Is the pouch cut from the inside or from the outside?
External incision is the most traditional surgical method for the treatment of pouch, which is suitable for lower eyelid skin laxity and lower eyelid orbicularis muscle hypertrophy (false pouch). The main manifestations are sagging and wrinkles of the lower eyelid skin, unobtrusive orbital septum fat, and sometimes slightly sunken, or the hypertrophy of the orbicularis muscle of the lower eyelid is related to family inheritance. During the operation, an incision was made along the lower margin of lower eyelid eyelashes to the outer canthus groove, and the swollen fat under the eyes was removed after separating the incision. At the same time, tighten the skin of the lower eyelid, remove the excess skin of the lower eyelid and remove the wrinkles of the lower eyelid skin. The incision is hidden in this method, and it is difficult to see the incision marks after 1~2 months.
Internal pouch removal is a method developed on the basis of external incision, and it is a popular surgical method to remove pouch at present. This method is mainly suitable for patients with orbital septum fat protrusion, that is, typical eye bags caused by orbital septum bulge, without skin relaxation and lower eyelid skin wrinkles. It removes eye fat through a small incision in the lower conjunctival sac.
In short: external incision can also be done when you are older, and the improvement will be more obvious. Because there is no incision on the skin surface at all, it is also hyped as the method of "removing bags under the eyes without surgery", and those who are still young can choose the method of internal incision. If you choose the external incision method, it is ok to pay attention to the maintenance of wrinkles after operation.
There is no difference between inner incision and outer incision of eye bags.
1, external path incision method to remove bags under eyes
External incision method: suitable for middle-aged and elderly people with obvious bulging bags under eyes, loose skin under eyelids and obvious wrinkles. The incision is usually designed at the position of 1-2 mm under the eyelashes, and there is a suture the size of a hair, so the incision is very hidden and not easy to be found, which can remove excess fat in the orbit, at the same time remove loose skin and alleviate local wrinkles. Of course, the technical level of cutting and sucking is relatively high. When removing excess skin and fat, it is necessary to improve the deterioration of lower eye bags and fat protrusion, and even remove part of loose skin. The operation time is about 2 hours, and the stitches can be removed 5-6 days after operation.
Surgical methods: cut the skin along the lower eyelid margin, under the eyebrow 1 mm, take out excess fat, cut off loose excess skin and muscles, and tighten the suture; External incision to remove eye bags: cut the skin near the lower eyelid margin (equivalent to the position of the lower eyeliner), remove the orbital fat, tighten the orbicularis oculi muscle, sew it on the orbital periosteum, cut off the excess skin, and sew the incision. For orbicularis oculi muscle hypertrophy, part of orbicularis oculi muscle can also be removed.
Advantages: it is suitable for the elderly with loose skin and serious eye bags; (1) It is effective to remove excess skin, tighten orbicularis oculi muscle, remove fat and remove the causes of eye bags. (2) Relaxation of skin and orbicularis oculi muscle was corrected.
Disadvantages: (1) There are scars on the eyelid edge. Although skilled doctors can hardly see scars, they have high technical requirements for doctors. (2) The wound needs to be covered with strip gauze. Although it does not affect vision, it needs to be covered for 24 hours to remove it.
Suitable for people: suitable for people with loose skin, wrinkles and puffiness under eyes.
Generally speaking, the internal cutting method is more suitable for young friends with good skin elasticity and light bags under eyes, while the external cutting method is more suitable for friends with loose skin and heavy bags under eyes.
2. Remove the internal path of eye bags
Conjunctival approach: it is suitable for young and middle-aged people whose lower eye bags are obviously raised, but their lower eyelid skin is not slack and wrinkles are not obvious. From the conjunctival approach, the incision length is 8- 12 mm, and the orbital fat can be removed. The method is simple, the injury is small, the swelling is not obvious, and it can be recovered in one week without suture. Judging from the appearance of the eyes, there is no trace of the knife edge, which is not easy to be found.
Operation method: the opening in the eye plate was 65438±0cm, and the fat was removed without suture. Removal of eye bags: Open the lower eyelid and make a small incision on the inside of the eyelid (near the eyeball) to remove the fat in the orbit, thus eliminating or reducing the eye bags.
Advantages: suitable for young people who only highlight orbital fat and have no skin relaxation. There was only a 5 mm incision in the operation, and it recovered without a trace in one day. Through this small incision, the fat can be completely removed (the patient can see it himself), the sagging and loose tissue can be lifted up, and the lower eyelid can be tightened. The operation risk is small and the operation effect is lasting (1). The incision is on the inside of eyelid, and there is no scar on facial skin. (2) Less trauma and quick recovery. (3) There is no wound on the face, so it does not need to be covered with gauze. Disadvantages are: you can't tighten loose skin and orbicularis oculi muscle, so it's not ideal for people with loose skin and heavy orbicularis oculi muscle and eye bags, and it's only suitable for people with light eye bags.
Suitable for people: suitable for young, firm, wrinkle-free, elastic skin with only excess fat swelling in the lower eyelid. Need to be reminded that pouch surgery is not as simple as it seems. Only through the rich clinical experience and correct judgment of doctors in regular hospitals can we get the best cosmetic effect and avoid the complications of surgery.
Eliminate the misunderstanding of eye bags
Myth 1: It's better to cut bags under your eyes than to cut bags under your eyes.
The causes of pouch formation are very complicated, and genetic factors, physiological reasons and living habits may all form pouch. As long as the skin around the eyes can't hold up the accumulated fat and the fat bulges, bags under the eyes will appear. For different reasons, different methods of removing bags under eyes are suitable for different types of bags under eyes. Over 40 years old, the lower eyelid skin is slack, or there are obvious wrinkles in moderate and severe bags under the eyes, and the orbicularis oculi muscle hypertrophy (false bags under the eyes) is suitable for external bag surgery. Because of the typical pouch caused by orbital septum bulging, there is no obvious skin relaxation and skin wrinkles in the lower eyelid. Such people generally refer to young people. Young people's skin elasticity and orbicularis oculi muscle strength are good, and the skin around the eyes is generally characterized by no relaxation and no wrinkles. Therefore, young people generally use the incision of eye bags to achieve the effect of removing eye bags.
Therefore, the best way to remove eye bags is to suit yourself.
Myth 2: The more fat under the eyes, the better.
Extremes must be reversed. Orbital septal fat has normal physiological function, which can support the eyeball and communicate behind it. If the fat is excessively removed, the lower eyelid will lose its support and cause depression. Therefore, degreasing only depends on the specific situation.
Myth 3: Surgery on eye bags can only achieve the effect of removing eye bags.
The operation of pouch, especially the operation of removing pouch by external incision, can not only achieve the effect of removing pouch, but also release the fat of orbital septum by using the removed fat waste, and fill the lacrimal passage after trimming, killing two birds with one stone.
What is a nasty pouch?
1, the pouch is inverted triangle, which is larger, and the lying silkworm is oval, which is longer and smaller;
2, eye bags can be seen even if they don't laugh, while lying silkworms need to laugh to see them;
3. The protrusion 4-7 mm from the lower eyelash is a lying silkworm, but the protrusion from the lower eyelid belongs to the pouch;
4, silkworms are the same as skin color, but the bags under the eyes are generally a little black;
5, sleeping silkworm eyes will be amiable and pleasing when they smile, but the bags under the eyes make people look old and fierce.