1, operation mode
(1) suture and ligation
Simple operation and reliable and lasting curative effect. Suitable for young and middle-aged beauty seekers with mild and full eyelids and less serious skin relaxation. Within one to three months, the swelling will gradually disappear and return to normal.
(2) intermittent embedding method
It has the characteristics of simple operation and light postoperative swelling. Usually suitable for young beauty seekers, the eyelid skin is thin and the skin is not slack. Of course, it is also suitable for beauty seekers with scar constitution.
(3) Skin incision
The curative effect is reliable and lasting, which is worth recommending, and it has the advantage of choosing the type of double eyelids at will. Generally, it is suitable for people with loose eyelid skin and full upper eyelid who need to remove some skin or fat.
Step 2 adapt to the crowd
(1) For patients with single eyelid, the operation with thin eyelid, long eyelid fissure and high nose bridge has the best effect.
(2) those with asymmetric eyes. If one eye has a single eyelid and the other eye has a double eyelid.
(3) The lines of double eyelids are not beautiful. For example, congenital narrow double eyelid lines or unsightly or narrow double eyelid lines caused by skin relaxation.
(4) The skin of upper eyelid is thicker, and there is more fat in orbital septum. This kind of patient gives people a feeling of swelling of the upper eyelid. Therefore, no matter whether the patient has double eyelids or not, no matter whether the lines of double eyelids are beautiful or not, the double eyelids can be reconstructed by surgery to enhance the aesthetic feeling of the upper eyelids.
3. Who is not suitable for double eyelids?
(1) Round face. Some girls with single eyelids and "apple face" have small eyes when they smile. If the five senses are properly matched, it will give people a sweet feeling. Obviously, even if you don't do double eyelid surgery, this aesthetic feeling still exists. It is unnecessary to do double eyelids, and even bring lifelong regret.
2 "Goldfish Eye". People with "goldfish eyes" have prominent eyeballs. If they have double eyelids, they will inevitably feel that their eyeballs are more and more prominent, which will highlight their ugliness and not be worth the candle.
(3) round eyes. Round eyes themselves don't give people the feeling that their eyes are very small, and the width from top to bottom exceeds that of ordinary eyes. If you do double eyelids, it is likely to give people the feeling of "hanging eyes".
(4) "puffy eyes". "Swelling" is due to the thick deposition of subcutaneous tissue in the eye, which gives people a feeling of edema. This kind of eyes is not beautiful in itself. If you add an eyelid, it will make the "swollen eye bubble" more redundant, so let it be. Korean double eyelid >>
Buried wire 1. superiority
Simple operation, easy to master, less trauma, and natural wrinkles; No incision, little postoperative tissue reaction, no scar, no influence on work, easy to be accepted by patients.
2. Deficiencies
(1) The upper eyelid folds tend to become shallower and narrower.
(2) If the case selection is improper, or the skills are not well mastered, the upper eyelid fold will easily disappear.
(3) The knot is easy to loosen, which leads to the failure of the operation; Nodes buried too shallow, easy to expose or form small cysts.
(4) If the upper eyelid is slightly swollen and the surgeon insists on burying the thread, a small incision can be made at the lateral side of the upper eyelid fold 1/3 to remove the orbital fat.
3. Preventive measures
(1) Eye embedding, double eyelid surgery's two lines should be uniform and relatively consistent, so that the appearance of double eyelids can be naturally symmetrical.
(2) Nylon thread is generally the first choice for surgical implantation. Because the catgut embedding operation needs to pass through the subcutaneous and meibomian repeatedly, it is easy to be pricked and punctured by the needle tip, and then the catgut embedding operation fails. The nylon thread we choose is easy to be cut off after operation, because it is stronger and smoother than other silk threads, so nylon thread is undoubtedly the first choice for embedding double eyelid surgery.
(3) Antibiotic eye ointment can be used together after embedding double eyelid surgery, and it needs to be covered with gauze for one day, and can be taken off the next day.
Open the corner of your eye 1, how to operate it
(1) Open canthus surgery
After correction of epicanthus, the eye fissure can be enlarged and the eyes appear bright and radiant. The former is suitable for mild epicanthus, while the latter is suitable for all kinds of epicanthus. Either way, a certain scar will be left at the incision 3-6 months after operation. There are also many improved minimally invasive lateral epicanthus correction, which has a good effect and no obvious traces after operation, and is an ideal operation. At the same time, it can also integrate the three-point positioning of double eyelids, minimally invasive degreasing, and change the shape of eyes as a whole to achieve a more perfect cosmetic effect.
(2) Operation method of lateral canthus: the lateral canthus is enlarged.
External canthus surgery is an operation to cut the external canthus of the eye and extend the horizontal length when the eye looks big. This is an operation to cut the lateral mucosa of the eye, which can prolong the length of the eye without leaving scars. The correction of epicanthus is to lengthen the horizontal length and enlarge the eyes.
No matter whether you open the inner angle or the outer angle, you must follow the facial aesthetic standards. If you are single-minded, it will lead to uncoordinated facial proportions, which will not only be counterproductive, but even lead to serious consequences of big-eyed Wu Shen.
2, preoperative attention
(1) Patients with hypertension and diabetes should inform the doctor in detail at the time of initial diagnosis, so that the attending doctor can confirm the operation plan.
(2) Ensure good health before operation, and there is no infectious disease or other body inflammation.
(3) Don't put on makeup before operation.
(4) Women should avoid menstrual period.
(5) Men should quit smoking one week in advance.
3. Precautions after operation
(1) Try to avoid water accumulation in the operation site within 7 days after operation.
(2) Ensure that the surgical site is clean and prevent infection. If there is blood scab or secretion on the wound, it can be wiped with sterile physiological saline.
(3) After operation, local wounds can be bandaged with pressure or cold compress with ice packs, but the pressure should not be too high, so as not to damage the eyes. Once there is bleeding and severe hematoma after operation, you should go to the hospital for follow-up in time.
(4) There should be a quiet and comfortable rest environment after operation. Don't watch TV or newspapers within 2 weeks after operation, and it is best to lie on your back (raise your pillow) when you are in bed, so as to avoid eye fatigue or lower your head, which will aggravate the swelling of the wound.
(5) There will be some pain in the wound on the day of operation, but it will gradually decrease with the passage of time. Patients should not rush to take painkillers, because aspirin drugs will aggravate wound bleeding.
(6) avoid eating irritating foods such as peppers.
(7) Take medicine in strict accordance with the doctor's advice and make follow-up visits.
The pouch is removed by making a small incision in the conjunctival sac of the lower eye. Therefore, there is no incision on the skin surface, which is very popular with young patients. This method is mainly suitable for orbital septum fat protrusion, that is, typical eye bags caused by orbital septum bulge, without skin relaxation and lower eyelid skin wrinkles.
That is, the traditional standard pouch removal surgery. During the operation, an incision was made along the lower margin of lower eyelid eyelashes to the outer canthus groove, and the swollen fat under the eyes was removed after separating the incision. At the same time, tighten the skin of the lower eyelid, remove the excess skin of the lower eyelid and remove the wrinkles of the lower eyelid skin. The incision is hidden in this method, and it is difficult to see the incision marks after 1 ~ 2 months. This method is mainly suitable for lower eyelid skin laxity and lower eyelid orbicularis muscle hypertrophy (pseudopouch), which is mainly manifested as lower eyelid skin laxity and wrinkles, orbital septum fat is not prominent, and sometimes slightly depressed, or lower eyelid orbicularis muscle hypertrophy is related to family inheritance.
1, preoperative attention
(1) Before the operation, you must be in good health, and there is no infectious disease or other body inflammation.
(2) Don't put on makeup before operation, and women should avoid menstrual period.
(3) Patients with hypertension and diabetes should inform the doctor of their condition at the time of initial diagnosis, so that the attending doctor can confirm the operation plan.
2. Precautions after operation
(1) postoperative congestion and edema are common. Local cold compress two days after operation and hot compress on the third day can reduce the degree of congestion and edema and help edema subside.
(2) After external incision blepharoplasty, due to the relaxation of orbicularis oculi muscle and loss of normal tension, slight eversion occurred in a short time after operation, which generally returned to normal in 2 ~ 3 months after operation.
Blepharoptosis refers to the insufficiency or loss of levator palpebrae superioris muscle (innervated by oculomotor nerve) and Miao Lei smooth muscle (innervated by cervical sympathetic nerve), which leads to partial or total ptosis. Some pupils are covered in light cases, and all pupils are covered in heavy cases, which not only hinders aesthetics and affects vision, but also causes severe amblyopia in congenital cases. In order to overcome visual impairment, patients often tighten the frontalis muscle to improve the position of the upper eyelid margin. Causes the forehead skin to wrinkle horizontally, the forehead lines to deepen, and the eyebrows to stand tall. People who droop on both sides often form a special posture of raising their heads and wrinkling their foreheads because they need to look up.
1, operation method
(1) levator palpebrae superioris shortened.
Shortening levator palpebrae superioris muscle is used to achieve the purpose of eyelid lifting, which is suitable for patients with mild ptosis.
(2) frontalis myofascial suspension method
Autologous thigh fascia is connected with frontalis muscle and upper eyelid, and the strength of levator palpebrae is strengthened by frontalis muscle contraction. Because the suspended fascia may become loose in the future, sometimes it will affect the surgical effect.
(3) Frontal muscle flap method
Strengthen the function of levator palpebrae superioris muscle by using the contraction of frontal muscle. The advantage of this operation is that only a small incision is made at the eyelid fold (double eyelid line), and the frontalis muscle flap can be separated and transferred to complete the operation, which plays a role in expanding eyes and has a reliable and lasting effect. It not only avoids the pain of cutting the thigh fascia, but also forms double eyelids, which makes the eyes look refreshing and more beautiful. Other eye deformities include ectropion, entropion, ptosis, eyelash defect, eyebrow deformity and defect, eyelid defect, canthus deformity, symblepharon, ptosis after enucleation, conjunctival sac constriction, trichiasis and so on.
2, ptosis correction contraindications
(1) Severe liver, kidney, heart and brain diseases, pregnant women and patients with severe hematological diseases.
(2) The woman is in the menstrual period.
(3) People with mental illness, psychological disorder, or excessive or unrealistic requirements.
(4) those with obvious scar constitution.
(5) Patients with skin inflammation at the surgical site.
3. Failure to repair
According to personal temperament and style, readjust the radian, height, width and depth of double eyelids. During the operation, the tissue was reset and fixed to solve the eye problems such as adhesion, ectropion, too deep and too shallow eyelids, and the double eyelids fell off and disappeared. At the same time, the strength of the muscles of the canthus was strengthened to make up for various problems caused by excessive tissue resection without leaving scars.
Step 4 adapt to the crowd
(1) Super concave and super wide European eye.
(2) The eyelid is multi-layered, too wide, with exposed orbital bone and ptosis.
(3) eyes can't be opened or closed.
5, preoperative
(1) Carefully analyze the reasons for the previous operation failure.
(2) Redesign the incision line of double eyelids, and try to remove all the scars of the original incision in the repair operation.
(3) It must be checked by a doctor whether it meets the requirements of double eyelid repair surgery. If you have contraindications to double eyelid surgery, you can't have surgery.
(4) Smoking and alcohol should be banned for two weeks before the repair, and oral aspirin or drugs containing aspirin and drugs with blood circulation function should be avoided.
6. After the operation
(1) Cold compress with an ice pack within 48 hours after operation, slightly pressurize, and hot compress after 48 hours, but the pressure should not be too high to avoid eye injury.
(2) Keep the wound clean after operation, prevent infection, take antibiotics orally, and be careful not to wet the wound when washing your face.
(3) pay attention to the eyes from external shocks. Violent exercise or emotional change can cause bleeding, congestion or hematoma in the wound.
How much is eye plastic surgery? The sizes of plastic surgery hospitals are different, and the prices in double eyelid surgery are also different. As long as you choose regular medical institutions and authoritative experts, you can ensure the effect of the operation and the price is reasonable.
It is also related to the cost of surgery. There is no certain standard for the cost of double eyelid surgery in the market. It is understood that double eyelid surgery's income accounts for about 25% of all plastic surgery. Of course, it may also be that there are many people with single eyelids in China, so the number of people in double eyelid surgery also accounts for the main proportion.
1, the cost of eye plastic surgery, such as the cost of double eyelids is generally around 3000 to 5000, and the price of some special failed double eyelid repair is half as expensive as this;
2. The price of inner canthus is generally around 4000 to 6000;
3, pouch surgery is generally about the same price as double eyelid surgery, and internal incision surgery is relatively cheaper than external incision surgery;
4. The cost of the outer corner of the eye is generally around 6000 to 10000.