Remedy: If the double eyelid line disappears completely, the surgical plan should be re-selected. If the eyelid is thin, there is no vegetation in the inner corner of the eye or the vegetation is light, the embedding method can be selected. The incision method should be changed to those with thick eyelids (naked eyes) and too much skin in the inner corner of the eye; If the double eyelid line partially disappears, the operation can be re-performed locally, and the newly formed double eyelid should keep the radian consistent and natural with the remaining double eyelid line.
2. Too narrow double eyelids means that the absolute width of double eyelids is less than 5 mm, and hidden double eyelids appear, or the width of double eyelids is too narrow, which is not harmonious with the patient's face, which is related to improper design of suture, possibly because the preoperative design (including the patient's prior requirements) is too narrow or the suture position is too low.
Correction method: cut along the original incision, fully peel off the skin below the double eyelid line, remove the orbicularis oculi muscle in front of the tarsal plate and the tissue in front of the tarsal plate, and use the extensibility of the upper eyelid skin to lift the incision and suture it, so as to increase the width of the double eyelid (which can be increased by 1-3mm). This method can also make the eyelashes of young patients upturn and increase the aesthetic feeling. In addition, because the subcutaneous tissue under the double eyelid line becomes thinner, the double eyelids will be more realistic and natural after the operation.
3. Too wide double eyelids means that the width of double eyelids is more than 8 mm, or too wide relative to the face shape (small and round), which is common in European eye pursuers. Not only the width of the double eyelid is too wide, but also the subcutaneous tissue of the upper eyelid and the fat of the orbital septum are depressed due to too much resection, and the postoperative appearance is not good.
Correction method: The common double eyelid line is relatively wide, and it is relatively easy to repair patients who are not European eyes. As long as the incision is redesigned within the range of 6 to 8 mm and the original incision is removed together, the effect is still good. For patients with European eye diseases, it is difficult to repair. In design, in addition to narrowing the incision, the upper eyelid depression must be filled with dermal fat flap, free fat particles or artificial biomaterials. Surgery can be performed in one or two stages according to the situation.
4. Multilayer folds of upper eyelid skin, commonly known as triple eyelid, refer to the appearance of two double eyelid lines (one or two layers more than the specific eyelid) after double eyelid surgery, and even the whole triple eyelid or part (inside or outside). The reason is that the double eyelid line is not designed according to the radian, the skin peeling between the double eyelid line and the eyelid margin is uneven, too much skin is removed from the inner corner of the eye, and too much subcutaneous tissue is removed above the incision line, resulting in multiple adhesions between the skin and the meibomian. In addition, dislocation suture and non-arc suture can also lead to the occurrence of triple eyelids.
Correction method: mild early three eyelids can disappear after natural swelling; You can also pull the skin on the upper edge of the incision for 2 to 3 months to make it slack and droop, covering the redundant double eyelid line. In severe cases, the skin at the lower edge of the incision should be cut, peeled off and released according to the original incision, and the skin at the lower edge of the incision should be sutured upwards beyond the adhesion between the original meibomian and the skin.
5. Triangular eye is characterized by double eyelid line interruption, poor continuity and high middle position. Or the inner side of the double eyelid line is too high, and the inner side cannot be lifted together with the eyelid margin when opening eyes.
Correction method: redesign the double eyelid line, widen the inner and outer width of the double eyelid line, cut along the original double eyelid line, and remove part of the upper eyelid skin at the upper edge of the incision to make the inner and outer widths coordinated.
6. When the radian is not ideal, the eyes are asymmetrical, the left and right are asymmetrical, or it is caused by careless operation.
Correction method: according to the ideal side, redesign the double eyelids on the side with bad incision.
7. Blepharoptosis is characterized by difficulty in opening eyes and heavy feeling. It is mostly caused by excessive surgical trauma, which damages levator palpebrae superioris, resulting in hematoma, bleeding and tissue adhesion caused by infection. Scar constitution can also lead to.
Correction method: The correction method varies for different reasons. If the levator palpebrae superioris muscle is damaged, muscle shortening should be performed. Those who contract due to scar need to soften the scar and remove the adhesion. Psychotherapy is feasible for people who feel heavy eyes without any eye manifestations.
8. Subcutaneous nodules are more common after catgut embedding, and there is a feeling of nodules when touching the skin with hands. Because the buried line is too shallow or excluded.
Correction method: if the thread is too shallow, take it out directly; if it is too deep, take it out by surgical incision.