1. Redesign the double eyelid incision line and try to remove all the original incision scars;
2. Two weeks before the operation, abstain from drinking, smoking, and oral medications such as AstraZeneca Spirin or aspirin-containing drugs, Chinese patent medicines with blood-activating functions, etc.;
3. Prepare sunglasses, ice packs and other items before surgery;
4. The doctor examines the patient Whether the surgeon meets the surgical requirements, if there are contraindications for double eyelid surgery, the surgery cannot be performed. Regarding the postoperative effects, it is necessary to fully communicate with the doctor;
5. Try to understand the risks and possible complications of the operation, and be mentally prepared in case these complications occur;
6. Women must avoid menstruation and pregnancy.
1. Double eyelid asymmetry: Generally, surgery is performed again after the upper eyelid swelling has completely subsided 3-6 months after surgery.
2. Double eyelids that are too wide: Redesign the incision 3-6 months after the operation to separate the adhesions formed in the first operation. Other steps are the same as double eyelid surgery. 3. Double eyelids are too low: second-stage surgery after swelling reduction. A new incision is made on the incision line, peeled downward to make the new and old incisions become a whole, and then the double eyelid is sutured.
4. Poor double eyelid curvature: After the swelling is reduced, the double eyelid line is redesigned according to the natural folds, and the double eyelid line is incised and redone.
5. Double eyelids disappear: After the swelling is reduced, patients who have undergone suture-embedding surgery will undergo incisional double eyelid surgery. In the incision method, sufficient subcutaneous tissue and orbicularis oculi muscle are removed through the original incision. The skin is close to the tarsal plate or eyelid muscle tissue during suturing. During the operation, the patient is allowed to open his eyes for observation until a satisfactory double eyelid is achieved.
6. Formation of triple eyelids: After the swelling is reduced, the original incision is made, and the excess skin is removed, and the upper folds can disappear.
7. Ptosis: The severed levator aponeurosis is sutured to the tarsal plate in another operation.
8. Lower eyelid ectropion: For mild cases, local massage or local injection of glucocorticoids can be used to loosen the skin of the lower eyelids, which can usually be restored or improved within a few months; for severe cases, lateral V can be performed The skin is resected and sutured, or the orbicularis oculi muscle flap is lifted and fixed outward to the upper orbital rim, or the upper eyelid rotation flap, nasal flap, and temporal flap are used to correct the ectropion; in severe cases, free skin grafting is required for correction. technique. 1. Carefully analyze the reasons for the failure of the previous operation.
2. Redesign the double eyelid incision line and try to remove all the original incision scars.
3. Remove the pretarsal scar and fully separate the adhesions between the muscles and the pretarsal aponeurosis.
4. The suturing arc is smooth and natural, and the pretarsal aponeurosis is firmly fixed.
5. If too much orbital septal fat was removed in the previous surgery, medial fat can be released, or lower eyelid orbital septal fat can be transplanted freely, or autologous fat can be injected in stages.
6. Care of the tissue during surgery, gentle and minimally invasive, shortening the recovery period and reducing scar hyperplasia. 1. Keep the wound clean to prevent infection. It is very important to clean the wound after surgery. If the wound is not clean, infection can easily occur, leading to the formation of wound scars. So be careful not to get the wound wet when washing your face after surgery. The dressing on the eye can be removed 1 to 2 days after the operation. If there is blood scab or secretion on the wound, it can be wiped with sterile saline or medical alcohol.
2. Do not take painkillers casually. There will be some pain on the wound on the day of surgery, but it will gradually lessen over time. Patients should not rush to take painkillers, because aspirin drugs will aggravate wound bleeding.
3. Prevention and treatment of bleeding, congestion or hematoma from surgical wounds. If small blood vessels are damaged during surgery or hemostasis is not complete during surgery, external impact to the eyes after surgery, intense exercise or changing emotions can cause wound bleeding, congestion or hematoma. In order to prevent the occurrence of the above complications, you can apply pressure bandage to the local wound or use an ice pack to apply cold compress, but the pressure should not be too high to avoid damaging the eyes. Once bleeding or severe hematoma occurs after surgery, you should go to the hospital for follow-up consultation in time.
4. Pay attention to strengthening eye muscle exercises. Double eyelid surgery generally requires covering the incision for one day. On the second day after surgery, the covering gauze must be removed and eye-opening exercises should be performed as soon as possible. Only by continuously strengthening the exercise of keeping your eyes open can you promote blood circulation in the eye muscles and surrounding tissues, reduce and gradually eliminate the swelling of the surgical site, and promote the early absorption of surgical congestion.
5. Prevent scar hyperplasia at the surgical site. Some people still use 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 scarring of surgical incisions, and it will be even worse for people with scarring constitution. Therefore, three to six months after surgery is the proliferative period of surgical scars. During this period, cosmetics and skin care products containing heavy metals must not be used.
6. Pay attention to moisturizing and softening the eyelid tissue. Many people's surgical incisions have completely returned to normal, but the surgical site still feels tight and stiff. They feel stiff and look awkward to others. In fact, this phenomenon is a normal phenomenon after surgery. As long as you moisturize and soften the area, the tight feeling will be reduced accordingly.