Generally, the disadvantage of cutting double eyelids may be that the operation failed, otherwise there is no harm:
1, mild hematoma can subside by itself, and severe hematoma or progressive hematoma needs incision to stop bleeding or drainage.
2. After eyelid tissue surgery trauma, there will be reactive edema between cells. Eyelid edema is a normal phenomenon, so there is no need to worry. Using pressure dressing and cold compress can help to alleviate the above phenomenon, but if the swelling is serious and developing, it should be rechecked in time.
3. Although the incision and tissue wound have been sutured, there is still a small amount of oozing blood. Can use cold compress (ice, cold towel), elastic bandage pressure dressing. At the same time, be careful not to bow your head too much, and don't force your eyes to open or close.
4. If the scar is caused by infection or constitution, local drug treatment, such as steroid hormone injection, is feasible.
5. If the upper eyelid is red, swollen and hot, infection should be considered and effective antibiotics should be applied.
There are many cases where double eyelids are not satisfied. As long as the reasons are found out in time and corrected actively, Cao Jianjun can make repairs according to the actual situation:
1, the double eyelid line is not obviously manifested as partial or complete disappearance of the double eyelid line. It is more common after embedding thread and stitching pad magic. At present, the so-called polymer double eyelid and film pressing method on the market is actually a kind of embedding method. The main reason for this situation is the incorrect choice of surgical methods; If the eyelid is thick and bloated, the eyelid line can not be permanently attached to the skin at the double eyelid, if the fat in the anterior part of the orbital septum of the eyelid and the orbicularis oculi muscle is not completely removed by incision, the skin can not be attached to the eyelid, and so on, the double eyelid line will not be obvious.
Correction method: 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, there are hidden double eyelids, or the width of double eyelids is too narrow, which is not harmonious with the face of the subject. This is related to improper suture design, which may be due to the narrow preoperative design (including the patient's prior requirements) or the low suture position.
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 greater than 8 mm, or too wide relative to the face (small and round). Common in European eye suitors. 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 for 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 reducing the incision, the upper eyelid depression must be filled with dermal fat flap, free fat particles or artificial biomaterials (including expanded polyethylene and injection).