On the question of where the middle and lower face lifting incision is, some people say it is at the position of the lower eyelid pouch, others say it is in front of the ear (that is, the temporal temple). So when we do the middle and lower skin lifting and wrinkle removal surgery, the pouch incision or the pre ear incision is better?
President Fang Jianlin, a famous skin pulling surgeon in China, said: "We can't simply say which position is good because they adapt to different symptoms.".
Because: Eyebag incision is more suitable for mid face lifting; The preauricular incision is suitable for middle and lower part lifting.
When the lower eyelid pouch enters the road, it is mainly aimed at the sagging of the middle cheekbone fat pad (commonly known as apple muscle), which can solve the three problems of middle surface relaxation, pouch and lacrimal groove.
The principles and surgical procedures of facial improvement are as follows:
1. The 1-2mm incision below the lower eyelid is parallel to the eyelash.
2. If the fat in the eye bag is obviously swollen, it is recommended to remove the eye bag first, and fill the excess fat into the lacrimal groove depression by releasing the fat in the orbital septum.
3. Then peel the subcutaneous tissue and orbicularis oculi muscle to the direction of zygomatic fat pad. The sagging zygomatic fascia and orbicularis oculi were pulled upward and fixed on the periosteum at the lower edge of the orbit.
4. Then cut off the redundant skin, tighten the pouch, and intermittently suture the eyelid incision.
The face lifting of the eyelid margin incision is a vertical upward lifting method, which improves the whole midface, such as the fat pad of cheekbones to the nasolabial groove, through deep and shallow compound lifting. At the same time of repositioning the apple muscle, it can also solve the lacrimal groove and pouch, and make the concave legal lines lighter.
But, The facial improvement in the lower eyelid incision is more suitable for mild to moderate facial ptosis between 25 and 40 years old, or the middle of the face is relatively weak, the skin tissue is not large, but the beauty is loose.
For people over 40 years old with severe central sagging and deep wrinkles, a small incision skin pulling operation in front of the ear is required.
The small incision skin lifting and wrinkle removal operation in front of the ear is mainly aimed at the sagging of the middle and lower parts, which is suitable for the elderly. Because the elderly, in addition to apple muscle droop and legal line, will also have mouth droop, corner pouch, jaw edge contour is not clear, double chin, deep neck line and other problems. At this time, it is a good choice to do the pre auricular incision improvement surgery.
There are many online journals of facial lifting during pouch surgery, as well as pre auricular small incision skin pulling recovery maps. Both are effective wrinkle removal methods
