2) technical principle

Double eyelid repair with catgut embedding refers to the repair operation due to the failure of catgut embedding to cut double eyelids. Generally, after double eyelid surgery, repair surgery should be performed at an appropriate time interval, usually 3-6 months, and then repair should be performed after the surgical site is completely healed. This repair method is usually suitable for cases where the double eyelid line is not obvious and subcutaneous nodules are formed after catgut embedding. According to different specific conditions, methods such as incision, thread embedding and suture can be used for repair and treatment.

3) Adapt to the crowd and taboo crowd

① Adapt to the crowd: adapt to the situation that the lines of double eyelids are not obvious and subcutaneous nodules appear after operation.

② Taboo crowd

A. During pregnancy or menstruation, due to medication and blood coagulation disorder, so as not to affect the fetus or bleeding during operation. ?

B those with severe scar constitution or abnormal coagulation mechanism should explain to the doctor in advance. ?

C. If there are infectious diseases inside and outside the eyes, they should be cured before operation. ?

D in previous operations, those who are obviously allergic to local anesthetics or anti-anesthetic drugs should inform the surgeon. ?

E. If the predicted operation fails to achieve the expected effect, it should be treated with caution. ?

F. People suffering from certain infectious diseases, mental illness or mental unsound and unstable. ?

G People who have high expectations for surgery, lack of psychological preparation and unrealistic requirements are not suitable for plastic surgery.

4) Cost: 2000- 15000 yuan.

5) Technical methods

① The patient stays in bed, and the operating area and its surroundings are disinfected.

② Anesthesia, generally using local anesthesia.

③ Appropriate surgical methods should be adopted according to specific conditions.

A. The double eyelid line is not obvious after catgut embedding: If the eyelid is thin or the double eyelid line is not obvious, catgut embedding or suture can be used for ligation and repair; Such as bleb swelling, epicanthus swelling, upper eyelid skin relaxation, etc., excess skin, orbicularis oculi muscle or orbital fat can be repaired by incision.

B subcutaneous nodules formed after catgut embedding: those with double eyelids only. Some threads are close to the epidermis, which can be knotted after the double eyelid line is formed, or cut to remove the subcutaneous knot and cut again to make double eyelids.

6) Risks and complications

① Hyperemia and swelling of subcutaneous tissue: common, generally without special treatment, and can be absorbed by itself in about a week.

② Local hematoma: If there is a hematoma, you should go to the hospital in time.

③ Infection: Like double eyelid surgery, the failure of double eyelid repair may lead to infection. Once found, it should be handled in time.

④ Upper eyelid depression: excessive fat is cut off during repair, which can be repaired again by fat transplantation.

⑤ Lower eyelid ectropion: mild ectropion, which can recover after 2-3 months. Serious need to be repaired by surgery again.

7) Recovery time

Remove stitches 5-7 days after operation; The swelling was obvious within one week, and gradually decreased in 2 ~ 3 weeks; Then you can return to normal work, and it may take longer to fully recover, which depends on the patient's own situation. Six months to one year after operation, the scar of incision line completely subsided, forming a natural double eyelid effect.

8) Precautions

① Precautions before operation

A. Smoking and alcohol should be banned for two weeks before operation, and oral aspirin or aspirin-containing drugs and Chinese patent medicines with the function of promoting blood circulation should be avoided.

B try to understand the risks of surgery and possible diseases, and prepare for these diseases just in case.

C prepare sunglasses (to cover the wound) and ice packs (to ice the wound after operation) before operation.

D. don't put on makeup before the operation.

② Precautions after operation

A. keep the wound clean to prevent infection. Routine oral antibiotics.

Be careful not to wet the wound when washing your face. If there is blood scab or secretion on the wound, wipe it with sterile saline or medical alcohol according to the doctor's advice.

C cold compress with ice pack within 48 hours after operation, and hot compress after 48 hours of slight pressure, but the pressure should not be too high to avoid eye injury.

D. Pay attention to avoid external shock, strenuous exercise or changeable mood, which may cause bleeding, congestion or hematoma.

E. Half-lying position at rest (raising the pillow) to avoid eye fatigue or lowering the head to aggravate the swelling of the wound.

F. Rest in a quiet and comfortable environment. Prevent excessive mood swings. Indoor air should be fresh and kept at a proper temperature. There is also a month to ban alcohol, avoid spicy food, and try to eat less seafood, mutton, fish and so on. Chinese patent medicines such as aspirin, warfarin, promoting blood circulation and removing blood stasis are also banned.

3. Korean double eyelid repair

1) label: operation, first-class operation.

2) technical principle

Korean double eyelid repair refers to the improvement and repair of unsatisfactory double eyelids after the failure of Korean double eyelid surgery, so as to achieve better results. According to everyone's situation, choose the appropriate repair method. Repair surgery should generally be performed at an appropriate time interval after double eyelid surgery, usually 3-6 months, and then after the surgical site is completely healed.

3) Adapt to the crowd and taboo crowd

① Adapting to the crowd: It is suitable for the situation that the double eyelids are asymmetrical and narrow after Korean double eyelid surgery, resulting in a triangular eye.

② Taboo crowd

A. During pregnancy or menstruation, due to medication and blood coagulation disorder, so as not to affect the fetus or bleeding during operation. ?

B those with severe scar constitution or abnormal coagulation mechanism should explain to the doctor in advance. ?

C. If there are infectious diseases inside and outside the eyes, they should be cured before operation. ?

D in previous operations, those who are obviously allergic to local anesthetics or anti-anesthetic drugs should inform the surgeon. ?

E. If the predicted operation fails to achieve the expected effect, it should be treated with caution. ?

F. People suffering from certain infectious diseases, mental illness or mental unsound and unstable. ?

G People who have high expectations for surgery, lack of psychological preparation and unrealistic requirements are not suitable for plastic surgery.

4) Cost: 4,000-15,000 yuan.

5) Technical methods

① The patient stays in bed, and the operating area and its surroundings are disinfected.

② Anesthesia, generally using local anesthesia.

③ Appropriate surgical methods should be adopted according to specific conditions.

A. The double eyelids are too narrow after incision: For those whose double eyelids are too narrow, the upper eyelid skin can be cut and separated according to the original double eyelid line. When the tarsal plate is sutured, the upper edge of the incision is selected to widen the double eyelids.

B. Asymmetry of double eyelids after incision: For those with asymmetric double eyelids, incision can generally be used to trim the excessively narrow double eyelids to be consistent with the contralateral double eyelids.

C. triangle eye: the inner canthus segment is too wide when designing the double eyelid line. The double eyelid line can be redesigned to widen the middle and outer width of the double eyelid line. The operation method is to cut the skin according to the original double eyelid line, cut off a part of the upper eyelid skin in the middle and outside of the upper edge of the incision, so that the inside, the middle and the outside are equally wide, or the inside is narrow and the outside is wide, and then suture to form a parallel double eyelid or a wide-tailed double eyelid.