Repair method of double eyelids

Overwidth of double eyelid means that the width of double eyelid is more than 8 mm

It's relatively easy for the patients with normal double eyelid line, but not European eye, so it's only necessary to redesign the incision within the range of 6 to 8 mm for double eyelid repair and remove the original incision together. 1. Keep the wound clean to prevent infection. It is very important to clean the wound after double eyelid surgery. If the wound is not clean, it is easy to get infected, leading to the formation of wound scars. So be careful not to wet the wound when washing your face after operation. 1 ~ 2 days after the operation, the dressing on the eye can be removed. If there is blood scab or secretion on the wound, it can be wiped with sterile saline or medical alcohol.

2. Prevention and treatment of bleeding, congestion or hematoma in surgical wound. If the small blood vessels are damaged during the operation or the bleeding is not completely stopped during the operation, the eyes will be hit by external impact after the operation, and intense exercise or changeable emotions will cause bleeding, congestion or hematoma. In order to prevent the occurrence of the above complications, local wounds can be bandaged with pressure or cold compress with ice packs, but the pressure should not be too high to avoid eye damage.

3. Rest in a quiet and comfortable environment after operation. Indoor air should be fresh and circulated and maintain a certain temperature. Increase protein's intake in diet, and eat more fruits and fresh vegetables. Don't watch TV or newspaper within one week after operation, and it is best to lie in a semi-horizontal position (raise the pillow) when staying in bed, so as to avoid eye fatigue or low head position and aggravate the swelling of the wound.

4. There will be some pain in the wound on the day of operation, but it will gradually decrease with the passage of time. Patients should not rush to take painkillers, because aspirin drugs will aggravate wound bleeding.

5. patients after double eyelid incision should have their stitches removed 5-7 days after operation. Sometimes a tiny thread will be left in the wound after stitches are removed, which will be pushed out slowly or absorbed by itself as time goes on.

The induration at the suture site after double eyelid surgery by embedding thread is common in the following two situations: 2 ~ 3 days after surgery, the suture site is obviously red and swollen. This situation suggests that the possibility of infection is high, so it is necessary to see a doctor as soon as possible, open the drainage in time and remove the suture, otherwise the infection will be difficult to control. At the same time, antibiotics were used locally, orally or intramuscularly. If the skin around the eye of the needle is red and slightly indurated. This is a normal reaction and no special treatment is required; Another situation is that there is always induration on the skin at the suture site one week or more after operation. This situation is mostly caused by incomplete embedding of the suture, which stimulates the skin tissue to produce chronic inflammatory reaction. Treatment can be local physical therapy, local external application of some triamcinolone acetonide ointment and hot compress, etc., which can generally be absorbed by themselves without leaving sequelae. If the effect is not good, you can consider removing the suture. Many people think that the eyes with double eyelids look big and divine, while those with single eyelids in the East are mostly, so cutting double eyelids has become the most common operation in oriental cosmetic surgery. But only people with long eyes, thin eyelid skin and high nose bridge have the best effect.

A successful double eyelid plasty has the following points: the width of double eyelid is appropriate; The radian is commensurate with the radian of the upper eyelid and the face shape; Incision scar is not obvious; Double eyelid line is natural. The success of double eyelid surgery is not only related to the surgeon's aesthetic point of view and cosmetic surgery technology, but also related to the eye shape, anatomical structure and facial shape of the patient. Because cosmetic surgery in China is not standardized, some cosmetic doctors or beauty salons do not have the corresponding level and conditions. During the operation, regardless of the conditions of the patients, one method is adopted indiscriminately, and the results are very unsatisfactory. Therefore, before doing this operation, the subject must think twice.

here are the morphological types of the upper eyelid of Chinese residents, and who is suitable for double eyelid surgery and who is not suitable for this kind of surgery.

The eyelid shapes of Chinese residents can be divided into three types: single eyelid, double eyelid and multi-layer double eyelid.

according to the elasticity and relaxation degree of the upper eyelid skin, it can be divided into three types.

1. Positive force type: upper eyelid skin has no slack, good elasticity and moderate subcutaneous fat filling, which is more common in young people;

2. weakness type: the upper eyelid skin is slack, with poor elasticity and sparse subcutaneous fat, which is found in middle-aged and elderly people;

3. Super-force type: the eyelid skin is tense and bright, and the fat at the moment is over-filled, showing a swollen state, commonly known as "swollen bubble eye" and "bubble eye".

Generally speaking, anyone who is born with one eyelid and voluntarily asks for double eyelids can be a double eyelid surgery if he has no serious internal organ diseases and is mentally normal. People with long eye fissure, thin eyelid skin and high nose bridge have good surgical effect.

If one eyelid is a double eyelid and the other is a single eyelid, the operation can make both sides symmetrical by taking one side of the double eyelid as the standard.

Some people's double eyelids are not obvious when they open their eyes, which is called "hidden double eyelids". If they are operated, they can form wider double eyelids, and the effect is often good.

Some middle-aged and elderly people have droopy upper eyelid skin, which often lacks aesthetic feeling and affects their vision, and often has a heavy eyelid feeling. Being a double eyelid surgery can make the eyes young, reduce the discomfort of the eyes and increase the vision of the eyes.

Some special eye types, such as narrow eyes, squinted eyes, triangular eyes, large and small eyes and splayed eyes, can be corrected by surgery.

For people with low nose bridge, wide distance between eyes, small eye fissure and single eyelid, double eyelid surgery and rhinoplasty can greatly improve their appearance.

double eyelid surgery has been done in the past, but the effect is not satisfactory, or the double eyelid line disappears, you can also have another operation.

Some eye diseases, such as "entropion cilia" and ptosis of the upper eyelid, can be treated with correction, and double eyelid surgery can kill two birds with one stone, achieving dual purposes.

The above operation is suitable for people over 16 years old. For children, in addition to the above diseases, double eyelid surgery should generally not be done.

It's best not to use the double eyelid patch for too long. Long-term use will make the upper eyelid droop and make the double eyelid less obvious.

Here are the morphological types of the upper eyelid of Chinese residents, and who is suitable for double eyelid surgery and who is not suitable for this kind of surgery.

A The eyelid shapes of Chinese residents can be divided into three types: single eyelid (single eyelid), double eyelid (double eyelid) and multilayer double eyelid.

B according to the elasticity and relaxation degree of the upper eyelid skin, it is divided into three types. 1. Positive force type: the upper eyelid skin has no relaxation, good elasticity and moderate subcutaneous fat filling, which is more common in young people; 2. Weakness type: the upper eyelid skin is slack, with poor elasticity and scarce subcutaneous fat, which is found in middle-aged and elderly people; 3. Super-strength type: the skin is tense and bright, and the fat is over-filled and swollen at the moment, commonly known as "swollen eyes" and "bubble eyes".

C Generally speaking, anyone who is born with one eyelid and voluntarily asks for double eyelids can be a double eyelid surgery if he has no serious internal organ diseases and is mentally normal. The eye fissure is long, the eyelid skin is thin, the bridge of the nose is high, and the operation effect is good. D if one eyelid is a double eyelid and the other is a single eyelid, the operation can make both sides symmetrical based on one side of the double eyelid. Some people's double eyelids are not obvious when they open their eyes, which is called "hidden double eyelids". If they are operated, they can form wider double eyelids, and the effect is often good.

E some middle-aged and elderly people have droopy upper eyelid skin, which often lacks aesthetic feeling, but also affects their vision, and often has a heavy eyelid feeling. Being a double eyelid surgery can make the eyes young, reduce the discomfort of the eyes and increase the vision of the eyes. F Some special eye types, such as narrow eyes, narrow eyes, triangular eyes, large and small eyes and splayed eyes, can be corrected by surgery. For people with low nose bridge, wide distance between eyes, small eye fissure and single eyelid, double eyelid surgery and rhinoplasty can greatly improve their appearance. Double eyelid surgery has been done in the past, but the effect is not satisfactory, or the double eyelid line disappears, and the operation can be re-performed. Some eye diseases, such as "entropion cilia" and blepharoptosis, can be treated with double eyelid surgery at the same time, achieving double goals.

G the above operations are generally suitable for people over 16 years old. For children, in addition to the above diseases, double eyelid surgery should generally not be done. Eye plastic surgery is the most common operation, and it is also considered as a piece of cake by many people. However, no matter which method of double eyelid surgery, it belongs to the category of traumatic beauty, and postoperative nursing still needs to be highly valued.

In order to prevent postoperative bleeding, congestion and excessive swelling, the surgeon can also compress the upper and lower eyelids with the palm root, but the force must be moderate, otherwise it will not stop bleeding. The local compression time after operation should be more than 1 hour. If there is still bleeding in the wound, don't panic, you can continue to compress for about half an hour.

Do more eye-opening and eye-closing actions. Any eye movement after double eyelid surgery will lead to different degrees of pain, but don't keep your eyes closed for fear of pain, which is not conducive to the formation of double eyelid and the regression of swelling. One hour after the operation, you should open your eyes and close your eyes, watch TV or do other things, or work as usual. If it is found that the folds of the double eyelid are two or more layers, that is, the so-called "triple eyelid", the skin of the upper eyelid can be lifted with a clean thumb and forefinger, so that the eyes can pull down the skin of the upper eyelid while looking up. If this is repeated, most of the excess folds can disappear.

People who perform blepharoplasty with their eyes looking up can often do the action of looking up to accelerate the local recovery and the disappearance of mild ectropion. Eyelid is loose tissue, and it takes 3 to 6 months to completely recover its natural shape after operation. In order to promote early recovery, local wet and hot compress can be done after suture removal; In the evening and at rest, you can stick scar softening cream and scar lotion on the incision position to prevent scar hyperplasia and shorten the time of scar regression. Those who ask for double eyelids have doubts about the durability of artificial double eyelids. So, how long can the double eyelids formed by surgery last?

We have already talked about several methods to make double eyelids. The double eyelids formed by incision are generally permanent because the linear fibrous tissue formed at the incision line proliferates firmly and neatly.

However, the double eyelids formed by suture method and thread embedding method have less trauma to tissues, less fibrous tissue is formed only at those points where the suture passes, and the artificial adhesion force is also small. If the drooping force is large, the adhesion is easy to loosen. Therefore, theoretically speaking, most of them can last for 3 ~ 5 years, but some of them can last longer or even exist forever.

In order to increase the permanence of double eyelids, 4 ~ 5 stitches can be used for suture ligation. And bring the tarsal plate, so that the skin and levator palpebrae superioris adhere to the tarsal plate more firmly, and the double eyelids will naturally last longer. 1. Keep the wound clean to prevent infection. It is very important to clean the wound after cutting double eyelids. If the wound is not clean, it is easy to get infected, leading to the formation of wound scars. Therefore, be careful not to wet the wound when washing your face after operation. Take off the dressing on your eyes 1 ~ 2 days after operation. If there is blood scab or secretion on the wound, wipe it with sterile saline or medical alcohol.

2. Be careful not to do strenuous exercise during the swelling period after double eyelids are cut.

3. You can't rub your eyes hard, but you should open your eyes and close your eyes more. Pay attention to maintaining eye tension after cutting double eyelids.

4. After double eyelids are cut, pay attention to keeping your head up as much as possible, watch less TV and surf the Internet as little as possible, and pay attention to eye rest.

5. After operation, there should be a quiet and comfortable environment to recuperate, the indoor air should be fresh and circulated and kept at a certain temperature, the intake of protein should be increased in diet, and more fruits and fresh vegetables should be eaten, spicy food should be avoided, and seafood and eggs should not be eaten.