Author/Li Cunchang. Finishing /k
Friends who often come to see a doctor describe that they can't open their eyes, as if they don't have enough sleep; Or the eyes are big and small, and the proportion of eyeballs exposed is different. The most typical representative is those eyes that seem to have not slept enough. In fact, these may be the performance of eyelid muscle weakness, which is commonly known as eyelid drooping.
What is ptosis? What is the reason?
Since it is a problem that the eyelids cannot be opened normally, it is necessary to understand the mechanism of opening eyes first. Generally speaking, the upper eyelid is mainly opened by levator palpebrae superioris and Miller muscle connected to the eyelid plate, and levator palpebrae superioris is the main source of eye opening power. If the eyelids are weak, it will lead to drooping eyelids.
Ptosis is defined as that the upper eyelid cannot be opened normally, that is, the eyelid covers too many black eyeballs (iris). Generally, when looking straight ahead, the upper eyelid will cover the iris within the range of 1 mm. If the distance between the upper eyelid and the upper edge of Kurome (cornea) is less than1mm, it is called ptosis. In addition, it often leads to compensatory output of forehead muscles, which leads to deepening forehead lines and improving eyebrows.
Acquired ptosis includes neurogenic, muscular, traumatic and mechanical; Muscle is the majority, mainly because with the increase of age, the function of levator palpebrae superioris will be caused by muscle degeneration or long-term use, which will make the fascia of levator palpebrae superioris relax or dislocate at the junction with meibomian. Clinical experience shows that with the more and more extensive use of double eyelid patch and keratoplasty by young people, the proportion of ptosis symptoms tends to be younger, because repeated frequent eyelid turnover may indeed lead to relaxation of levator palpebrae superioris fascia.
Is the treatment method of lifting eyelid muscle weakness?
The treatment of ptosis should be based on different causes, and the most common muscular ptosis should be based on the function of levator palpebrae superioris. Under the compensation of eliminating the frontalis muscle, the eyes look at the bottom first and then at the top, and the distance between them is the functional range of levator oculi muscle. Normal is more than 12 mm, with good function, 10mm- 12mm, or 6mm-9mm, but not less than 5 mm. ..
<1> The levator palpebrae function is normal: generally, the fascia of levator palpebrae superioris is folded and shortened to achieve good results.
←2↓ levator palpebrae superioris has good function: generally, the purpose of normal eye opening is achieved by shortening and removing levator palpebrae superioris.
< 3 > The function of levator palpebrae is acceptable: shortening the resection of levator palpebrae and Miller muscle can stretch drooping eyelids.
〈4〉 Poor levator palpebrae: Traditional frontalis muscle suspension or frontalis muscle orbicularis myocutaneous flap shortening can be used.
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How long does eyelid drooping operation need?
How long does it take to recover? What should I pay attention to after operation?
Generally speaking, the operation time is about 2 hours, and the recovery period is about 1 ~ 2 weeks. Ice should be applied 48 ~ 72 hours after operation to relieve pain and swelling; When sleeping, it is recommended to look up to reduce eye swelling; After 72 hours, hot compress is started to help the blood circulation around the eyes and achieve the effect of removing blood stasis. Work and rest should be normal, avoid strenuous activities, spicy food and smoking.
Who doesn't recommend eyelid ptosis correction surgery?
If ptosis is caused by nervous system problems, such as myasthenia gravis patients, surgical treatment is not recommended; If the patient is complicated with serious unstable medical diseases or allergic to anesthetics, eyelid ptosis surgery is absolutely forbidden; It is also not recommended for patients with thyroid eye lesions that are not well controlled or severe dry eye; If you take anticoagulants for a long time, you need to stop taking them for at least one week before you can have surgery.
Can drooping eyelids affect daily life? Can we leave it alone?
The treatment of blepharoptosis can not only improve the quality of life, but also improve the appearance. The most direct benefit is that the eyes no longer look tired, and the eyes with enlarged eyes also make people more confident. The forehead wrinkles originally caused by the irrecoverable eyelids will also be improved, and the overall feeling will become younger after surgery.
In double eyelid surgery's consultation, eye muscle weakness is often found. If it is not corrected at the same time, it is easy to get unsatisfactory double eyelid effect, such as asymmetric eyes or too wide bags under the eyes. If there is a problem of eyelid drooping, it is suggested to deal with it as soon as possible, on the one hand, to reduce the head wrinkles or compensate for the muscle loss of the opposite eyelid; On the other hand, when the symptoms are mild, the surgical method may be simpler.
Is there any risk in eyelid ptosis correction surgery? How to choose a doctor?
Compared with ordinary double eyelid surgery, eyelid ptosis correction surgery is indeed more complicated. In addition to bleeding, pain, infection and poor healing that should be paid attention to in general eye surgery, the main concern is excessive correction or insufficient correction. Therefore, it is very important to choose a doctor. You need to be familiar with eye anatomy and master surgical skills in an all-round way, so as to achieve the purpose of beauty and reduce related risks. It is the most suitable choice to seek professional evaluation and consultation before operation.
Doctor's little file
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Dr.lee
Current position: Full-time attending physician of plastic surgery in Wan Fang Hospital.
Experience: Doctor of Medicine, National Defense Medical College | Resident of Plastic Surgery, General Hospital of Three Armies | Plastic Surgery, Penghu Branch, General Hospital of Three Armies | Attending surgeon
Expertise: eye plastic surgery (double eyelids, bags under eyes, drooping eyelids) | facial plastic surgery (autologous fat transplantation: cheek enlargement, improvement of decree lines, facial depression filling, endoscopic face-lifting, rhinoplasty, lip augmentation, chin plastic) | chest plastic surgery (* * * plastic surgery, endoscopic breast augmentation, * * reduction, * * depression, areola plastic surgery, * *).
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