Air Force General Hospital laser cosmetic surgery Center experts, through the skin incision flap no contraindications for all permit lower eyelid bags correction, specifically more suitable:
1, middle-aged into the lower eyelid eye bags , especially for moderate and severe bags are.
2, accompanied by loose skin, mild swelling down orbital fat young man, mild lower eyelid bags are.
3, a simple type or simple loose skin orbicularis muscle hypertrophy, such as my urgent request, may consider surgery.
surgical methods specific to:
1, the skin incision line design: methylene blue along the lashes with a 1-2mm pieces of art l parallel eyelid incision under the tag line, the side is generally not more than lacrimal point, if lower eyelid skin is very, relaxation, can be slightly inside of the extension of the medial incision; incision below the marked line extending outside the outer canthal, and outer canthal horizontal line forming an angle of about 30 °, and its extension depending on the length depending on how much to remove the skin, usually 7-10mm, also rough estimate of the preoperative removal of the skin to be the scope for surgical removal of excess skin in the reference. The method is to use tweezers along the upper and lower eye caught the direction of loose skin, so patients are at the top to see, so that is not under the eyelid eversion. At this point is the scope of the folder to remove the skin.
2, cut the skin along the incision line: from the orbicularis muscle to separate the superficial surface of the skin, until the inferior orbital rim, the formation of knife-shaped flap, flip flap down to the bottom of the cut 0.5mm pleasing to the eye at the direction of orbicularis muscle fiber blunt dissection, exposing the orbital septum, soft reduction, eye, orbital fat can be seen at this time to push forward the expansion diaphragm sudden orbital owner. Orbital transverse cut diaphragm, you can see their own orbital fat herniation. Cut off the excess orbital fat herniation, bleeding stump if it can be electric coagulation or ligation of the bleeding; general to remove the central group of fat, and then where appropriate, removal of part of the lateral orbital fat group; to automatically remove the eye soft reduction of fat herniation degrees. Unable to divide if the orbital relaxation, with a 5-0 silk suture may be appropriate if there is no slack or not to sew; orbicularis muscle relaxation can be simple if folded stitching and partially reduced or suspended to do orbicularis contraction. Reset the flip of the flap, so that by the surgeon frontal eye gaze upward, the skin with toothed forceps gripping the edge of the outer corner and pull out the top, so that free flap and eyelid lower eyelid incision line overlap removal more than the excess skin above the incision. Suture, pressure bandage, suture removal after 5-7d.
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