5/09/2011

Remove bags under the eyes under the conjunctiva incision surgical method

Air Force General Hospital laser cosmetic surgery Center experts, under the conjunctiva incision method is mainly applied to simple orbital fat displacement, bulging or loose skin without too much of young people bags . Good skin elasticity can also be used by patients who asked not to leave scars, do not want to light through the skin into the road bags patients.
specific surgical methods are: 0.5% -1% tetracaine solution conjunctival surface anesthesia, 2% lidocaine adrenaline injected into the next palpebral conjunctival fornix 1-2ml, do local anesthesia . Eyelid retractor or traction by turning lower eyelid suture, exposing the lower eyelid fornix conjunctiva, so that patients with eyes looking to the brow area, light pressure to push the eye forward to the orbital fat owned conjunctiva, lower eyelid bulging forward in the orbital fascia lower edge of the area. Find out the inferior orbital rim, the lower edge of the tarsal conjunctiva, conjunctival incision at the rampant about 5-10mm, and then for the inferior orbital rim in the direction of the conjunctiva deep blunt dissection, exposing the orbital divide the central part of the following may be reflected in its mission orbital fat . Cut the orbital septum, orbital fat, membrane exposure, the separation of the capsule, orbital fat prolapse of the ball automatically, and then lift and cut off electricity in case of blood coagulation or ligation of the law. Cut off the inside of the inside of the same incision cellulite, cellulite without bulging the lateral can not dig cut. Check no bleeding wounds, the use of 5-0 or 7-0 nylon line, a row will conjunctival incision, both ends of the head and not stay tied long, respectively, from the inner and outer canthal corner leads to the eye, the use of tape fixed, surgery 5-6d after suture removal.
Note: removal of orbital fat to prolapse of soft reduction is automatically part of the eye be removed to properly, not avoid pulling out too much under the eye after removal of collapse caused by excessive deformity. Mild to moderate bags is only part of the central cellulite can be removed, should also deal with severe medial and lateral cellulite. Due to blood vessels inside the cellulite rich, coarse, and closely related with the inferior oblique, so the deal should be careful. More blood vessels to be ligated, and avoid blind to dig deep cut to prevent diplopia caused by ocular injury or strabismus. Outside of cellulite under the bottom of the front of the eyeball except the depths of severe prolapse than those who, otherwise, generally do not need treatment.

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