Relaxation of the lower eyelid blepharoplasty plastic surgery

Relaxation of the lower eyelid surgery

bags Plastic . bags refers to the lower eyelid skin, orbicularis muscle, orbital septum fascia degeneration, relaxation, orbital fat herniation, lower eyelid orbital lower edge of the bulge. More common in the elderly, youth, mostly swollen eyelid orbicularis muscle hypertrophy.

lower eyelid relaxation treatment is based on layers of organizational slack line plastic bags operation. Plastic bags with details of the following methods.

1. Percutaneous approach

(1) Indications: lower eyelid layers of tissue relaxation.

(2) surgical points: 1-2mm in the lashes lateral to the lacrimal point 1mm away from the outer canthal angle under the crow's feet extend outward for about 1cm incision; in the superficial orbicularis muscle stripping of the inferior orbital rim, pleasing to the eye in the top of the orbicularis muscle fibers apart to expose the orbital septum, soft reduction, the eye can see, the middle and outer orbital fat herniation three groups; (or only line out of two or a group of hernia), cut the orbital septum at a small mouth, caught herniation of fat, electric coagulation, or 5-0 silk ligation of bleeding, close the orbital septum, the flap pull up outside R. Ping, Zhu Huanzhe forward point of view, to cut off excess skin on the outside. Outer canthal corner of the flap and eyelid incision a needle, Zhu Huanzhe mouth, removal of excess skin under the eyelid, a little line of separation of eyelid skin suture.

2. The approach under the conjunctiva

(1) Indications: Youth lower eyelid skin does not relax; middle-aged mild lower eyelid skin, relaxation, skin elasticity is normal.

(2) surgical points: exposed conjunctiva, in the central lower eyelid tarsal plate at the lower edge of 3-4mm incision for direct cross-0.5cm submucosa separated from the inferior orbital rim-side orbital septum, soft reduction, the eye, the middle group of self-herniation of fat balls that were isolated from the fascia to be removed. Through this incision the medial group and lateral group of fat ball of light raised to the remaining lower eyelid retracted into the orbital fat, bleeding, stitches.