LASER INFOMATIONS

5/09/2011

Remove bags under the eyes surgery incision through the skin flap

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.

Pouch surgery cured the skin muscle flap approach

Air Force General Hospital laser cosmetic surgery Center experts, through the skin muscle flap approach the skin incision with Road flap, especially for the skin and orbicularis muscle are relaxed type of bags . But this method does not apply to muscular bags are.

specific surgical methods are: the design and anesthesia incision through the skin incision with the skin flap. Cut the skin and orbicularis muscle layer directly to the whole surface of the tarsal plate, along the deep surface of orbicularis oculi muscle, tarsal plate and orbital blunt dissection down to the surface membrane, directly at the infraorbital margin of 1cm, skin and orbicularis muscle to form knife-shaped flap, fat with the skin incision in the skin flap. Amount by the above method of removal of skin flap removal, the outer canthus orbicularis muscle suspension stitch on the outside top of the deep fascia or orbital periosteum, and outer canthal corner trim excess uneven flap, suture.

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.

Understanding of the classification of bags under the eyes

As people grow older, lower eyelid skin, orbicularis muscle, orbital septum and orbital fat compartment degenerative changes have occurred, loose skin, wrinkles increase, orbicularis muscle and orbital septum down to sag, herniation, lower eyelid to form bags (also known as eyelid bag.) According to Air Force General Hospital cosmetic laser Center experts, according to bags formation of different reasons, bags is divided into four types:

1. simple Loose skin: a simple loose skin, wrinkles increase as the main performance often the effect of surgery is not ideal.

2. Simple orbicularis muscle hypertrophy: mainly for the orbicularis muscle hypertrophy in the formation of lower eyelid fat, the skin is not loose, clinically more common in young people.

3. Orbital fat herniation type: there is no significant increase in orbital fat, but outside the organization orbital relaxation, tension reduction, the formation of orbital fat herniation.

4. Increase in orbital fat type: mainly for the increase in orbital fat tissue within the same time, there is skin, orbicularis muscle relaxation, the formation of the next significant sagging eyelids.

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.

Clinical manifestations and classification of bags under the eyes

With age, lower eyelid skin, orbicularis muscle, orbital septum and orbital fat compartment degenerative changes in both the skin and orbicularis muscle weakening connection between the fibrous tissue - muscle and orbital septum reinforcement reduce the tension between film, resulting in loose skin around the lower eyelids, wrinkles, sagging wall prolapse of orbital fat pocket, outer canthal position down so bloated eye showing signs of aging, usually called eye bags . Medium, the elderly were more common.

Air Force General Hospital laser cosmetic surgery Center experts believe that the lower eyelid eye bags The clinical classification are the following categories:

1, a simple loose skin types: the simple loose skin, wrinkles increase as the main performance.

2, wins the orbital fat herniation type: fat does not increase, but the tissue relaxation, tension reduction, the formation of orbital fat herniation.

3, an increase in orbital fat types: orbital fat increased, while there is skin, orbicularis muscle relaxation.

4, simply orbicularis muscle hypertrophy: hypertrophy of the orbicularis muscle is not loose skin, the so-called "muscular bags ".

Eye surgery recovery liposuction beautiful eyes

Eyes the most exposed parts of the body is, bags does not only affect the appearance, and most likely to be noticed. So many people were beauty eye liposuction surgery , eye liposuction surgery is a cured eye bags the surgery, following liposuction surgery on the eye to the specific introduction.

eye liposuction surgery is almost no trace can be said to be a way to remove bags under the eyes, this method is the conjunctival incision, remove the fat part of the formation of bags under the eyes, the use of conjunctival natural healing properties of the mucous membranes. Air Force General Hospital laser cosmetic surgery Center to carry out professional eye liposuction surgery , precise surgical procedure : One doctor will grasp the loose skin of lower eyelid surgery and orbital septum resection of the amount of fat, according to the type of bags under the eyes of patients, the distribution of orbital fat, skin elasticity of limb, the surgical approach taken into account; second surgery ago, carefully examined to determine fat protruding parts, intraoperative soft, delicate operation, accurate relaxation on the organizations mentioned, the skin becomes flat compact in order to achieve perfect results after surgery.

also remind patients to eye liposuction before, pay attention to the following matters to do the following preparations:

1, if any, conjunctivitis, eyelid edge of inflammation, severe trachoma must be cured only after liposuction surgery eye . Inflammation of the eye operations were suspended. Drop the day before surgery antibiotic eye drops, twice a day.

2, patients with a history of bleeding tendency of platelets to check in and out, blood coagulation time.

3, in elderly patients, when necessary, take blood pressure and ECG, if slightly abnormal, liposuction surgery in eye before symptomatic medication.

4, female menstrual period to avoid the purposes of eye liposuction surgery .

5, pregnant stay of eye liposuction .

6, eye liposuction surgery 7-10 days prior to stop taking steroids, and aspirin and other anticoagulant drugs.

Treatment of eye

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.