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.
Bags under the eyes and prevention of complications ablation
Prominent bags will make people look old and not the spirit, through bags ablation can effectively improve the situation, so that the eye is more beautiful. Then for bags ablation possible complications to how?
(1) is designed to enable patients to sit, Nursing and for eyes open, eyes closed, Zhang, closed, easy to search and view the design remove bags under the eyes Office and wrinkles of the skin volume.
(2) removal of excess eyelid skin to be conservative, not lower eyelid ectropion by suture, close to the bulbar conjunctiva prevail.
(3) who orbicularis muscle relaxation, do not cut the muscles on the tarsal plate can be the orbit of the orbicularis muscle flap suture made in the muscles of the lateral canthal and periosteum, but also some muscle relaxation resectable or suture.
(4) removal of orbital fat, not when the eye pressure to prevent the removal of excess lower eyelid orbital fat lead to depression.
(5) bleeding must improve to prevent postoperative hematoma after the ball. Bags ablation After a moment after the hand compression bandage, cold packs for 1 hour.
(6) transconjunctival approach without separation of the orbicularis muscle, joint conjunctival incision or not.
(7) bags ablation in the. Can routinely provide the outer canthal ligament folded tight stitching on the edge of the orbital periosteum. The outer canthus of the sag reduction, prevention of postoperative ectropion eyelid back and have a positive effect.
Treatment of eye
If
bags have been formed, and can not self-improvement, indicating that the organizational structure is due to pathological changes caused by . This can only be Beauty to be surgical treatment. As mentioned earlier bags formation of the pathological basis, so bags the principle of treatment is to remove some of the excess orbital fat , tightening of the orbital membrane to enhance its ability to support, reducing the orbicularis oculi muscle to increase its tension, remove the excess skin to eliminate wrinkles pattern. Of course, bags expression was also different forms, such as swelling down-like appearance-based, mainly to the appearance of wrinkles, as well as to deepen the main channel such as eyelid cheek, so there are different forms, appropriate treatment methods available.
If bags expression is down-like appearance of the main swelling, skin tension is acceptable conjunctival surface approach can be used for correction. Such a procedure, and conjunctival surface through the small incision, vertical expansion will be formed outside the orbital fat resection to remove bags . This method is less trauma, no signs of the appearance, but some people have mild swelling after congestion, but can be completely restored within 1 week. This approach has its limitations, only a relatively small of age, monocular patients and effective fat. If the older, who have muscle relaxation skin, treatment in this way, it is possible to increase the lower eyelid aging.
For more than two consolidated performance bags , will have passed under the eyelid incision for correction. First, try to also satisfied with the physiological function of orbital fat, and if more fat, can be properly removed, tightening orbital diaphragm to eliminate the "pocket-like" appearance to deal with orbicularis muscle, improve muscle tone, to eliminate the "crescent levy. " Finally, removal of skin to eliminate wrinkles, note carefully sutured. Such a large surgical wound, but the effect is indeed reliable, and is the most commonly used treatment methods.
appearance for the swelling down significantly, there is a deep ditch by eyelid cheek, in recent years began to use "the orbital septum release method" to treatment. This surgical approach can be conjunctival surface, may also lower eyelid incision, surgical orbital diaphragm fully open, the orbital fat release and fixed eyelid suture of the buccal sulcus, so that vertical expansion will look like elimination, but will also fill up eyelid cheek. Restore the natural transition of the young, such a surgical effect is indeed reliable, but difficult to master, the physician must have rich clinical experience.
who need surgery for the United States, must find the formal beauty salon, an experienced specialist to carry out in order to reduce the incidence of complications.
Seamless operation quietly glow to the eye bags under the eyes of youth
eyes are the window of the soul, bags is too heavy, give the "window" caused stress, Seamless to the bags under the eyes operation is a good way to decompress. In fact, " no trace to bags " is not really scar-free, strictly should be called "non- visible scar "or" no external scar, "blepharoplasty surgery, its main advantage is" no trace. "
no trace to pouch surgery through the conjunctival incision (ie, approach the inner surface of the eyelid) correction of eye, After the implementation of the proportion of patients achieved good results, patients without external scar, to make up for the shortcomings of traditional surgery. In addition, because this procedure untreated orbicularis muscle relaxation and skin, less trauma, it is less swelling after surgery, faster recovery, but without the risk of lower eyelid ectropion.
addition transconjunctival lower blepharoplasty incision that " no trace to bags under the eyes "to adapt to the range: only under the orbital fat prolapse alone, no or only mild skin and loose skin and fascia relaxation of relatively young patients.
Currently, there are carried out by liposuction to the bags under the eyes no trace method, in fact, this approach conjunctival incision is, remove the fat part of the formation of bags under the eyes, the use of natural healing properties of conjunctival mucosa. Similarly, no trace to this method is only suitable for bags under the eyes due to fat accumulation in the formation of simple eye, not completely solve the bags under the eyes caused by age.
Get rid of bags under the eyes can be used method of skin incision
With age, some people appear bags , bags people look old, not the spirit, so people try to get rid of bags under the eyes of various method, but the effect is not obvious, with the continuous development of medical technology, Qu In addition to bags under the eyes surgery has become very common, here the skin incision method eliminate the bags under the eyes surgery.
get rid of bags under the eyes in the before the surgery, the doctor will first draw the blue line and assisted with the design of main intersection. Skin incision along the drawing lines in the skin and orbicularis muscle to the inferior orbital margin of separation between the less salient separation orbicularis muscle, removal of excess lower eyelid skin. Who orbicularis muscle relaxation, can be folded or take off after the suspension suture on the outer canthal ligament to mention the method of treatment. No. 0-5 suture the wound with a thin, postoperative pressure bandage, dressing every other day let it be exposed. General 6 days stitches.
get rid of bags under the eyes After surgery, patients begin to cold, usually last 3-6 hours. After 48 hours of continuous heat may be considered, so that will help reduce bleeding and edema, but the cold and hot temperature should be appropriate to avoid frostbite or burn the skin.
In addition, wound care is also important, bags eliminate the should be avoided after surgery eye irritation, eye drops can point some neutral lubricant eye protection . 7-10 days, the eye is not make-up. Use eye ointment at night can prevent the formation of dry and sticky secretions. Incision with a disinfectant wipe, 3-4 times daily can prevent scarring.
How to avoid pouch surgery under the eyelid eversion
the plastic surgery With rapid development of medicine, people Beauty can be said to be fascinated by surgery; but complications soon after the surgery, they begin to self-pity, complaining. After surgery the next ectropion is an example. Had to do bags Plastic surgery, originally expected to see better, and now ectropion , but has become more difficult to read, you can remedy?
In fact, experience is the ability to have enough doctors to avoid such complications occur. Lower eyelid has been able to tightly adsorbed to the eyeball, mainly by two forces: First, mucosal tissue and tears mixed capillary action, resulting in adsorption capacity; the second is from the eyelid orbicularis muscle and flexibility, a lower eyelid open the outer support structure.
the next bags the process of plastic surgery in the removal of fat, they tend to hurt the fascia and muscles, weakened strength of the support structure; removal of loose skin, tightening after he stepped out of the rally again. Some people had already taken place in the sarcolemma relaxation phenomenon ectropion after surgery the opportunity was certainly greatly increased.
how to avoid ectropion it? The most important thing is to have experienced physicians to consult in advance to do a careful check, and then decide surgery way possible to avoid the occurrence of hallux valgus. The most advanced method of conjunctival incision is taken from the bags under the eyes, not to hurt the sarcolemma, no sutures, stitches, and to achieve the effect of beauty; if the sarcolemma over the lower lid is loose already, you can customize the removal of bags under the eyes after conjunctival while positioning and reinforcing the sarcolemma do surgery, not only more beautiful, can also improve the function under the eyelids, can be said once and for all.
question is, if an incident occurred ectropion , can be done? Need to deal with it? One patient clinic told me that she ectropion corrected prior to a meeting at the McDonald's restaurant, the back seat has a child has been endless noise, to remove her sunglasses, looking back at the kids one, actually scared him did not dare to noise. Ectropion In addition to outside appearance does not look good, but also because of the lack of protection of the eyes and see the wind tearing, conjunctival hyperemia. Whether for aesthetic considerations, or to function reconstruction, in the event of such a problem, or should seek medical attention as soon as possible.
general treatment method, is to tighten the skin, relax, relaxation of the muscle membrane and then re-tighten; if obvious signs of the original surgery, plastic surgery scar can be done, Competition.
All kinds of bags under the eyes of the surgical approach open to the public
bags of our beautiful face, how remove the bags under the eyes has been a topic of concern is a woman. bags points are several different types of bags under the eyes is not the same as removal of the following, we let you to understand the beauty under:
Ⅰ (pure orbital fat bulging type):
younger patients, showing bulging orbital fat, skin, orbicularis muscle does not relax, no significant periorbital wrinkles.
this class can be used by patients with conjunctival incision, excision amount of orbital fat. Advantage of lower eyelid skin without scar formation, ectropion without complications.
Ⅱ type (skin, orbicularis muscle relaxation type):
common in middle-aged or elderly, patients with loose skin, with fine wrinkles, eye orbicular muscle sagging, wrinkled or significantly curved infraorbital sector, non-orbital fat prolapse.
of this type can be used under the eyelid skin incision, separation of the infraorbital area of ??skin and orbicularis muscle under the two planes, eye folds orbicularis muscle were suspended tight or the removal, amount of skin removed . Fascia without opening the orbital septum, orbital fat removal if too much prone to the appearance of orbital collapse.
Ⅲ type (skin, muscle relaxation combined orbital fat bulging type):
usually appears over the age of 40 the elderly, this type of loose skin, a more intensive periorbital wrinkles, sagging muscle, infraorbital curved boundary, the orbital septum loose fascia, orbital fat bulging obvious. Orbital fat bulging fat is not increased, but because supportive less anterior orbital, and orbital fat pressure due to loss of balance.
surgery is to remove the appropriate amount of square orbital fat, orbital septum fascia tighten and then remove or fold tightening of the orbicularis muscle, amount of skin removed.
Ⅳ type (mixed or severe type):
addition to the type of skin, orbicularis muscle, orbital septum fascia relaxation, orbital fat expansion obvious, the remaining soft tissues in the periorbital fascia loose, outer canthal displacement, orbital bone or periosteal atrophy and other manifestations, the orbital serious aging.
addition to the types of patients with orbital tighten the skin, muscle, removing fat, yet to on the tarsus, eyelid ligaments and the corresponding orbital structure adjustment and repair.
Reconstructive surgery bags under the eyes What are the methods
bags restoration surgery is to remove bulging fat, removal of excess skin, tight to mention orbicularis muscle relaxation, to restore the eye Beauty the purpose of a surgery. So bags restoration surgery methods What are it?
pouch restoration surgery To do a skin incision and the approach from the conjunctiva of two surgical. Skin incision in all of the lower eyelid for correction, especially in heavy bags under the eyes the best. Young people simply loose skin or muscular pouch, carefully select the operation type. Conjunctival approach for a simple surgical swelling and orbital fat loose skin of young people.
skin indications of surgical approach widely, the effect is positive, but more traumatic bleeding, in the scar left on the skin, prone to complications, improper operation, is clinically The most common reconstructive surgery bags . The transconjunctival approach narrow surgical indications, skin incision scar, the operation is relatively simple.
(1) skin incision method. First under the eyelid with the blue in the next at 1-1.5mm and lower eyelid to draw a line parallel to the medial point from the tears start to the outer canthus draw foreign men, and then extended along the direction of crow's feet 5mm, estimated that removal of skin the amount of available ophthalmic tweezers holding the lower eyelid skin, the following non-eyelid eversion, no degree of eyelid separation. Auxiliary line drawn along the main line intersects with the design. Skin incision along the drawing lines in the skin and orbicularis muscle to the inferior orbital margin of separation between the less isolated orbicularis muscle bulge, exposed to the orbital septum, orbital cut diaphragm, soft reduction, eye, fat ball automatic expansion out, respectively, clamp, cut, the fat ball, position the ball deep outside the fat, if little impact, do not deal with. Finally, removal of excess lower eyelid skin. Who orbicularis muscle relaxation, can be folded or take off after the suspension suture on the outer canthal ligament to mention the method of treatment. No. 0-5 suture the wound with a thin, postoperative pressure bandage, dressing every other day let it be exposed. General 6 days stitches.
(2) conjunctival incision approach method. Department of conjunctiva along the lower eyelid to do about 10mm dome incision down the lower edge of the tarsal plate separation. After revealing the orbital septum, orbital cut diaphragm, bulging of the fat cut off, the use of electric coagulation or ligation of bleeding, continuous suture with a thin, 6 days after suture.
Surgical methods to remove bags under the eyes
Eyelid transconjunctival approach plastic bags surgery (incision method) were younger age, loose skin is not obvious, but there are those bulging lower eyelid orbital fat. Eyelid skin and bags of plastic surgery approach (external incisions) Indications: skin and orbital relaxation in the elderly. Need to remove excess sagging skin, fine wrinkles the skin to correct lower eyelid.
bags is one of the body early manifestation of aging, common in the elderly. Some person-years could be near Nail, radiant, did not see bags in sight, while others are young, puffy bags under the eyes. Here to talk about the causes of bags under the eyes and bags under the eyes correction surgery.
causes bags under the following main aspects: first, the Department of the human body increases with age, skin, subcutaneous tissue, muscle and degenerative changes in the structure of the related thinning of the skin, reduce flexibility, relaxation and the orbital septum shrinks instead of fat is not increased, the orbital septum to the loose pouch of skin changes highlight the show. Second, due to genetic factors, congenital orbicularis muscle hypertrophy, showing round-shaped protrusions outside the skin, particularly common in the smile. Third, factors that caused traumatic orbicularis muscle and orbital septum damage, mast orbital fat is subcutaneous skin with prominent weakness. In addition, due to fatigue, poor sleep, night or excessive and systemic chronic diseases occur easily induced or accelerated bags under the eyes, dark circles and even orbital presentation.
bags under the eyes can be divided into two categories of true and false pouch. Pseudo-pouch more common in young people, based on genetic factors. Performance is lower eyelid orbicularis muscle hypertrophy, and skin, muscles do not relax, nor the orbital septum hypertrophy of fat, is presented in bags under the eyes is only the orbicularis oculi muscle of the round-like processes, especially in the smile of utmost. Bags under the eyes will be true with increasing age, physically weak and sick, so tired of life and work is slack skin, subcutaneous fat reduction, and orbital fat easily in the lower eyelid cheek prominence after the presentation pocket change, age size, the degree of facial muscle activity and strength on the degree of skin and muscle relaxation and prominent orbital fat level after the gills have a certain influence, so that the performance of forms and degrees of bags under the eyes is not the same.
surgical correction of bags under the eyes is through surgical methods and techniques to remove part of the sagging skin under the eyelid, orbicularis muscle and the prominent groups in the orbital fat compartment, and then a very fine, be sutured accurately, can achieve a good outcome. Currently remove bags under the eyes There are two main ways: one is the eye fat method. Dome within the lower eyelid from the eye through a small incision, and then removed after the orbital septum fat, then you can vault incision. The biggest advantage of this method is no skin incision, the method is relatively simple, this method applies only to young people, lower eyelid skin and orbicularis muscle does not relax, the only prominent person of fat orbital septum. Because it is a small incision intraocular surgery area smaller after the fat should be prudent and careful hemostasis, or bleeding in the event of disastrous consequences, it is the most serious complications of this law, while the method is not appropriate in the bags under the eyes of true and false treatment, so the indication is very limited, must be strictly skills to grasp. The second is in the lower eyelid eyelid cut, peeled to remove part of the orbicularis muscle and orbital septum after the fat. The biggest advantage of this law is appropriate to any kind of bags under the eyes, and can be immediate results fly in the ointment is the wound may be left marks, especially for the physical scars should be given attention by the surgeon, in addition should have a skin incision, the measured fat to avoid undue complications.
general than the first pouch of skin, orbicularis muscle and orbital septum not recur after removal of fat, but is usually not easy to relapse. Because the human adult adipose tissue hypertrophy of fat cells is mainly based, but not the increase in fat cells.
Eye surgery Introduction
eye surgery method more, are in common approach within law and outside the approach and French. Law of the approach is usually some Beauty School boasts the so-called "no surgery, no surgery, no traces of" the " blepharoplasty liposuction operation. " In fact, still belong to the scope of operation. Outside the approach most commonly used method for clinical methods.
law within the approach known as "under the conjunctiva incision Law", mainly applied to simple expansion of fat shift out or too much, no loose skin of young people. Slight relaxation of the skin associated with, but good skin elasticity, do not want to approach the line outside the law with mild bags were also considered.
advantages: response to light, swelling fast, no trace of skin appearance.
Disadvantages: not to mention tight orbital septum and lower eyelid to remove excess loose skin.
outside the approach most widely used method for clinical surgical method, in principle, applicable to all without contraindications lower eyelid blepharoplasty correction, more suitable in specific lower eyelid blepharoplasty elderly, especially for moderate to severe bags under the eyes; with skin relaxation, mild bulging orbital fat bags under the eyes are simply mild lower eyelid skin type or simple relaxation orbicularis muscle hypertrophy, if I urgently requires surgery, be considered.
along the lower eyelid incision line at 1-2mm.
advantages: wide indication to remove completely, postoperative results and reliable.
Disadvantages: technical requirements for high accuracy of preoperative planning required, peeled and moderate amount of control and so on.
most people after about 10 days to recover, pay no attention to the case did not easily be found surgery. Small number of people in the scar of the incision may be slight, thin, red scar stage, generally after 2-3 months is basically back to normal.
Surgery to remove bags under the eyes
bags The appearance of the diaphragm is weak or the orbital fat orbital increases, resulting in fat prolapse, eyelid at the formation of the next two curved shape of the bags . May be due to old age, resulting in diaphragm relaxation; and young people have bags under the eyes, it is probably hereditary; other as often blink, flip lids, lack of sleep, are likely to occur early wrinkles and bags under the eyes or eyelids, or increased. Bags under the eyes make people look old and tired.
surgical failures: circumscribed, the removal of excess skin, resulting in ectropion. In addition, fat removal is not enough, surgery can not achieve the goal.
to eye surgery There are two ways: endo-and exo law method
endonuclease method to the bags under the eyes : through a small incision inside the eyelid to remove excess fat and skin, The so-called laser to bags under the eyes is the cutting method.
for the crowd: young, skin tight
advantages: no external scars are
circumscribed method to bags under the eyes : use of local anesthesia, along the edge of the lower lid to the corner where an extension of the natural lines, but along the incision will be fat and muscle beneath the skin to separate the fat and cut out the excess Peng skin.
for the crowd: all the bags under the eyes prominent persons
advantages: surgical risk, results of operations to maintain a long time
Overview remove bags under the eyes surgery
bags showed lower eyelid loose skin, wrinkles and fat, to give people the feeling of fatigue and old.
plastic bags under the eyes into conjunctiva approach (incision) and the skin into the Road (outside the incision) methods, incision bags plastic surgery for eyelid skin elasticity is still good, only prominent orbital fat people do in the conjunctiva of a long 0. 5CM incision, excess fat can be removed, surgical trauma, quicker recovery and no signs of surgery. Plastic bags can be both external incision to remove loose skin, orbicularis muscle hypertrophy and excess orbital fat, suitable for all types of plastic bags under the eyes, surgery better.