There are almost no hard and fast rules, only according to the medical history to decide who should undergo eye cosmetic surgery such as double eyelid plastic surgery. Like most medical problems, it is not black or white, and there are many gray areas here. Every case is different, and every plastic surgeon handles it differently. The following are the situations in which we do not recommend or temporarily do not recommend surgery:
L There are infectious diseases such as endocrine diseases (hyperthyroidism, diabetes, etc. ), liver and kidney dysfunction, hypertension, coagulation disorders, scar constitution, AIDS, etc. , and surgery is not recommended;
L has a history of mental illness such as depression, anxiety and body image disorder. It is suggested that double eyelid surgery be carefully considered;
L blepharitis, dacryocystitis, severe trachoma and skin inflammation around eyes must be cured before operation;
L Surgery is not recommended during pregnancy, lactation and menstrual period.
Endocrine diseases sound like a big basket, and hyperthyroidism, hypothyroidism, diabetes, hypothyroidism, adrenal diseases and so on can all be put in. There are many glands or tissue cells in the human body that can synthesize and secrete highly specific bioactive substances. These glands with endocrine function are called endocrine glands, such as pituitary, thyroid and adrenal gland. Endocrine glands have endocrine function, so naturally it is said that endocrine function is normal, hyperactive and declining, and endocrine diseases will be caused by endocrine function being hyperactive or declining.
At present, there is no medical evidence to prove that double eyelid surgery is related to endocrine diseases, but suffering from endocrine diseases may not be suitable for double eyelid surgery. Take hyperthyroidism and diabetes for example. Hyperthyroidism and diabetes can affect wound healing (pictures of diabetic complications may cause you discomfort, so we don't have pictures), and wounds that are difficult to heal or don't heal for a long time may produce unsatisfactory or even bad scars-surely no one can accept that patients who do double eyelid surgery for beauty leave ugly scars? Double eyelid surgery can only be considered if hyperthyroidism and diabetes are well regulated or effectively controlled.
Hyperthyroidism patients are often accompanied by exophthalmos, which is also a symptom that is not suitable for double eyelids in general plastic surgery textbooks. However, our experience is that it is ok to shrink the double eyelids with exophthalmos, but if the eyeball protrudes to the extent that the dark circles are completely exposed, it is really impossible to make double eyelids.
Double eyelids are not recommended for endocrine diseases, and hyperthyroidism and diabetes must be effectively controlled before double eyelid surgery can be considered.
For adults with normal IQ, there should be no one who does not know the importance of heart, liver and kidney, right? If you have heart disease, liver disease, kidney failure and other diseases, basically all cosmetic surgery need not be considered. For us humans, health should be the first. For people with health problems, there is really no reason for us to increase the pressure on health for unnecessary surgery.
Those with abnormal heart, liver and kidney function are not recommended to consider any medically unnecessary cosmetic surgery!
Can hypertension be a double eyelid? Many people are concerned about this problem. According to China Cardiovascular Disease Report 20 17 (the full text can be found in China Circulation Journal 20 1080 1), there are currently 290 million patients with cardiovascular diseases in China, including 270 million patients with hypertension. In other words, about 2 people in 10 are hypertensive. Hypertension will definitely affect the operation, mainly because it is difficult to stop bleeding during the operation, easy to bleed, and the risk of anesthesia is high. Of course, this may be inconsistent with your "common sense":
You must have seen or heard that someone had a stroke and went to the hospital for surgery, so now you may wonder why people also have high blood pressure, but the brain will be fine after surgery. Why can't you cut your double eyelids?
It is medical knowledge that hypertension increases the risk of surgery, but there is no exact knowledge in the industry that hypertension can cut double eyelids. Some doctors think that they can't do it, and some doctors can do it when their blood pressure drops, but what is certain is that double eyelid surgery is easy for hypertensive patients to bleed and difficult to stop bleeding (you can simply understand that blood vessels are more fragile). Although this kind of bleeding will not affect life and health, for eye surgery with particularly high precision, bleeding will not only affect the accuracy of the operation, but also affect postoperative healing. Our experience is that for patients with hypertension, relatively simple catgut embedding and small incision double eyelids may still be possible, but relatively complicated operations, such as muscle lifting, cannot be done.
Hypertensive patients are prone to bleeding, and it is not easy to stop bleeding during operation. double eyelid surgery is not recommended!
It is a common experience that most ordinary people meet each other all their lives and then forget the pain. But for a small number of patients with coagulation disorders, the experience of bumping and scratching is quite different-for them, even the slightest trauma may lead to bleeding and even life-threatening. Coagulation dysfunction diseases will affect coagulation, hemostasis and wound healing. Difficult wound healing or long-term non-healing may eventually produce unsatisfactory or even bad scars, so double eyelid surgery is not recommended for patients with coagulation dysfunction. It is not difficult for normal people to recover from the trauma of eye cosmetic surgery such as double eyelid surgery, but patients with coagulation disorders (including von Willebrand, vitamin K deficiency, disseminated intravascular coagulation, etc.). ) is completely different-we really don't need to bring high-risk health and safety for optional surgery, and it is often difficult for such patients to obtain satisfactory surgical results.
Coagulation dysfunction will affect coagulation, hemostasis and wound healing, so it is not recommended to do medically unnecessary double eyelid surgery.
Although many people doubt that they are scar physique, the real scar physique can be said to be one in a million. Of course, what if you really have scar constitution? Then double eyelid surgery needs to think carefully. You know, scar quality is very important for the evaluation of postoperative effect of eye cosmetic surgery. Think about it. After double eyelid surgery's operation, there will be malignant scar hyperplasia. What will happen to a pair of meat strips? At that time, will you buy regret medicine or send the doctor a bottle of sleeping pills?
Keloid is still a worldwide medical problem. At present, there is no way to ensure that keloid does not recur. How can I judge if I am a scar? At present, the most reliable evidence is that malignant scar hyperplasia appears in the wound after operation, but what about people who have never had surgery? People with scar constitution, minor trauma or infection such as acne, injection, vaccination, scratches, mosquito bites, etc. , may cause keloids with sustained and powerful proliferation. Clinically, if the scar has the following characteristics, it can be diagnosed as keloid: ① the lesion is beyond the original skin damage range; (2) continuous growth; (3) Nodular, cord-like or flaky lumps protruding from the skin surface are hard and tough, and the color is red. If you have such symptoms, please make it clear to the doctor during preoperative communication. If you have been diagnosed with scar constitution, give up being a double eyelid surgery. However, there is really no need to put any energy into this issue. As a plastic surgeon who has been focusing on eye plastic surgery for 20 years, scar constitution is more like a legend to me. I have repaired a lot of bad eye scars, but that is a problem of surgical operation, so instead of worrying about whether I have a scar constitution, I might as well carefully study the scar technique of the doctor I am interested in.
Scar constitution has nothing, and keloid is a worldwide medical problem. If you have been diagnosed with scar constitution, then you may not be suitable for double eyelid surgery.
We must emphasize the fact that it is not uncommon for surgeons and medical staff to cut their hands during surgery. At this point, both junior and senior surgeons are no exception. Generally speaking, this is no problem, but if patients suffer from infectious diseases such as AIDS, medical staff will face the risk of being infected.
It is unwise for all medical staff to risk being infected to have a medically unnecessary operation. If AIDS can be effectively controlled in the future, and if we have better measures to protect surgeons and medical staff, then the quality of life of patients seeking beauty deserves careful consideration.
For a medically unnecessary operation, it is unwise to let all relevant medical staff risk HIV infection.
A patient with normal psychology who seeks beauty will be satisfied with her result if cosmetic surgery brings her substantial aesthetic improvement. However, for mental patients with body image disorder, depression, anxiety, personality disorder and so on. Plastic surgery may not improve symptoms, but the situation will often get worse, and even some patients will attack doctors. This mental illness should be treated by psychiatry rather than plastic surgery.
Patients with psychological problems should see a psychologist or psychotherapist, not a plastic surgeon. A large number of literature reports show that body image disorder, anxiety and depression are negatively correlated with postoperative satisfaction.
Of course, it is very necessary to talk about those unfortunate groups who failed in double eyelid surgery. Although no statistics have been made, according to our experience, a considerable number of patients in the double eyelid repair group have different degrees of depression and anxiety, which affects their study, work and social interaction. According to the experience of textbooks and the lessons of peers, most patients with double eyelid failure are not suitable for plastic surgery. We have repaired many double eyelids sentenced to death, returned many patients who failed to hide from others to normal society, and "cured" the depression and anxiety caused by a large number of failed double eyelids, but every patient who said "want to die" and asked us to "save lives" made us walk on thin ice-we need to spend more energy to evaluate their mental state and reach a * * * understanding about the expected repair. We have received many patients with double eyelid repair who are not suitable for surgery in textbooks and peer classes, and we have also rejected some patients who we think are not suitable for surgery.
Anxiety caused by double eyelid failure can be effectively relieved or even cured under the ideal result of double eyelid repair, but plastic surgeons are not psychologists, and double eyelid repair surgery can not guarantee the treatment of mental diseases.
People with eye infections and inflammation, such as blepharitis, dacryocystitis, severe trachoma, and inflammation of the skin around the eyes, need to treat the inflammation first, and then perform surgery. Ignoring the small acne in the operation area may lead to infection and disfigurement.
Pregnant women and lactating women are forbidden to operate because medication and other reasons may affect the fetus and baby.
Women are also not suitable for eye cosmetic surgery during menstruation, which will affect blood coagulation function and thus affect surgical bleeding.
In general, children under 13 do not advocate plastic surgery for double eyelid surgery.
Please remember: double eyelid plastic surgery is an unnecessary operation in medicine, and it is unnecessary to cause health risks and mental stress for an optional operation!
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