Is pouch removal surgery general anesthesia or local anesthesia?
The operation to remove the bags under the eyes is usually performed under local anesthesia. Because observation is needed during the final peeling, patients sometimes have to open their mouths or look up to judge the amount of peeling. It is impossible to judge how much to eat under general anesthesia, but some operations sometimes have to be under general anesthesia. General anesthesia is also possible. At this time, the amount of peeling can only be estimated by experience. At this time, we should be conservative and not walk too much. There is usually no big problem after peeling. When we need to peel off the skin, we need the patient to open his eyes and look up during the operation. At this time, you can ensure that you will not walk too much when peeling. If you walk too much, it may cause the lower eyelid to evert and cause the patient's dysfunction, which none of us want to happen. There are also very few patients who can have surgery under general anesthesia, but purse-string surgery under general anesthesia is not routine, and purse-string surgery will only be performed under general anesthesia under very special circumstances.
Is it cut inside or outside the pouch?
Baggy eye surgery is a common eye cosmetic surgery in plastic surgery. Both internal capsule surgery and external capsule surgery have indications and should be selected according to specific conditions. There is no distinction between good and bad. These signs are as follows:
1. Intraocular: It is suitable for patients with no skin relaxation and only orbital septum fat protrusion, but not for patients with orbital septum fat atrophy. Incision of eye bags through conjunctival entrance to remove excess fat from orbital septum has the advantages of less trauma, no need for sewing needles and quick recovery. Excision of fat globules alone can not deal with skin relaxation, atrophic orbital depression and lacrimal groove, so external incision should be chosen at this time;
2. External pouch: it is mainly suitable for patients with slack skin, depression or lacrimal groove to solve the problem of slack skin, and can also fill the lacrimal groove or lacrimal groove by releasing orbital septum fat.
Is it necessary to anesthetize both eyes when going to pouch surgery?
Incision of eye bags requires anesthesia. Generally, local anesthesia can be selected for purse string incision, and lidocaine combined with adrenaline can be selected as local anesthetic to control pain and reduce bleeding. The duration of anesthesia can reach two to three hours, during which the beauty seeker can feel no pain during the whole eye pouch incision operation. Some beauty seekers will choose general anesthesia for pouch incision. Of course, this method is even less painful, even if you inject anesthetic, there is no pain. General anesthesia is usually not used in pouch surgery, because in order to objectively judge the symmetry of binocular width and radian, eyes must be constantly raised. Some patients need purse-string surgery during general anesthesia, but purse-string surgery is performed before or after awakening from general anesthesia. So please use local anesthesia. Precautions after eye pouch surgery: It is normal that the eye pouch will be swollen just after it is finished. It usually returns to normal after two hours. Can be properly ice-packed, swelling effect will be better, but also can effectively prevent the formation of congestion, but also oral drugs to prevent congestion and swelling.
How is the operation that goes pouch done?
1. blepharoplasty: The operation method is to make a transverse incision of about 0.5mm in the center of 2 ~ 3 mm under the lower tarsal plate, cut the conjunctiva and subconjunctival tissue, obliquely separate them in the direction of the lower edge of the orbit with a small curved scissors, and pull down the lower eyelid with a hook to see a thin orbital septum. When the orbital septum is opened, the fat in the middle will swell out from the incision. After separating the capsule, gently lift the adipose tissue and take it out after electrocoagulation to stop bleeding.
2. External incision blepharoplasty: Apply lidocaine to the lower eyelid for infiltration anesthesia, mark the incision line at 1 ~ 2 mm below the eyeliner of the eyelid margin, cut the skin of the lower eyelid margin, and separate the orbicularis oculi muscle alternately downward with a sharp knife to form a myocutaneous flap. You can see the thin orbital septum protruding from the muscle space. Open the orbital septum near the lower edge of the orbit, separate the swollen orbital septum fat, and remove the excess fat that causes the bulge after thorough hemostasis.