Xi 'an, where can I do double eyelid ligation with suture pressure pad?
There is skill in using search engines. Let's take a look at the search skills introduced by Baidu and sogou. Part of the operation cost: double eyelid surgery 1800 Double eyelid rhytidectomy with 2200 bags under eyes 1800 double eyelid surgery is the most common cosmetic surgery, which is very popular among young men and women. Double eyelid surgery's operation is not complicated, and doctors with basic knowledge of surgery will learn it as soon as they learn it. But it is not easy to make every operation successful, especially to satisfy every patient, surgeon and bystander in double eyelid surgery. Some doctors only do a few cases of double eyelid surgery, thinking that their kung fu has reached home, but if they continue to do it, the number of operations will increase and the number of failed cases will increase. In order to improve the satisfaction rate of double eyelid plasty, it is necessary to master several key points for the success of double eyelid surgery. (a) preoperative should listen carefully to the requirements of the subjects, subjects have different requirements for double eyelids. Some people want to be natural, and don't let people around them see that it was done by hand. For such people, it is generally not appropriate to be lenient. The height of the double eyelid line is generally 6-7mm, but it should be made clear to the patient that if it is only 5-6mm wide, it will appear natural within 1 month after operation, but after 2-3 months, or a little longer, the double eyelid line will not be obvious, and the so-called "hidden double" will appear. Some subjects hope that the double eyelids are wider, which is convenient for makeup and eyeliner. This needs to be done more broadly. The height of the double eyelid line is generally 8mm, even (for some actors) it can reach 9- 10 mm, and some people want to make so-called European double eyelids. This is the kind of broad and deep double eyelids that ordinary Europeans and Americans have upturned eyelashes. Before the operation, the doctor should listen carefully to the patients' requirements and then perform the operation according to their eye conditions. (2) Before the operation, the patient's eyes should be carefully examined. Before the operation, the doctor should check the patient's eye condition, such as the thickness and tightness of the eyelid, the length of the eye fissure, whether it is a swollen bleb, whether there is epicanthus, the weight of epicanthus, the width from the lower eyebrow to the upper eyelid, whether the eyeball is prominent (so-called goldfish eye), whether there is acute or chronic inflammation in the eye, and so on. Generally speaking, if the eyeball is too prominent or the distance between the eyebrows and the upper edge of the eyelid is too close (less than 18mm), or the length and diameter of the eye fissure are short (so-called microphthalmia, the length and diameter of the normal eye fissure are about 34mm), the double eyelid is not good-looking, so the operation should be cautious; Acute or chronic inflammation of the eyes, such as conjunctivitis, keratitis, blepharitis, sty, etc. It is not suitable for surgery for the time being until the inflammation is controlled; The design of double eyelid line and the method of double eyelid operation should be determined according to the thickness of eyelid and the presence or absence of epicanthus. For patients with thin eyelids and no epicanthus, double eyelid surgery can be performed by embedding thread; For young people with slightly thick eyelids and tight eyelids, double eyelid surgery can be performed by suture and pressure pad ligation; Double eyelid surgery should be performed by incision for patients with swelling of eye blebs or epicanthus, or drooping eyelids. (3) Different types of suture embedding, suture pressure pad ligation and incision double eyelid surgery should be adopted according to different situations, each with its own advantages and disadvantages. 1. Catgut embedding method: short time, no operation, no suture removal, light swelling after operation, quick recovery to natural state, and going to work after operation. However, the thread embedding method is easy to take off the thread, resulting in inconspicuous double eyelids or knotting reaction. It can be repaired by incision after failure. This method is only suitable for young people with thin eyelids and no obvious epicanthus. 2. suture pressure pad ligation method: it takes short time, does not need surgery, and there will be no knotting reaction due to suture removal after operation; However, the swelling was severe at 1-2 weeks after operation, especially at 1 week. This method is suitable for young people with tight skin and slightly thick skin who are unwilling to have surgery. 3. Incision method: Incision method is suitable for all patients who need double eyelid surgery, and can give full play to the wisdom of doctors, and make a pair of moving double eyelids according to patients' requirements and eye conditions. However, before applying incision, we should be familiar with eyelid anatomy and be cautious about the amount of orbital septum fat and skin. If we are not sure, we would rather go less in the future. Once we go too far, it is not easy to repair. If the patient is afraid of leaving scars after epicanthus excision, it is necessary to make it clear to the patient that the double eyelid line can only be designed under the epicanthus to form a wide-tailed double eyelid, but because of epicanthus excision, this kind of double eyelid has only half a pair, which is not very beautiful. If the design line is set at the inner canthus, there may be skin involvement next to the double eyelid line at the inner canthus after operation, and the patient will feel uncomfortable and unsightly. In order to avoid the involution of epicanthus, when you don't want to have epicanthus surgery, you can design the double eyelid line just above the epicanthus surgery, but this can only form parallel double eyelids, but not wide-tailed double eyelids. You should explain it clearly to the patient before surgery to avoid conflicts after surgery. (4) Precautions During the operation, in order to avoid local swelling caused by displacement during incision and suture, it is not advisable to use too much anesthetic. When you finish one eye and then do the second eye, you should compare it with the first eye from time to time, and try to make the length and width of the stitches on both sides consistent. It is better for one doctor to do both eyes, rather than one doctor to do one eye and the other doctor to do the other, so as not to cause different suture heights and depths for each person and make the two eyelids inconsistent. (5) Precautions after operation On the second day after operation, the operator should personally check the postoperative situation of the subject, wipe off the eye secretions, and instruct the subject to order eye drops on time. If it is found wrong, it can be revised within 5 days after operation. Be careful when removing stitches, and don't leave residual stitches on your eyelids. Only by taking every patient seriously and every cosmetic surgery and dressing change seriously can we ensure the success of every operation. Attention! ! ! ! ! ! ! ! ! The most important problem that patients need to pay attention to before operation: (1) Understand the general condition, and the general condition is good, and there is no cold, diarrhea, fever, etc. Whether there is a history of drug allergy, whether there is a scar constitution. Have a history of hypertension, heart disease and diabetes. What drugs do you usually take orally? Surgery should be considered after stopping anticoagulant drugs 1 week. (2) Women are not suitable for surgery during menstruation. (3) Patients with large abscesses around the face, eyelids and trunk are not suitable for surgery. (4) Routine blood, urine and stool examination. (5) The people who are suitable for double eyelid surgery (no surgery) are younger (generally less than 23 years old). If the upper eyelid is thin, there is no skin drooping, and the body is healthy and the spirit is normal, double eyelid surgery without a knife is feasible. The biggest advantage is that there are no scars. Incision (operation) double eyelid surgery Suitable crowd: Older people with drooping or swollen upper eyelid skin need surgery to remove drooping skin and swollen adipose tissue. (6) Time required for surgery: It usually takes about 20 minutes to bury double eyelid surgery (without surgery) and 40 minutes to cut double eyelid surgery (surgery). During the operation, the patient should cooperate with the doctor and not be too nervous, so as to avoid blood pressure rising and bleeding, prolong the operation time and reduce the cosmetic effect. Precautions after operation: (1) Use antibiotics, such as erythromycin, for 3 ~ 5 days. (2) Keep the wound clean and dry, and it is not advisable to wash your face and shampoo before taking out stitches, so as not to pollute the wound and cause infection in the operating area. (3) Go to the hospital for dressing change the next day after operation, clean the wound, and take out stitches on the sixth day after operation. (4) Rest properly after operation to reduce eye movement. Changes in postoperative recovery period There may be ecchymosis around the eyes in the early postoperative period, and some may have cyanosis. The swelling was obvious within 2 ~ 3 days, disappeared after 5 ~ 6 days, and the ecchymosis gradually turned pale yellow. Cold compress can be used within 24 hours after operation, and hot compress can be used after suture removal to promote the swelling to subside. After 10 days, the swelling basically disappeared, and the lines of double eyelids were smooth, but not natural. Possible complications of double eyelid surgery: (1) Intraoperative and postoperative hematoma. Some people have normal examination, but their blood coagulation function is poor, and there may be bleeding from the wound. This should be handled by the doctors in the hospital, otherwise it may cause serious consequences. (2) Do not follow the doctor's advice after infection, and handle it by yourself. Disinfection is not strict, and there may be wound infection. (3) Excessive tension and eyelid flutter in bilateral asymmetric surgery may affect the doctor's design and operation. (4) After operation, the disappearance of double eyelids can be 1 month. Considering reoperation, the postoperative effect will not be affected. Eye plastic surgery is not very mature in China, so you'd better consider it carefully. As for the level of surgery in Anhe and Beijing, Professor Ma Xianjie, an expert in Xi 'an Hospital, is stronger in this respect. His information: Ma Xianjie, male, born at 1963+00, graduated from the Fourth Military Medical University at 1986, 10. Now he is the chief physician and professor of plastic surgery in Xijing Hospital of the Fourth Military Medical University. Since 1986, he has been working in the front line of clinic, paying attention to the close combination of scientific research and clinic. He has rich clinical experience in plastic and cosmetic surgery, and the treatment effect is satisfactory. Especially for lip, cleft palate, nevus, polydactyly (toe), hemangioma and acquired defect, skin avulsion injury, treatment of various scars, repair of infected wounds after trauma and other congenital malformations. In recent years, he has rich experience in skin and soft tissue expansion. In cosmetic surgery: double eyelids, pouch removal, rhinoplasty, breast augmentation, treatment of various scars, and treatment of bromhidrosis have accumulated a large number of cases and rich surgical experience. He has in-depth research on plastic surgery, organ reconstruction, skin flap transfer and cosmetic surgery. * * * participated in 9 monographs and published 60 related academic papers. Won the first prize of scientific and technological progress in Shaanxi Province. The scientific and technological progress of the army is the second and third respectively. Third prize of national and military scientific and technological progress 1 item. Member of Prosthetic and Reconstructive Surgery Society of Shaanxi Rehabilitation Medical Association, member of Shaanxi Medical Beauty Society, editorial board members of Journal of Clinical Surgery, China Journal of Practical Aesthetic Plastic Surgery and China Cosmetic Medicine. Visiting time: Friday morning (beauty center) and Tuesday morning (outpatient service): plastic surgery for various deformities after burns and trauma, wound surface after infection, and cosmetic surgery. Personal suggestion: think about it yourself and study hard. After all, it is linked to your own beauty, so you should think about it.