Is levator palpebrae superioris surgery necessary?
Some people with single eyelids are accompanied by muscle weakness of the upper eyelid (mild or mild ptosis), which is different from the obvious ptosis (weakness in opening eyes, inability to open eyelids, small eyes and habitual head-raising). They just habitually raise their foreheads or eyebrows when opening their eyes to help widen the upper eyelid, and their eyes are often tired.
Many people don't know, but they just feel that they have a single eyelid. When they want to be double eyelid surgery, they are examined by professional doctors. If you don't know about double eyelid surgery before or don't know enough about it, the effect of double eyelids may be poor, the folds of double eyelids are shallow or unsightly, and even a good double eyelid shape cannot be formed.
For people with muscle strength of levator palpebrae superioris, double eyelid surgery generally suggests incision, so that the levator palpebrae superioris can be treated (shortened) at the same time of operation, and the eyes will become bigger after operation, and the difficulty of opening eyes will be greatly improved. At the same time, the shape of the formed double eyelids will be lasting, beautiful and natural. So it's up to you.
Is it permanent after levator palpebrae superioris?
Levator palpebrae superioris surgery is permanent, because levator palpebrae superioris surgery includes three surgical methods: levator palpebrae superioris moving forward, levator palpebrae superioris folding and levator palpebrae superioris shortening. These three operations will cause permanent changes to muscle tissue, so the correct postoperative effect is permanent. Just a beauty seeker with severe ptosis, his levator palpebrae superioris function is extremely poor, and there will be insufficient correction when choosing levator palpebrae superioris surgery.
Levator palpebrae superioris surgery is more difficult than eyelid surgery. For safe and permanent good results, beauty seekers must choose a regular hospital with a certain history of surgery. /kloc-in April of 0/7, a woman was exposed in Weibo, and her eyes could not be opened because her levator palpebrae superioris was cut off. Therefore, in order to avoid the surgical failure and poor surgical effect caused by unscrupulous quacks, we must choose a local plastic surgery hospital with formal qualifications and a long history to do levator palpebrae superioris surgery.
Principle of levator palpebrae superioris correction
Principle of frontalis muscle flap to correct blepharoptosis
Severe ptosis can be corrected by frontalis muscle flap. Frontal muscle flap only needs to make a small incision along the double eyelid line. After the operation is completed by separating and transferring the frontalis muscle flap, the eyes can be widened, the postoperative effect can be maintained for a long time, and the pain of cutting the thigh fascia can be avoided. The frontalis muscle flap method is only suitable for patients with good frontalis muscle function, and the effect is better for patients with severe ptosis.
Corrective principle of shortening levator palpebrae superioris muscle
Moderate and mild ptosis symptoms can be corrected by shortening levator palpebrae superioris muscle. This method can improve eyelid and widen eyes by shortening levator palpebrae superioris muscle. Because the original walking and moving direction of muscles is maintained, which is more in line with the physiological needs of eyes, the postoperative effect is very ideal and the patient's satisfaction with the operation is very high.
Surgical steps of levator palpebrae superioris
1. Use 5ml of 2% lidocaine, 5ml of normal saline and 0.1:1mg of epinephrine for local infiltration anesthesia before the upper eyelid plate.
2. Cut the skin along the new double eyelid line, and determine the width of the skin above the new double eyelid line according to the relaxation degree of the upper eyelid skin of the patient.
3. For the double eyelid with obvious scar adhesion, the original scar should be removed, and the adhesion between the original double eyelid line and the tarsal plate should be fully relieved, so that the tissue layer can be dissected clearly and cannot be adhered to each other.
4. Find levator palpebrae superioris muscle and fold and sew its aponeurosis (7-0 nylon thread). The folding length is determined by the extent to which the eyelid margin does not exceed the corneal margin. This method makes the eyelid margin move up, which can improve the phenomenon of mild ptosis and eye weakness.
5. Free the orbicularis oculi muscle completely, and move it down to the upper eyelid fold for suture.
6. If the soft tissue is insufficient, the surrounding soft tissue such as orbital septum fat can be transplanted to fill the original double eyelid depression and fixed with 7-0 nylon thread. This not only eliminates the adhesion of the original double eyelid incision, but also restores the continuity of orbicularis oculi muscle under the original incision.
7. When sewing the skin, sew the soft tissue transplanted above the double eyelid line to the double eyelid line.
8. The doctor asked the patient to open his eyes. If the double eyelid line is smooth, position the suture incision with 7-0 nylon line; If the shape of the double eyelid is not ideal, it is necessary to fully trim the tissue, loosen the adhesion and fill the depression until the double eyelid line is smooth.
9. When sewing, it is required to sew 1/3 in the middle of the upper eyelid to fix the skin and the tarsal plate, and then sew the inner canthus and the outer canthus. Sew 1 and 2 stitches between the three stitches as appropriate to make the curve transition smooth.
10. Other parts of the incision are only directly sutured between the skin.