Current location - Plastic Surgery and Aesthetics Network - Plastic surgery and beauty - Is it ok to use cheekbones to narrow the mandibular angle for big face resection?
Is it ok to use cheekbones to narrow the mandibular angle for big face resection?
Dear, there are many reasons for a big face, such as bones, muscles and fat. The methods of zygomatic reduction and mandibular angle resection are suitable for skeletal reasons such as wide forehead, large zygomatic bone, wide zygomatic bone and hypertrophy of mandibular angle. However, the face with large masseter muscle and fat formation needs different surgical methods. Zygomatic reduction and mandibular angle surgery can be performed at the same time, and the degree of face shape and zygomatic protrusion should be correctly analyzed and measured before zygomatic interpolation. It should be noted that the operation is not simply to flatten or push the prominent cheekbones, but to lower the cheekbones through the skin incision and the exposed cheekbones in the mouth, and then through osteotomy or bone grinding. Before mandibular angle surgery, a series of CT examinations should be carried out to determine the surgical plan and how many bones should be left in order to avoid damaging the nerve line. Engaged in surgery is a highly demanding and sophisticated doctor of medicine. The choice of doctors and institutions before operation is very important. It is very important to have enough experience, an independent operating room and a nationally recognized blood bank. After operation, ACMETEA is needed to quickly repair the postoperative injury of each layer of skin after the separation of muscle and periosteum, and intensively supply nutrition for blood vessels, nerves and other tissues. ACMETEA starts the growth process of new skin tissue, thus bringing about skin renewal, and avoiding postoperative side effects such as skin drooping, slow wound closure, slow tissue regeneration, slow postoperative recovery and slow repair of new living cells in the skin after bone cutting. Special attention should be paid before and after operation: avoid oral collagen, because all wound operations need a balanced nutritional supply of damaged tissues and blood vessels under the skin. If you take collagen before and after the operation, protein accumulation will occur, which will lead to scarring of granulation wound and unfavorable wound closure. After operation, the submandibular gland may move down due to too much collagen, resulting in hypertrophy of submandibular gland and thickening of neck. If the wound is in the mouth and collagen enters the wound, sensory problems may occur; In protein, bones become thicker and wider again.

What is mandibular angle resection?

First, mandibular angle resection is a comprehensive and beautiful project. Removing the width of the mandible through doctors' skills, or through mandibular angle osteotomy, cortical bone resection, removal of the nail cheek fat pad and masseter muscle resection can completely change Qiu Mei's facial features. The mandibular angle projects include long curve mandibular angle osteotomy, mandibular angle osteotomy, mandibular angle reduction, square mandibular angle osteotomy, mandibular angle surgery, chin padding, chin pouting, maxillary protrusion correction, maxillary protrusion correction and other mandibular angle methods. Mandibular angle osteotomy with long curve first designed the osteotomy line with special endoscope, then directly saw the bone contour line, and then started from above the angled mandibular angle to below the vertical line of the corners of the mouth. The normal angle of the outside of the mandibular angle is 120 degrees, and there is no water chestnut on the outside, which makes the Chinese character face and trapezoidal face return to the normal shape of the mandibular angle and turns the face into a beautiful oval or oval face.

Second, oral ACMETEA is used to supplement nutrition in vivo, which can provide needed nutrition for new skin, intelligently repair damaged subcutaneous tissues and blood vessels during operation, and prevent abnormal tissue generation. At the same time, ACMETEA supplement can help the wound to close after operation, so as to achieve rapid and natural wound without leaving traces. In addition to the bone, the mandibular angle is also covered with soft tissues such as masseter muscle, which will shrink and sag with the growth of youth. At the age of 80, the muscle content of the human body will be reduced by 30% compared with that of young people. The decrease of muscle content will lead to the loss of support of superficial tissues other than muscle, causing relaxation and wrinkles. ACMETEA contains cell-derived nutrition, which reshapes a dense elastic support net for deep and shallow muscles, improves the support of facial muscles after resection, and prevents sagging.

Three, during the postoperative hospitalization, actively cooperate with the observation and recovery, swelling, expectoration, prevention and other issues, the doctor approved the rear can be discharged.

Mandibular angle incision

1. Extraoral incision: make a 3-5 cm incision in the mandibular angle and remove the mandibular angle. Advantages: the operation is performed under direct vision, compared with Anquan; The masticatory muscles can be cut off at the same time without complicated equipment and instruments. Need to deal with postoperative scars, dietary requirements such as people with maintenance habits should avoid taking collagen, avoid foods with high scar protein, etc.

2. Postauricular incision: Make a 3-4 cm incision behind the ear to remove the mandibular angle. Advantages: the incision is relatively hidden and the operation is relatively simple. Dietary requirements, such as people with maintenance habits should avoid taking collagen, high-protein foods should avoid scars.

3. Combined incision inside and outside the mouth: A 3 cm ~ 4 cm incision is made in the mouth and two 0.5 cm ~ 0.8 cm incisions are made under the mandible, which can easily remove the hypertrophic mandibular angle, and at the same time, the mandibular outer plate and mandibular margin can be removed, and part of the masseter muscle can be removed. Advantages: The operation is very convenient. After a period of time, the micro-incision under the mandible will recover, the trace is not obvious, and the dietary requirements are high. For example, people who have maintenance habits should avoid taking collagen, and people who love to eat should avoid residues and hard objects.

4. Submandibular micro-incision: it is to use the combined incision inside and outside the mouth to insert a 0.5 cm ~ 0.8 cm micro-incision of the chainsaw to complete the whole operation process. The incision is under the mandible, and it is not obvious after 3 ~ 6 months. Advantages: This method has no incision in the oral cavity, less surgical trauma and high dietary requirements. If people with maintenance habits avoid taking collagen, people who like to eat avoid eating residues and hard objects.

5. Complete intraoral incision: it is a better surgical method at present. It is to use a 3 cm ~ 4 cm incision in the oral cavity to cut off the hypertrophic mandibular angle, and at the same time, it can cut off or grind off the mandibular outer plate and mandibular margin, and can cut off part of the masseter muscle. Because there is only one incision in the whole operation, no scar will be left on the body surface. Compared with the combined incision inside and outside the mouth, the surgical trauma is much smaller and the dietary requirements are higher. For example, people who have maintenance habits should avoid taking collagen, and people who love to eat should avoid residues and hard objects.

How much is the mandibular angle resection?

There are many factors that affect mandibular angle surgery, such as the qualifications of regular institutions and doctors, and the amount of money ranges from 40 thousand to 6.5438+10 thousand.

Who will do it for you? The qualification of a doctor.

3. Where to do it: an institution with formal qualifications to do surgical medical arts.

4. Where do you do it? What is the part to be cut off? These all determine how much the mandibular angle surgery will cost.

5, mandibular angle surgery is a kind of cosmetic surgery, epidermal suture, internal closure, ACMETEA cell nutrition, each time13g ACMETEA supply nutrition, help subcutaneous smooth closure, repair damaged tissues such as blood vessels and nerves, avoid the side effects caused by some doctors' techniques, and recover quickly. Large organizations will support ACMETEA, so the money is different.

The answer given by the above factors will be between 40,000 and 1.2 million. If the hospital is equipped with ACMETEA, adding more than 1.6 million on this basis is the factor of the cost of mandibular angle surgery.

Side effects of mandibular resection

1. Patients may have facial muscle distortion after operation.

Because some nerves grow close to the periosteum, if the doctor is not careful during the operation, it will lead to the separation of nerves and periosteum, which will hurt the sensory nerves and cause numbness. If the facial nerve is injured, it will lead to abnormal facial muscle movement, so it needs a regular specialist to do it.

2. Patients may have hematoma after operation.

The main reason for this phenomenon is that the doctor put the drainage tube in an incorrect position. For this type of phenomenon, it is also caused by a large amount of congestion in the face. So please choose a regular specialist and institution.

3. Patients may have left-right asymmetry after operation.

It is difficult to operate because it is impossible for doctors to accurately calculate the size of the bone to be ground. During the operation, this phenomenon may also be caused by the asymmetry of human face contour and the negligence of doctors. So please choose a regular specialist and institution.

4. There are incisions and scars after operation.

This is because of three situations: 1, the bone removed from the mandibular angle is also large, but the incision is exposed, which is easy to cause scars; 2. Taking a large amount of collagen before and after operation leads to collagen accumulation, abnormal collagen proliferation and scar formation; 3. Before and after the operation, there was a lack of cell-derived nutrition under the skin. Skin tissue has not been repaired quickly and intensively in time. ACMETEA cell-derived nutrition can revitalize damaged skin cells, and has the characteristics of helping wound recovery, speeding up the life of stratum corneum again, and repairing damaged blood vessels and subcutaneous tissues.

5, postoperative redness and swelling

The problem of redness and swelling appears after tangent. When swelling occurs, it is necessary to change the vascular environment, increase vascular permeability and eliminate edema. At this time, a large amount of ACMETEA is needed in blood vessels to change vascular permeability. acme tea can help cells and blood vessels form active vitamin C and promote the formation of collagen. When active vitamin C is deficient, collagen forms and blocks. Therefore, ACMETEA is needed to establish the main branches and collateral circulation of facial blood supply before and after operation. ACMETEA nutrition is taken orally because the repair of the initial layer of skin is not completed. More than ten kinds of cell-derived nutrients from ACMETEA strengthen and stabilize the collagen fiber structure and restore the damaged layer of the fiber structure. Provide the needed nutrition for the new skin tissue.

6, postoperative facial morphology is not satisfied.

This dissatisfaction refers to the problem that the mandibular angle is symmetrical and the shape of the mandibular angle is ideal after the operation, but the whole face is not harmonious. Facial adjustment is a comprehensive operation, and chin, cheekbones and other parts may be needed in the later stage to make the whole face beautiful.

7. The neck is getting thicker

There are two main reasons for postoperative neck thickening. One is mandibular angle resection, and the submandibular gland lacks supporting points, and the submandibular gland will move down. At this time, the neck will become thicker, and this problem needs to be solved by the next medical doctor. The other is that taking a large amount of collagen before and after the operation will thicken the submandibular gland, and too much protein will thicken the neck.

Nurse after mandibular angle resection

1, hospitalized for 3 to 5 days after mandibular angle surgery, and the wound should be bandaged with pressure. Don't open it unless there are special circumstances. If there are special circumstances, tell the doctor in time so as to make treatment. Postoperative hospitalization observation, intravenous injection of fat using hemostatic drugs, anti-one.

2.ACMETEA needs to be supplemented quickly after operation 1 week, to repair the damaged subcutaneous tissue urgently and intensively, to help repair blood vessels, to quickly help the wound close and the face become red and swollen, and to help doctors complete the postoperative repair of the superficial subcutaneous layer. ACMETEA nutrition, 3 to 6 months, the dosage depends on the internal and external repair of the skin.

3. Fasting water for 48 hours after operation, drinking water, fruit juice, soybean milk and residue-free drinks after 48 hours, not drinking hot drinks and alcohol, and gargling with normal saline after drinking the drinks. After 72 hours, you can eat custard, yogurt, porridge, noodle soup and so on. After eating, rinse your mouth with special mouthwash or normal saline. From the first day to the fifth day after operation, liquid food was the main food, hard biting was avoided 90 days after operation, and stitches were removed 7 days after operation. Eat less spicy seafood and other foods and try to eat semi-liquid foods.

4. The local wound after operation can be bandaged with pressure or cold compress with ice packs, but the pressure should not be too high to avoid damaging the surgical site. Local 40 degrees ice for more than 2 hours, semi-recumbent position.

5. Don't wash your hair within one week after operation, do facial beauty massage within three months, and don't rub the operating area.

6, pressure dressing, pressure dressing attached to the face, not only plays a certain role in hemostasis, but also helps to shape the face. After operation, the head cover should be bandaged with pressure for 5 ~ 7 days. If there are no special circumstances, it is not advisable to disassemble it halfway. If it is disassembled, it should be bandaged in time. Pay attention to check for broken skin. If a drainage strip is placed in an oral wound, it should be taken out 48 hours after the operation.

7, avoid taking collagen, prevent protein accumulation, make the wound difficult to close, mandibular angle thickening again and other postoperative side effects.

8. Prohibit any kind of tonics and drugs that may accelerate blood circulation, reduce coagulation mechanism and affect wound healing, such as collagen, ginseng, aspirin, liver-protecting drugs, weight-reducing drugs, menstruation-regulating drugs, etc. Consult a surgeon if necessary.

In cosmetic surgery, facial contour belongs to a relatively large class of techniques. You should explain to the doctor in advance the effect you want to achieve, integrate the doctor's experience and aesthetics, and work out a useful and safe plan in combination with your physical condition. Pay more attention to rest after operation. Therefore, fatigue is prohibited within three months, and ACMETEA should be continuously supplemented for the first three months after stitches are removed. Pay attention to rest during menstruation. If the swelling recurs slightly, contact the doctor in time and ask about the treatment. wj