The first type: the orbicularis oculi muscle and orbital diaphragm are filled with fat, the double eyelid line is designed, the skin is cut according to the double eyelid line, and the outer canthus to inner canthus muscle flap is free before the tarsal plate, and the pedicle is in the inner canthus. The upper edge of the muscle flap is the upper edge of the double eyelid line, and the lower edge of the muscle flap is 2mm from the eyelid edge, generally 5 mm-8 mm wide. Then, the orbicularis oculi muscle was peeled off from the deep layer to the lower edge of the orbital bone. After the orbital edge was exposed, the bleeding was fully stopped, and the orbicularis oculi muscle flap was suspended and fixed on the periosteum of the lower edge of the orbital bone. If there is lateral orbital fat prolapse, the lateral orbital diaphragmatic fat can be suspended on the periosteal margin at the same time, and then it can be tiled to observe whether it is filled in place. After satisfactory results, skin suture was interrupted according to double eyelid operation.
The second type: the lower eyelid orbicularis muscle and the upper eyelid orbicularis muscle fill the upper eyelid depression. Make eye bags first, cut the skin and orbicularis oculi muscle to the tarsal plate according to the design line, lift the deep orbicularis oculi muscle to the orbital margin, and do not cut the orbicularis oculi muscle of the outer canthus. Because a loose lower eyelid skin and orbicularis oculi muscle with a width of about 5 mm-8 mm are cut from the inner canthus to the outer canthus, the skin on the muscle flap is removed to make the orbicularis oculi muscle flap, and the pedicle is placed in the upper canthus for later use. Then, according to the filling method of the upper eyelid depression, the orbicularis muscle flap of the lower eyelid was transferred to the upper eyelid under the outer canthus skin, suspended and fixed to the lower edge of the supraorbital bone, and the double eyelid incision and the lower eyelid bag skin incision were sutured. I wonder if you understand this answer? If you don't know, please consult Leshan Jingwei Plastic Surgery. I wish you more and more beautiful. . . .