First, double eyelid surgery is not satisfied. There are several types of dissatisfaction with double eyelid surgery, which often shows that the lines of double eyelids in the eyes are not obvious, partially and completely disappear; Double eyelids are too wide or too narrow; The radian is intermittent and bilateral asymmetry; Double eyelids are too thick; Scar hyperplasia: difficulty in eyelid lifting, poor eyelid closure, etc.
Second, how to grasp the timing of unsatisfactory double eyelid repair? Except for cases with severe eyelid closure, other patients should consider corrective surgery after six months to one year after operation. If surgery is performed before scar softening, the tissue is fragile and easy to tear, which leads to scar formation, thus affecting the surgical effect.
Third, how to correct the most common double eyelid satisfaction? There are many cases where double eyelids are not satisfied. As long as we find out the reasons in time and make positive corrections, we can get a good solution.
Fourth, the lines of double eyelids are not obvious. It is manifested as the partial or complete disappearance of double eyelid lines, which is more common after catgut embedding and suture pad pressing spells. 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 cannot be permanently attached to the skin at the double eyelid. If the fat in the anterior part of the orbital septum and the orbicularis oculi muscle of the eyelid is not completely removed by incision, the skin cannot be attached to the eyelid, and so on, the double eyelid line will not be obvious.
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 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.
Fifth, the double eyelids are too narrow. Refers to the absolute width of the double eyelids is less than 5 mm, and the double eyelids are hidden, or the width of the double eyelids is too narrow, which is not harmonious with the patient's face. This is related to improper design of suture, which may be due to narrow preoperative design or 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 and the tissue in front of the meibomian, and sew the incision upward by using the extensibility of the upper eyelid skin to increase the width of the double eyelid. 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.
Sixth, the double eyelids are too wide: the performance is that the width of the double eyelids exceeds 8 mm, or its width is too wide relative to the face, which is common in the pursuers of European eyes. 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.
Seven, upper eyelid skin wrinkles: commonly known as triple eyelid, double eyelid surgery after the emergence of two double eyelid lines, or even the entire 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.
Eight, triangle eye: the performance is that the double eyelid line is interrupted, the continuity is poor, and the middle part is too high. 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.
Nine, the asymmetry and curvature of the eye are not ideal: the design is asymmetric, or it is caused by careless operation.
Correction method: according to the ideal side, redesign the double eyelids on the side with bad incision.
Ten, ptosis: the performance is that you can't open your eyes with a heavy feeling, mostly because of excessive surgical trauma and injury to the levator palpebrae superioris muscle, leading to hematoma, bleeding, infection and tissue adhesion. 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.
Eleven, subcutaneous nodules: more common in catgut embedding surgery, touching the skin with hands has a sense of nodules. 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.
15. Prediction of unsatisfactory double eyelid correction effect: Most patients can get good results after reoperation, and some even exceed patients with the same eye condition. Because the prototype condition is poor, the effect is not ideal, but it can be improved to some extent after operation, reducing psychological pressure.