Failure of eyelid surgery and repair methods
Binoculars can appear big and powerful, and almost everyone hopes they are. This is why the operation is so hot. Although the technique of double eyelid cutting has been very mature, it is inevitable that the operation will fail for various reasons. At this time, double eyelid surgery is needed. What I want to talk about today is the failure of eyelid surgery and repair methods.
one The skin line of both eyes is not obvious after operation
The fold line of the double eyelid of the recipient is not obvious in the whole process of eye opening, or partly obvious, partly not obvious, which is due to the fact that the buried line does not hold the tarsal plate in the case of double eyelid surgery with embedding method; The reason for using the suture pad ligation method is that the suture is not tightly ligated, which does not cause adhesion between the tarsal plate and the skin; In the case of incision, the orbicularis oculi muscle, fat in front of tarsal plate and fat in orbital septum are not enough, so that the upper eyelid skin and tarsal plate are not firmly bonded.
Re repair method:
(1) If the skin line of the whole eyes is not obvious, re operation is required.
(2) If the skin suture of both eyes is not obvious, the discontinuous embedding method and suture pad ligation method only need to be interrupted in the unobvious part or the discontinuous suture pad ligation; For those whose bilateral skin lines are not obvious by incision, partial embedding method and suture pad ligation method can also be used for repair.
(3) If the skin line of both eyes is not obvious, you should also consider whether the selected surgical method meets your eye conditions. Generally speaking, young people with thin eyelids and people with light epicanthus can use thread embedding or suture pad ligation. If the recipient uses the embedding method or the suture pressing pad ligation method, and the bilateral skin line is not obvious, and the recipient is swollen bleb or has serious epicanthus or obvious upper eyelid skin relaxation, the incision method should be used instead. When using the incision method to repair, we should also pay attention to the tarsal plate or the fascia in front of the tarsal plate, trim the epicanthus, and remove too much slack skin on the upper eyelid, so that the skin line of both eyes will be obvious.
two Double eyelids are too wide, too narrow or asymmetrical
The main reason for too wide, too narrow or asymmetrical double eyelids is that the double eyelids are not properly designed. Double eye leather thread design nine ～ 10 mm When it is wide, or when the upper eyelid is removed and the loose skin is too much, the double eyelids are often too wide ( Except for special requirements of individual actors ) ； Double eye leather thread design 6mm When below, the double eyelids are natural and beautiful, but too three After six months, the skin line of both eyes will appear too narrow, and the so-called "hidden double" will appear, which is acceptable for some patients, while some patients will be dissatisfied and ask for repair.
The reasons for bilateral eyelid asymmetry are:
① The preoperative design line is drawn asymmetrically ( Rulers and dividers are often not used to measure and draw lines ) ；
② During the operation, the height of the left and right eyelid skin fixed on the tarsal plate was different;
③ The preoperative asymmetry of the recipient's eyes was not noticed, and the design line of the eyelid was not adjusted during the design.
Re repair method:
(1) For those with too wide eyelids, if the recipient has no special requirements in the preoperative design, the eyelids should be as wide as seven ～ 8mm It's good. During the operation, the lower edge of the incision should be sutured with tarsal plate, not too high. Because the skin has certain flexibility, those who are dissatisfied with the too wide double eyelids can be asked to use their fingers to pull the upper eyelid skin on the double eyelids line every day. When this part of the skin is loose and sagging, the too wide double eyelids can be covered two ～ three The width of double eyelids becomes narrower after being pulled for six months. If necessary, the low line can be redesigned and repaired according to the three eyelid repair method ( See later ) 。
(2) If the double eyelid is too narrow, the incision method can be used to cut the skin according to the original double eyelid skin line, separate the upper eyelid skin below the double eyelid skin line to make it reach the gray line, and then when the tarsal plate is sutured, the position at the upper edge of the incision can be selected, as a result, the double eyelid will become wider. If the upper eyelid skin of the subject is loose, the proper skin must be removed to make the double eyelids wider, otherwise the sagging upper eyelid skin will cover the double eyelids and make the double eyelids too narrow.
(3) For those with asymmetric left and right eyelids, the narrow double eyelids can be trimmed with the opposite double eyelids by incision. If one side is too wide and the other side is OK, use the method of pulling the skin to pull the skin of the wide eyelid to be loose and consistent with the opposite side.
three The leather line of both eyes is short
There are two cases for those with short eyelids
① The skin line of both eyes at one end near the inner canthus disappears, forming the so-called "half double" eyelids, which is caused by covering the epicanthus of the inner canthus;
② There are two reasons for the disappearance of the bilateral skin line at the outer canthus: one is that the line design did not reach the orbital margin; the other is that the line pressing method was not tight enough when sewing a needle outside, and the line embedding method or incision method was not enough with deep tissue.
Reconditioning method: half eyelid should be replaced by full eyelid, and inner canthus should be trimmed. Generally “ Z ”The forming method can be used for correction; Open inner canthus ( See epicanthus section ) If the skin line of both eyes on the outer canthus is not obvious, the embedding method can be used to extend the distance of one needle. When repairing with incision method, the lateral needle should be sewn on the fascia or periosteum.
four , three eyelids
Three eyelids after double eyelid surgery ( That is, there are two more wrinkles than the ordinary double eyelids ) , called three eyelids, is only seen in those who have undergone double eyelid incision. The reason for its occurrence is that after the orbital septum was cut and the orbital septum fat was cut, the orbital septum wound directly adhered to the skin above the double eyelid incision. Therefore, the subcutaneous tissue and orbicularis oculi muscle above the incision should be preserved as much as possible during the operation to avoid direct adhesion between the orbital septum and the skin.
Re repair method: For mild and early three eyelid deformity, the upper eyelid skin can be pulled to loosen the adhesion; The serious ones need surgical repair. The repair method is to cut the skin according to the original bilateral skin line, peel it upward, and loosen the adhesive folds; Then, suture the lower edge of the incision skin upward beyond the suture point of the original palpebral plate to the tarsal plate; Then suture and tie with the upper edge of the incision seven Days.
five Triangular eye
This is because the inner canthal segment is too wide when designing the bilateral skin line, so that this segment cannot be lifted together with the eyelid margin when opening the eyes after surgery.
Reconditioning method: The double eyeliner can be redesigned to widen the width of the middle and outside of the double eyeliner. The operation method is to cut the skin according to the original double eyelid skin line, remove a part of the upper eyelid skin at the middle and outside of the upper edge of the incision, so that the inner, middle and outer are the same width or the inner is narrow and the outer is wide, and then sew them together to form a parallel double eyelid or a wide tail double eyelid.
six Subcutaneous nodules
This is only seen in those who perform double eyelid surgery by embedding thread. Reasons:
① The suture is too close to the epidermis when passing under the skin;
② The needle was not returned from the original needle eye, so that part of the epidermis was ligated in the knot.
Re repair method: Some threads are close to the epidermis, so the suture knot can be removed after the formation of bilateral skin thread, or the subcutaneous suture knot can be cut by incision, and the double eyelid can be made by incision again.
Through the above explanation, you who love beauty “ Failure of eyelid surgery and repair methods ”Is there an answer in your heart? Alibang hereby reminds the beauty lovers that they must choose a formal and qualified plastic surgery institution and a responsible plastic surgeon when choosing plastic surgery. At the same time, they should make preparations before and after the surgery, so that the plastic surgery can achieve good results. If you have any questions, you can directly consult our plastic surgery consultants online, and they will give you professional and detailed answers.
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