Upper eyelid skin laxity correction

Shangyu relaxation is an age-related degenerative change. In addition to the shrinkage of the skin and the reduction of subcutaneous fat, there is still a decrease in muscle and fascia fascia tension and even the sag of the sputum from the weak part. As you age, symptoms such as facial skin aging, sagging skin, and eyebrows are aggravated. Severe cases may cause eye irritation such as thick palate, difficulty in blinking, or inversion of the eyelashes. Treating the disease: ptosis Indication Upper eye skin relaxation correction is applicable to: Excessive and loose upper eyelids, Contraindications 1. Platelet count <90 x 109 / L. 2. The coagulation mechanism is not normal. 3. Hypertension, arteriosclerosis, diabetes, etc. Preoperative preparation Do a good job in physical examination. In addition to routine biochemical tests, coagulation function tests and cardiovascular medical consultations should be performed. Surgical procedure 1. Draw a fold from the top of the upper iliac crest at 5 to 6 mm in the methylene blue, and slant the line to the outer crotch. The upper jaw skin is held with a gumless, and the amount of skin that needs to be removed is estimated. Then draw the second line. The distance between the second line and the first line depends on the skin relaxation. 2. Under the skin, the anesthesia is infiltrated. Avoid adding epinephrine to anesthetics. 3. Cut the skin according to the line and cut off the skin to be removed. 4. Separate the anterior iliac muscle of the tarsal plate to expose the tarsal plate If the fat is prominent, open the septum. 5. The surgeon presses the eyeball with his finger, forcing the fat to smash out. He bends the vascular clamp at the base of the sputum fat. On the section where the fat is cut off, the electrocoagulation is used to stop the blood, and there is no bleeding. The base can be returned to the inside. 6. The sacral incision was sutured with 5-0 silk thread, and the excess part of the orbicularis muscle was cut off, and the skin was sutured with a seesaw. complication 1. Correction of the eyelids The skin and fat are removed too little, just like no surgery. After 2 to 3 months, you can have surgery. 2. Correction of excessive occurrence of cleft palate incomplete in rabbit eyes, do not immediately correct surgery again. Should take light massage, exercise closed eye exercise, still not good after half a year, due to excessive skin resection, take a full thickness skin graft from the back of the ear to repair; such as the formation of eyelid depression and eyeball depression No, filling surgery is hard to work. Therefore, it must be borne in mind that too much fat can not be removed, especially in the middle of the body. 3. There is a ptosis before the operation, it may not be found, it takes 4 to 6 months to see no improvement and then surgery correction. During the operation, it is often found that the aponeurosis of the diaphragm is split, damaged or removed. When reoperation is performed, it should be over 1mm. 4. The sclera is exposed to mild sclera, and the patient has no discomfort and does not need to be treated. Symptomatic treatment of patients with dry eyes. 5. The vertical diameter of the palpebral eyelids becomes shorter. Because the skin is removed too much, it is corrected by full-thickness skin graft. If it is caused by inflammation of the phlegm, antibiotics and corticosteroids are used to prevent inflammation. Absorb, you can get better. 6. The hemorrhage in or after the ball is too much or poorly cut due to sputum fat. This complication is very serious. If it cannot be detected in time, timely rescue will affect the visual function. In severe cases, the visual function may be lost. Therefore, patients who need to do sputum fat resection should stay in the observation room for 24 hours after surgery. If the patient has eye pain, the bandage should be removed immediately (including vision, intraocular pressure, fundus), if there is pressure. If the phenomenon is increased, the skin of the external ankle and the suture line should be opened immediately to reduce the pressure and the eye drops can be taken orally. Prevention: Detailed examination of fundus arteriosclerosis, blood pressure and coagulation function, and careful hemostasis during surgery, and close inspection of patients within 24 hours after surgery, is basically preventable.

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