percutaneous blepharoplasty

Curing disease: Indication Transcutaneous sac correction is applicable to: 1. The person who has loose skin. 2. The elasticity of the septum is reduced, and the fat is bulged. 3. The orbicularis muscle is hypertrophic and slastic. 4. Lower lash lashes. Contraindications 1. Requires the retention of the orbicularis oculi muscle round pillow. 2. There are infectious diseases in the eyes and around the eyes. 3. Scar body physique. 4. Hypertension and hemorrhagic diseases, diabetes, etc. Preoperative preparation 1. Specialist examination: the lower jaw skin, the degree of relaxation of the orbicularis muscle and the fat bulging of the septum, the presence or absence of retraction of the lower jaw and the separation of the sputum, and the presence of inflammation in the inner and periocular areas. 2. Laboratory examination: blood routine. 3. If you take anticoagulant drugs, you must stop taking it for more than 2 weeks. Surgical procedure 1. Conventional disinfection drape. 2. Draw line design. 1~2mm under the lower iliac crest is parallel to the lower crotch edge to the outer crotch, and then draws a line around 1.0cm in the direction of the crow's feet. 3. Local infiltration anesthesia. 4. Cut the skin according to the line of drawing, peel off under the skin or under the orbicularis muscle to the level of the lower iliac crest, and completely stop bleeding. 5. Remove one of the orbicularis muscles that are loose under the incision and expose the septum. If the fat is too much, remove excess fat. If the diaphragm is slack, tighten the diaphragm. 6. The loose orbicularis oculi muscle is superimposed on the lateral malleolus or wedge-shaped resection 5~8mm suture shortening, suspending and suturing in the lateral malleolus ligament. 7. The patient blinks his eyes and looks up. When the mouth is large, the excess skin of the lower jaw is removed. There is no obvious separation of the ball in the lower jaw and the skin is sutured. The amount of skin removed must be accurate. 8. Stitch the skin with a 5-0 or 6-0 suture. 9. Postoperative treatment (1) Incision eye ointment. (2) The dressing was pressed for 24 hours. (3) Dissection after 5-7 days. complication 1. Hematoma. 2. Infection. 3. Lower valgus. 4. Lower scar hyperplasia. 5. The two sides are obviously asymmetrical. 6. The incision line is too wide and the suture line is obvious. 7. The fat removal is too small, too much or obviously uneven.

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