transplants. The repaired skin around the eyes is full of normal elasticity and can return to normal.

How to prevent infection after operation

First, keep the wound clean to prevent infection. It is very important to clean the wound after the operation. If the wound is not clean, it is prone to infection, leading to the formation of wound scars. So be careful not to wet the wound when washing your face after operation. 65438+ 0 ~ 2 days after operation, the dressing on the eye can be removed. If there is blood scab or secretion on the wound, it can be wiped with sterile saline or medical alcohol.

Second, don't take painkillers casually. There will be some pain in the wound on the day of operation, but it will gradually decrease with time. Patients should not rush to take painkillers, because aspirin drugs will aggravate wound bleeding.

Prevention and treatment of bleeding, congestion or hematoma in surgical wounds. If the small blood vessels are injured or the bleeding is not completely stopped during the operation, the eyes will be impacted by the outside world after the operation, and strenuous exercise or emotional change will cause bleeding, congestion or hematoma. In order to prevent the occurrence of the above complications, local wounds can be bandaged with pressure or cold compress with ice packs, but the pressure should not be too high to avoid eye damage. Once there is bleeding and severe hematoma after operation, you should go to the hospital for follow-up in time.

Fourth, pay attention to strengthening the movement of eye muscles. Double eyelid surgery usually needs to cover the incision for one day, and then take off the covered gauze the next day after operation, so as to open his eyes as soon as possible. Only by continuously strengthening the eye opening movement can we promote the blood circulation of eye muscles and surrounding tissues, reduce and gradually eliminate the swelling of the surgical site and promote the early absorption of surgical congestion.

Fifth, prevent scar hyperplasia at the surgical site. Some people still use some anti-wrinkle sunscreen products containing heavy metals such as mercury after double eyelid surgery. These cosmetics and skin care products containing heavy metals may aggravate the scar hyperplasia of surgical incision, and the situation will be even worse if they are people with scar constitution. Therefore, within three to six months after operation, it is the proliferative period of surgical scars. During this period, cosmetics and skin care products containing heavy metals shall not be used.

Sixth, pay attention to moisturizing and soften eyelid tissue. Many people's surgical incisions have completely returned to normal, but the surgical site still feels nervous and dull, and others look awkward. In fact, this phenomenon is normal after surgery. As long as the local moisturizing and softening are done well, the tension will be reduced accordingly.