Facial liposuction and face-lifting
1. Syringe facial liposuction and face-lifting
1) Tags: surgery, primary to secondary surgery
2) Technical Principle
Injector facial liposuction for face-lifting uses surgical methods to create tiny incisions in the skin, and then uses the vacuum negative pressure generated by the syringe to suction the pretreated local subcutaneous fat on the face through this incision. To achieve the purpose of face slimming. Among the common suction sites are the fat in the maxillary sinus area and parotid gland area of ??the cheek. Accumulated fat tissue can also be seen in the malar area and mandibular angle. Other parts such as the nose, forehead, lips, ears, etc. are generally not suitable. For liposuction, the fat under the eye bags is no longer within the scope of suction. Clinical trials have proven that there are certain risks here. In addition, syringe facial liposuction is more time-consuming and labor-intensive, and the pain during the fat suction process is obvious.
3) Applicable groups and taboo groups
① Applicable groups
a People with mild increase or accumulation of facial subcutaneous fat.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, liver disease, diabetes, abnormal coagulation function and impaired facial function.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those with infection foci on local facial skin.
e Those who have psychological barriers, high expectations and too strict requirements on facial contours.
f Patients with pathological facial obesity may decide whether to undergo surgery after the original disease is cured or controlled.
g Menstrual and lactating women.
4) Preoperative design
① Draw out the pretreatment suction site and range before surgery.
② Design the incision: The incision location is generally chosen to be concealed and accessible to the liposuction tube.
5) Technical methods
① Place the patient in the supine position and perform routine disinfection.
② Local or general anesthesia. (Tumescent technique is generally used, which is effective, simple and safe, and is the preferred anesthesia method for liposuction.)
③ Incise the skin according to the designed incision position.
④ Use a syringe to perform facial liposuction.
⑤ Massage of liposuction area.
⑥ Suture the skin incision and bandage it with pressure.
6) Risks and complications
① The operation is difficult and there is a possibility of false buccal fat pad herniation.
② Hematoma and seroma: A relatively common complication after liposuction, which often appears about a week after the operation. Once it occurs, you should seek medical treatment in time.
③ Infection: There is a possibility of infection during liposuction. Once it occurs, you should seek medical treatment and change the dressing in time.
④ Skin numbness or pain, subcutaneous induration and pigmentation caused by damage to the blood vessel network, etc.
⑤ Skin ischemia and necrosis: Skin ischemia and necrosis may occur during liposuction. After this occurs, try to protect the surrounding skin and seek medical treatment as soon as possible.
⑥ Peripheral nerve damage: The depth of suction may cause nerve damage.
⑦ Local unevenness: It is related to the suction plane and the amount of suction. If it occurs, you should seek medical treatment again after the swelling has completely subsided.
⑧ Skin and muscle adhesion: The adhesion of local skin and facial muscles should be related to the amount of liposuction, and timely medical treatment should be sought after occurrence.
⑨ In male patients, hair follicle damage is likely to occur after liposuction in the beard growth area.
⑩ Pulmonary embolism and fat embolism syndrome are serious complications, but they rarely occur.
7) Recovery time
You can live a normal life in about 7 days after surgery.
8) Precautions
① Facial liposuction is technically difficult, so you need to find a regular hospital or institution for treatment.
② Stimulating food should be avoided after surgery.
③ Facial skin (except the chin) has poor retraction and those with severe skin laxity should not undergo liposuction to avoid aggravating the skin laxity after suction.
④ Follow the precautions prescribed by the doctor.
2. Facial electric negative pressure liposuction for face slimming
1) Tags: surgery, primary to secondary surgery
2) Technical principles
< p>Facial electric negative pressure liposuction for face-lifting uses surgical methods to create tiny incisions in the skin, and uses an electric suction device or a special negative pressure liposuction machine to connect the liposuction catheter and different types of metal suction tubes to achieve a vacuum in the sealed bottle. Negative pressure, equivalent to one atmospheric pressure (100kPa), can suck out fat through the incision to achieve face slimming. Electric negative pressure liposuction for face-lifting is time-consuming and labor-intensive, causing serious damage and obvious pain. However, the sucked-out fat can be reused after purification.3) Applicable groups and contraindication groups
① Applicable groups
a People with mild local subcutaneous fat increase or deposition.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, liver disease, diabetes, abnormal coagulation function and impaired facial function.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those with infection foci on local facial skin.
e Those who have psychological barriers, high expectations and too strict requirements on facial contours.
f Patients with pathological facial obesity cannot undergo surgery until the primary disease is cured and not controlled.
g Menstrual and lactating women.
4) Preoperative design
① Draw out the pretreatment suction site and range before surgery.
② Design incisions: Design 1-2 incisions at a location that is both hidden and accessible to the metal liposuction tube.
5) Technical methods
① Place the patient in the supine position and undergo routine disinfection.
② Local or general anesthesia. (Generally, swelling technique is used, which is effective, simple and safe)
③ Incise the skin according to the designed incision position.
④ Use a metal suction tube for facial fat suction.
⑤ Massage of liposuction area.
⑥ Suture the skin incision and bandage it with pressure.
6) Risks and complications
① The operation is difficult and there is a possibility of false buccal fat pad herniation.
② In male patients, hair follicles are easily damaged after liposuction in the beard growth area.
③ Hematoma and seroma: A relatively common complication after liposuction, which often appears about a week after the operation. Once it occurs, you should seek medical treatment in time.
④ Infection: There is a possibility of infection during liposuction. Once it occurs, you should seek medical treatment and change the dressing in time.
⑤ Skin numbness or pain, subcutaneous induration and pigmentation caused by damage to the blood vessel network, etc.
⑥ Skin ischemia and necrosis: Skin ischemia and necrosis may occur during liposuction. Once this occurs, try to protect the surrounding skin and seek medical attention as soon as possible.
⑦ Peripheral nerve damage: Nerve damage caused by the depth of suction is generally temporary and can be recovered gradually.
⑧ Local unevenness: It is related to the suction plane and the amount of suction. Once it occurs, you should seek medical treatment again after the swelling has completely subsided.
⑨ Skin and muscle adhesion: The adhesion between local skin and facial muscles may be related to the amount of liposuction. Once it occurs, you should seek medical treatment in time.
⑩ Pulmonary embolism and fat embolism syndrome are serious postoperative complications, but they rarely occur.
7) Treatment and recovery time
You can live a normal life about 7 days after the surgery.
8) Precautions
① Facial liposuction is technically difficult, so you need to find a regular hospital or institution for treatment.
② Stimulating food should be avoided after surgery.
③ Facial skin (except the chin) has poor retraction and those with severe skin laxity are not suitable for liposuction to avoid aggravating the skin laxity after suction.
④ Follow the precautions prescribed by the doctor.
3. Facial ultrasound liposuction and face slimming
1) Tags: surgery, primary to secondary surgery
2) Technical principles
Facial ultrasonic liposuction is a method of surgically creating tiny incisions in the skin. A high-energy low-frequency ultrasonic metal probe is used to apply ultrasonic energy to the area to be liposuction. Its physical and chemical effects selectively destroy subcutaneous fat tissue and generate fat emulsion. Use negative pressure suction to pull it out of the body to achieve face slimming. The thermal effect of ultrasonic liposuction may burn the skin, and may also have long-term effects on the skin, such as DNA damage, cancer, etc. Therefore, although ultrasonic liposuction is more effective and recovers quickly, it does cause damage, takes a long time to operate, and is not suitable for superficial layers. Fat aspiration.
3) Applicable groups and contraindication groups
① Applicable groups
a People with mild local subcutaneous fat increase or deposition.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, diabetes, liver disease, abnormal coagulation function, impaired facial function, etc.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those with infection foci on local facial skin.
e Those who have psychological barriers, high expectations and too strict requirements on facial contours.
f Patients with pathological facial obesity may decide whether to undergo surgery after the original disease is cured or controlled.
g Menstrual and lactating women.
4) Preoperative design
① Draw out the pretreatment suction site and range before surgery.
② Design the incision: The location of the incision is generally chosen to be concealed and within reach of the metal probe.
5) Technical methods
① Place the patient in the supine position and perform routine disinfection.
② Local or general anesthesia. (Tumescent technique is generally used and is the preferred anesthesia method for liposuction.)
③ Incise the skin according to the designed incision position.
④ Insert the ultrasound probe into the incision.
⑤ Continue to slowly move the probe back and forth to emulsify and aspirate fat.
⑥ The negative pressure liposuction device sucks out the emulsified fat.
⑦ Massage of liposuction area.
⑧ Suture the skin incision and bandage it with pressure.
6) Risks and complications
① Punctate ecchymosis and hematoma: The longer action time of the hollow titanium probe and the larger amount of fat removed may lead to punctate ecchymosis and hematoma. Occurrence of hematoma.
② Uneven or asymmetrical skin: due to uneven liposuction.
③ Bleeding: Using the metal probe for too long may cause the surface to be uneven and burrs to appear, thus causing greater tissue damage and bleeding.
④ Infection: There is a possibility of infection. If it occurs, you should seek medical treatment in time.
⑤ Skin necrosis: The sensitivity of the vascular network and fat cells to ultrasound causes thermal damage, and skin necrosis may occur.
⑥ Skin hypoaesthesia and allergies: temporary sensory neuritis, which can be relieved by itself in the short term.
⑦ Thermal damage: At the skin incision, thermal damage may be caused by probe friction and continuous probe movement. Once it occurs, you should seek medical treatment in time.
⑧ Body fluid disorder: The injection of swelling fluid may cause hypovolemia in the body, causing charge balance disorder, sodium retention, and ultimately leading to body fluid balance disorder.
⑨ Other complications: such as skin numbness or pain, pigmentation, skin induration, etc.
A very small number of obese people may suffer serious complications such as venous embolism, fat embolism, and pulmonary embolism due to the excessive amount of fat being suctioned, but these complications are generally rare.
7) Recovery time
You can live a normal life in about 7 days after surgery.
8) Precautions
① Preoperative Precautions
a Before surgery, make sure you are in good health and have no infectious diseases or other body inflammations.
b Middle-aged and elderly patients need to have their blood pressure measured and electrocardiogram performed when necessary.
c Do not wear makeup before surgery.
d Men should quit smoking one week in advance.
② Precautions after surgery
a Do not eat spicy food in the immediate future after surgery.
b Light activities should be performed in the early postoperative period.
c Do not bathe for 3-5 days after surgery to avoid contaminating the wound.
d Follow the precautions given by your doctor.
4. Facial electronic liposuction and face slimming
1) Tags: surgery, primary to secondary surgery
2) Technical principles
Facial electronic liposuction requires tiny incisions. The high-frequency electric fields generated by positive and negative electrodes are used to create the "Joule heating effect", which destroys, cracks, and liquefies the fat cell membranes accumulated under the skin of the face into a chylous shape. At the same time, negative pressure is used to break the broken fat cells. The fat mixture is extracted from the body to achieve face slimming. Electronic liposuction is less painful, and the extracted fat is destroyed and cannot be reused.
3) Applicable groups and contraindication groups
① Applicable groups
a People with mild local subcutaneous fat increase or deposition.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, liver disease, diabetes, abnormal coagulation function and impaired facial function.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those with infection foci on local facial skin.
e Those who have psychological barriers, high expectations and too strict requirements on facial contours.
f For patients with pathological facial obesity, surgery may be decided based on the circumstances after the original disease is cured or controlled.
g Menstrual and lactating women.
4) Preoperative design: Mark out the pretreatment suction site and range before surgery.
5) Technical methods
① Place the patient in the supine position and perform routine disinfection.
② Insert the needle electrode into the deep layer of subcutaneous fat tissue from a relatively hidden place.
③ Inject anesthetic solution from the tail end of the needle electrode. (Tumescent technique is generally used and is the preferred anesthesia method for liposuction.)
④ Move the electrode to emulsify the fat.
⑤ The negative pressure liposuction device sucks out the fat mixture.
6) Risks and complications
① Hematoma and seroma: a common complication after liposuction, which often appears about a week after surgery. Once it occurs, you should promptly Seek medical attention.
② Infection: There is a possibility of infection during liposuction. Once it occurs, you should seek medical treatment and change the dressing in time.
③ Pigmentation: Pigmentation may occur due to the destruction of the vascular network after surgery.
④ Skin numbness or pain, subcutaneous induration, etc.
⑤ Skin ischemia and necrosis: Skin ischemia and necrosis may occur during liposuction. Once this occurs, try to protect the surrounding skin and seek medical attention as soon as possible.
⑥ Peripheral nerve damage: Nerve damage caused by the depth of suction is generally temporary and can be recovered gradually.
⑦ Local unevenness: Once it occurs, you should seek medical treatment again after the swelling has completely subsided.
⑧ Skin and muscle adhesions: Local adhesion between skin and facial muscles should be related to the amount of liposuction. Once it occurs, you should seek medical treatment in time.
⑨ Pulmonary embolism and fat embolism syndrome are serious postoperative complications, but they rarely occur.
7) Recovery time
You can live a normal life in about 7 days after surgery.
8) Precautions
① Preoperative Precautions
a Before surgery, make sure you are in good health and have no infectious diseases or other body inflammations.
b Middle-aged and elderly patients need to have their blood pressure measured and electrocardiogram performed when necessary.
c Do not wear makeup before surgery.
d Men should quit smoking one week in advance.
② Precautions after surgery
a Do not eat spicy food in the immediate future after surgery.
b Light activities should be performed in the early postoperative period.
c You cannot bathe for 3-5 days after surgery to avoid contaminating the wound.
d Follow the precautions given by your doctor.
5. Facial Vibration Liposuction and Face Slimming
1) Tags: Surgery, primary to secondary surgery
2) Technical principles
Facial vibratory liposuction for face-lifting requires micro incisions. The main principle is to introduce ultrasonic waves of a specific frequency into the deep fat layers under the facial skin to produce a strong "cavitation effect", and then use a vibratory liposuction device. Under the control of the vibration generator, the suction tube emits vibrations with the same natural frequency as the adipose tissue, which can vibrate with the adipose tissue, selectively break the adipose tissue and suck it out with mild negative pressure. Without damaging the skin, blood vessels and nerves, vibration liposuction combines the advantages of various liposuction techniques and is a good face-lifting method.
3) Applicable groups and contraindication groups
① Applicable groups
a People with mild local subcutaneous fat increase or deposition.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, abnormal coagulation function, liver disease, diabetes, or impaired facial function.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those with infection foci on local facial skin.
e Those who have psychological barriers, high expectations and too strict requirements on facial contours.
f For patients with pathological facial obesity, surgery can only be decided based on the circumstances after the original disease is cured or controlled.
g Menstrual and lactating women.
4) Preoperative design: Mark out the pretreatment suction site and range before surgery.
5) Technical methods
① Place the patient in the supine position and perform routine disinfection.
② Inject anesthetic into the deep fat layer. (Tumescent technique is generally used, which is effective, simple and safe, and is the preferred anesthesia method for liposuction.)
③ Apply ultrasound to the area to be liposuctioned.
④ Insert the vibrating liposuction device from a relatively hidden place or enter the deep layer of subcutaneous fat tissue from a micro-incision.
⑤ Use a low negative pressure liposuction device to suck out the emulsified fat.
6) Risks and complications
① Hematoma and seroma: a common complication after liposuction. Once it occurs, you should seek medical treatment in time.
② Infection: There is a possibility of infection. Once it occurs, you should seek medical treatment and change dressings in time.
③ Pigmentation: Pigmentation may occur due to the destruction of the vascular network after surgery.
④ Skin numbness or pain, subcutaneous induration, etc.
⑤ Skin ischemia and necrosis: Skin ischemia and necrosis may occur. Once it occurs, try to protect the surrounding skin and seek medical treatment as soon as possible.
⑥ Peripheral nerve damage: Nerve damage caused by the depth of suction is generally temporary and can be recovered gradually.
⑦ Local unevenness: It is related to the suction plane and the amount of suction. Once it occurs, you should seek medical treatment again after the swelling has completely subsided.
⑧ Skin and muscle adhesion: Once it occurs, you should seek medical treatment in time.
⑨ Pulmonary embolism and fat embolism syndrome are serious postoperative complications, but they rarely occur.
7) Recovery time
You can live a normal life in about 7 days after surgery. In the early postoperative period, you need to take painkillers for pain relief and wear an elastic mask at night for about 3-4 weeks. Generally speaking, it takes 1-3 months after the operation for the tissue edema to subside and the broken fat cell fragments to be absorbed, so that the ideal facial shaping effect can be achieved.
8) Precautions
① Preoperative Precautions
a Before surgery, make sure you are in good health and have no infectious diseases or other body inflammations.
b Middle-aged and elderly patients need to have their blood pressure measured and electrocardiogram performed when necessary.
c Do not wear makeup before surgery.
d Women should avoid menstruation and lactation.
e Men should quit smoking one week in advance.
② Precautions after surgery
a Do not eat spicy food in the immediate future after surgery.
b Light activities should be performed in the early postoperative period.
c Do not bathe for 3-5 days after surgery to avoid contaminating the wound.
d Follow the precautions given by your doctor.
6. Facial hydrodynamic liposuction for face-lifting
1) Tags: surgery, primary to secondary surgery
2) Technical principles
The full name of "hydrodynamic liposuction" is Body-Jet hydrodynamic-assisted liposuction system, also commonly known as "360° spiral water jet weight loss". The application technology of the hydrodynamic liposuction system is the latest generation of minimally invasive liposuction technology, which does not require skin incisions. Its core is to use a spiral water jet to precisely act on the target tissue through pressurized water flow to selectively separate fat cells. The damage to blood vessels and nerves is much less than traditional liposuction. This technology shows the advantages of rapid treatment, obvious results, and low risks. Hydrodynamic liposuction can reduce the absolute amount of facial fat, but the absolute amount of human fat will not increase, thus achieving a face-slimming effect.
3) Applicable groups and contraindication groups
① Applicable groups
a People with mild local subcutaneous fat increase or deposition.
b Those who are willing to have beauty treatments.
② Contraindications
a People with excessive accumulation of subcutaneous fat on the face.
b People with cardiovascular and cerebrovascular diseases, liver disease, diabetes, abnormal coagulation function, or impaired facial function.
c Those who have been taking anticoagulants, vasodilators, corticosteroids and other drugs for a long time or are currently taking them.
d Those who are older.
e Women who smoke, are menstruating or breastfeeding.
f Patients with pathological facial obesity may decide whether to undergo surgery after the original disease is cured or controlled.
4) Preoperative design: Mark out the pretreatment suction site and range before surgery.
5) Technical methods
① Place the patient in the supine position and perform routine disinfection.
② Use an intelligent induction liposuction probe to inject anesthetic deep into the fat.
③ Perform liposuction on facial fat accumulation areas.
6) Risks and complications
① Hematoma and seroma: a common complication after liposuction, which often appears about a week after surgery. Once it occurs, you should promptly Seek medical attention.
② Infection: There is a possibility of infection during liposuction. Once it occurs, you should seek medical treatment and change the dressing in time.
③ Pigmentation: Pigmentation may occur due to the destruction of the vascular network after surgery.
④ Skin numbness or pain, subcutaneous induration, etc.
⑤ Skin ischemia and necrosis: Skin ischemia and necrosis may occur during liposuction. Once this occurs, try to protect the surrounding skin and seek medical treatment as soon as possible.
⑥ Peripheral nerve damage: Nerve damage caused by the depth of suction is generally temporary and can be recovered gradually.
⑦ Local unevenness: It is related to the suction plane and the amount of suction. Once it occurs, you should seek medical treatment again after the swelling has completely subsided.
⑧ Skin and muscle adhesion: The adhesion between local skin and facial muscles should be related to the amount of liposuction. Once it occurs, you should seek medical treatment in time.
⑨ Pulmonary embolism and fat embolism syndrome are serious postoperative complications, but they rarely occur.
7) Recovery time: You can return to normal life in about 7 days after surgery.
8) Precautions
① Be sure to consult a professional plastic surgeon and clarify your liposuction site and amount according to the communication.
② Strictly follow the doctor’s instructions for post-operative care, properly bandage, anti-inflammation, and perform hygienic cleaning.
③ You can do moderate and light exercise for a few days after the operation to help with facial recovery.
④ Do not overeat after surgery, and do not go on a diet or eat spicy foods. Proper diet and exercise are the long-term solution to maintain facial beauty.
Buccal fat pad excision for face slimming
1. Tags: surgery, first-level surgery
2. Technical principles
Buccal fat pad Located between the skin and muscles of the buccal area, surrounded by the masseter, erector and zygomaticus major muscles, it is a leaf-like raised fat mass covered by a film. The total volume of the buccal fat pad is approximately 6.6cm Buccal fat pad excision is a surgical method to make an incision inside the mouth without scars, and remove an appropriate amount of buccal fat pad to make the cheeks slightly concave. The operation takes about 20 minutes and does not require hospitalization.
3. Adaptable groups and taboo groups
1) Adaptable groups
① Consciously plump cheeks, round face or unclear local contours and surrounding boundaries, presenting People with "childlike" faces.
② Those who are willing to have beauty treatments.
2) Contraindications
① People with acute and chronic oral diseases.
② People with bleeding tendency and hypertension, active and progressive diseases of important organs such as heart, liver, lungs, kidneys, uncontrolled diabetes and infectious diseases.
③ Those with congenital amblyopia, inner or outer eyes, and acute or chronic infectious diseases around the eyes that have not been controlled and healed on their own; those who have been allergic to local anesthetics or anti-anesthetics during previous surgeries should Inform the surgeon.
④ Facial paralysis and incomplete closure of the palpebral fissures.
⑤ Those with infectious diseases inside and outside the eyes should be cured before surgery.
⑥ Those with excessive proptosis, excessive concavity or eyelid retraction due to various reasons.
⑦ Those with ptosis.
⑧ Those who have strange aesthetic concepts, do not meet normal standards, are mentally abnormal or have psychological disorders.
⑨ Smoking, menstrual and lactating women.
4. Technical method
① The patient is placed in a supine position.
② Disinfect facial skin and oral cavity.
③ Local infiltration anesthesia in the oral cavity.
④ Make a horizontal incision on the buccal mucosa in the oral cavity that is as deep as the submucosal, 1-2.5cm long.
⑤ Peel off the buccal fat pad and take it out.
⑥ Use electrocoagulation or ligation to stop bleeding.
⑦ Suture the incision and apply pressure bandage.
5. Risks and complications
① Infection: Infection can be caused by various reasons during the operation. You should rinse your mouth with oral cleaning solution regularly after the operation. If the infection is serious, you should Seek medical attention promptly.
② Swelling: The postoperative swelling period is longer and lasts for 1-2 months.
③ Hematoma: If there is incomplete hemostasis or blood vessel damage during the operation, it may lead to hematoma. Once discovered, you should seek medical treatment in time.
④ Petechiae: There is a possibility of ecchymosis after surgery, but it usually disappears spontaneously within the next 1-2 weeks
⑤ Injury to the parotid duct, zygomatic branch and buccal branch of the facial nerve : There are many nerves and blood vessels at the surgical site, which may cause damage. If the injury is minor, the catheter nerve trauma can repair and heal on its own; if the injury is severe, seek medical attention in time.
⑥ The deep tissues of the cheek may become hardened due to swelling and the skin may feel numb.
6. Recovery time
If the swelling and bleeding of the cheek compression bandage are not obvious on the second day after surgery, the bandage can be removed. The stitches can be removed in 6-7 days and 10-20 days. You can resume normal work and life in the future.
7. Precautions
1) Preoperative Precautions
① As age increases, the buccal fat pad will naturally shrink and become smaller in size. Early removal of the buccal fat pad will make the depression in the cheeks more obvious in old age, resulting in a "slumped cheek" or "cheek" appearance, which will have little impact on the bite function of the teeth. Therefore, when choosing buccal fat pad removal surgery, you should Think carefully.
② Facial liposuction is technically difficult, so you need to find a regular hospital or institution for treatment.
③ Do not take aspirin-containing drugs within two weeks before surgery, as it will affect blood coagulation function.
④ Make sure you are in good health before surgery.
⑤ Do not wear makeup before surgery.
⑥ Men should quit smoking one week ago.
2) Precautions after surgery
① Prevent infection at all times after surgery and keep the mouth clean.
② You should rest after the operation, and strenuous exercise can only be done after a few weeks.
③ Stimulating food should be avoided after surgery.
④ There will be slight pain in the wound after surgery, but it will gradually subside. Therefore, do not rush to take painkillers, as it will aggravate window bleeding and lead to hematoma.
⑤ Ice packs can be used to apply cold compresses to local wounds after surgery. The pressure should not be too high to avoid damaging the surgical site.
⑥ Try to avoid getting the surgical site wet within 15 days after surgery.
⑦ Follow the precautions prescribed by the doctor.
Botulinum toxin injection for face slimming
1. Label: non-surgical, level 1
2. Technical principles
Medium-shaped face The hypertrophy of the mandibular angle is a major factor that affects the facial contour. There are two main reasons for the hypertrophy of the mandibular angle. One is the bony hypertrophy of the mandibular angle, and the other is due to the overdevelopment of the masticatory muscles on the sides of the mandibular angle protruding out on both sides. Caused by gills. Studies have found that simple masseter muscle hypertrophy is the essential cause of masticatory muscle hypertrophy. Masseter muscle hypertrophy is usually asymptomatic and can be unilateral or bilateral. It may be related to excessive chewing and night grinding, making the face appear nearly square, which is not conducive to aesthetics.
Botulinum toxin type A is currently the most widely used neurotoxin in clinical practice. It is called "face-slimming injection" on the market. It can block the release of acetylcholine at the neuromuscular junction, causing temporary, Reversible cholinergic nerve conduction blockade, causing muscle relaxation and paralysis. Botulinum toxin type A acts on the masseter muscle, which can gradually atrophy the masseter muscle to achieve the purpose of slimming the face.
3. Applicable groups and contraindication groups
1) Applicable groups
① People with simple masseter muscle hypertrophy (that is, benign masseter muscle hypertrophy).
② Those who are willing to have beauty treatments.
2) Taboo groups
① Smoking, menstruating and lactating women.
② Children under 12 years old.
③ After drinking.
④ People with myasthenia gravis and multiple sclerosis.
⑤ Those who are using aminoglycoside antibiotics.
⑥ People who are very thin.
⑦ Those with allergies.
⑧ Those suffering from severe heart, liver, kidney, lung diseases and connective tissue diseases.
4. Preoperative planning: Design and mark the injection point.
5. Technical methods
① The patient is placed in a supine position.
② Routine disinfection of the skin at the injection site.
③ Inject botulinum toxin type A into the muscles at different points at the mandibular angles on both sides.
④ Injection every 6 months or so to ensure the efficacy.
6. Materials
Botulinum toxin, also known as botulinum toxin, was discovered by Professor E. Van Ermengem in Belgium in 1895. A neurotropic bacterial exotoxin produced. Botulinum toxin type A is one of its seven types. It can block the release of acetylcholine at the neuromuscular junction, produce temporary and reversible cholinergic nerve conduction block, and achieve damage to motor nerves. Chemical denervation.
Botulinum toxin type A can act on the symptoms of simple masseter muscle hypertrophy, causing the masseter muscle to relax, become paralyzed, weaken its contraction force, and ultimately cause the masseter muscle to atrophy, thereby achieving the purpose of face slimming. Botulinum toxin is currently the most extensively researched and clinically used neurotoxin, so it is safe and reliable.
7. Risks and complications
① Pain at the injection area: A small number of people have pain and no treatment is required.
② Bleeding or hematoma: caused by puncture of blood vessels during injection, generally no treatment is required.
③ Stiff expression: The result of weakened muscle strength after injection, which will disappear naturally within 2-8 weeks.
④ Anaphylactic shock: It may occur in a very small number of people. Once it occurs, you should seek medical treatment in time.
⑤ The effect is not long-lasting: The efficacy of botulinum toxin is 3-6 months, and repeated injections thereafter can make the effect more lasting.
8. Treatment course and recovery time
You can return to normal after botulinum toxin type A injection. Generally, weakness and relaxation of the masseter muscle will appear 2-3 days after the injection, which can be as early as 24 hours later. The peak effect usually comes after 7-14 days. This masseter muscle relaxation is time-limited and can generally be maintained within 3-6 months.
10. Precautions
① Do not use cosmetics on the day of injection.
② Aspirin and aminoglycoside antibiotics cannot be used two weeks before injection.
③ If the injection doses on both sides are not equal during the injection process, the muscle relaxation on both sides may be different, resulting in diplopia.
④ After the injection, the recipient should sit and rest instead of lying down and massage the injection site to prevent the spread of botulinum toxin type A.
⑤ Follow the precautions prescribed by the doctor.
Removing buccal fat pad to slim face
From a cosmetic point of view, the shape of the cheeks should not be too full and slightly concave. The contour structure around the cheek can be clearly identified. The anterior edge of the parotid gland and masseter muscle is its posterior boundary, the posterior edge of the nasolabial groove is its anterior boundary, the raised zygomatic process and zygomatic arch are its upper boundary, and the mandible has a clear outline. The body edge and mandibular angle are the lower limits of the cheeks. Currently, more and more people are paying attention to cheek beauty. During the preoperative examination, pinch the cheek skin with your hands and ask the patient to clench his teeth hard to identify whether the local fullness is due to excessive subcutaneous fat or the filling of the buccal fat pad. The most common reasons for seeking treatment for buccal fat pad resection are perceived cheek plumpness, round face, and unclear local contours and surrounding boundaries. Surgery to remove part of the buccal fat pad can improve the appearance of the cheeks.
Buccal fat pad removal for face slimming is performed through an intraoral incision, using special instruments for blunt dissection, to bluntly separate the buccal muscle fibers from the mucosa and submucosa of the incision, and open the buccal fat pad envelope protruding toward the incision. , gently press the cheek to gently remove the accumulated buccal fat pad, thereby achieving face slimming surgery. For people with round faces with "baby fat", it can significantly improve the facial shape. After buccal fat pad removal and face slimming, a smooth facial curve can be obtained. Used in conjunction with botulinum toxin injection, the face slimming effect is even better.