Curative effect of different surgical double eyelid Analysis
【Abstract】 Objective To analyze the different pairs of double eyelid surgery surgical results. Methods A retrospective study in our hospital in April 2005 ~ April 2007, out-patient line of 189 pairs of double eyelid surgery, according to surgical method is divided into A, B, C 3 groups. Group A with skin tarsal fixation; Group B with a continuous suture catgut-embedding method; Group C with three minimally invasive method of small incision double eyelid. The results of the above-mentioned cases of each group for each follow-up
at all times "for 1 year. Group A 36 cases, there is one cases of pairs of double eyelid groove depth of about double eyelid is slightly asymmetrical, rows a second operation, 1 patient eyes double eyelid line of high and low Chao Guo 2 mm, 1 Li mild side of the upper eyelid eversion, were not do special treatment, after 6 months away, naturally. Group B 48 cases, there are four cases of double-fold eyelid surgery double
eyelid 6 months after a little lighter, two cases of mild upper eyelid can be seen inside the closed eyelid after subcutaneous nodules. 105 cases of Group C, 1 patients had the left side of the external double eyelid groove disappeared,
and 1 case of external double eyelid groove right away. Conclusion 3:00 minimally invasive mini-incision double eyelid
surgery double eyelid surgery for dual-choice, safe and
reliable methods.
【Key Words】 Eye surgery; suture techniques; surgery,
minimally invasive
Analysis of 3 different double-fold eyelid shaping
procedures
[Abstract] Objective To analyse the effect of 3
different double-fold eyelid shaping operations.Methods 189
cases from April 2005 to April 2007 were reviewed.The cases were divided into 3 groups, according to the
operationmode.Group A used the skin-eyelid fastness; Group B
used the continuous suture embedding; Group C used the three-
point minimal invasive small wound double-fold eyelid
operation.Results All the cases were followed up over 1 year.Conclusion The three-point minimal invasive small wound double-fold eyelid operation is the safest and most reliable one of all.
[Key words] ophthalmologic surgical procedures; suture
techniques; surgical procedures, minimally invasive
With the development of society, people are increasingly demanding a wide range of beauty, double eyelid surgery is to change the appearance of the common person Sepet surgery.
Double eyelid surgery many ways, we focused on the skin and tarsal plate fixation method, continuous suture catgut-
embedding method, three minimally invasive incision double eyelid at different magic effects. Now I have carried out three kinds of pairs of conventional hospital surgical double eyelid surgery report on the results as follows.
An object and methods
1.1 The retrospective study of subjects in our hospital in June 2005 ~ June 2007 out-line of pairs of double eyelid
surgery 189 patients, aged 17 to 52-year-old, male: female =
1:4, both eyes. According to surgical method, divided into A, B, C 3 groups. Group A, 36 cases involved skin tarsal plate fixation method; Group B 48 cases, continuous suture catgut-
embedding method: 105 cases of Group C to take three minimally invasive mini-incision double eyelid France. The follow-up of
cases in each group at all times "a year.
1.2 Methods Group A with skin, tarsal plate fixation: (1) Conventional sterilization surgery Kong shop towel; (2)
crystal violet according to the design marked incision location, iodine fixed, local anesthesia; (3) metal plate fixation of eyelid for skin incision; (4) removal of skin incision under the orbicularis muscle, fat tissue; (5) in skin tarsal fixation suture. Group B with a continuous suture catgut-embedding method: (1) with Group A step (a), (2); (2)
in the double eyelid line mark the interval a, b, c, d, e 5:00, with five -0 or 7-0 nylon continuous suture line to do; (3) in a Department with a knife cut a small mouth, long 2 mm,
a depth of leather, from a piercing by wearing tarsus 1 / 2 or 1 / 3, from the b out of the skin, and then from b pierce through clothing tarsus from the c out of the skin, and then from the c piercing, and so on to the f out of the skin.
Reverse e-point, the same through the tarsal plate or through the skin after repeated d, c, b points to a point out of the skin; (4) in a point at both ends of the ligature, buried incision, the surgery completed. Does not require stitches. Group C 3:00 minimally invasive mini-incision double eyelid
law: (1) with Group A step (a), (2); (2) the design painted on each side upper eyelid gentian violet line marked three small transverse incision, Each incision length 3 ~ 4 mm; (3) upper eyelid incision from the middle of palpebral margin 7 ~ 8 mm, lateral incision is inside the top of the external canthal angle slightly away from the palpebral margin 7 ~ 8 mm, the medial canthal incision outside the inner 4 mm from the palpebral margin at 6 mm; (4) knife cut, the middle and outer
skin, and eye separation of a small pair of scissors properly subcutaneous tissue, orbicularis oculi muscle revealed small tweezers vertically inside out below the orbicularis muscle and cut off; (5 ) clamping the upper tarsal plate or the upper
pre-tarsal fascia ,5-0 nylon thread from top to bottom edge of the incision or the skin and tarsal plate tarsal plate before the upper part of the upper fascia suture, respectively, a fixed 3-pin. Incision operation of attention should be paid at
double eyelid medial canthal adjust the shape, try to make it smooth and natural. Reposted elsewhere in the paper for free download http://
2 Results
The operation was the successful completion of the three groups, mean follow-up for 1 year. Group A 36 cases, there is one cases of pairs of double eyelid groove depth of about double eyelid is slightly asymmetrical, rows a second surgery; one cases of eye double eyelid line of high and low Chao Guo 2 mm; 1 Li mild side of the upper eyelid eversion. Were not so
special treatment, after 6 months away, naturally. Group B 48 cases, there are four cases of pairs of double eyelid eyelid fold after 6 months a little lighter, 2 cases of mild upper eyelid can be seen inside the closed eyelid after subcutaneous
nodules. 105 cases of Group C, 1 patients had the left side of the external double eyelid groove disappeared, and 1 case of external double eyelid groove right away. Were early cases, the remaining patients had achieved satisfactory results.
Table 1. Table 1, three kinds of surgical satisfaction Note: A, B and C are compared, P <0.05
3 Discussion
Pairs of double eyelid surgery in different ways, but the most basic surgical method can be divided into: incision method, catgut-embedding method [1]. This retrospective study shows 3:00 Minimally invasive method than conventional double-
eyelid tarsal plate fixation of the skin and subcutaneous catgut-embedding method, embodied in the postoperative satisfaction has improved significantly. In clinical
operational procedures, the author of three different surgical operations have the following specific experience: namely, the skin incision tarsal fixation, intraoperative skin incision length, height and curvature of the most basic, most
important, cut Prior to the pre-designed logo line drawing can
not be omitted. Separation of subcutaneous tissue should be full and tarsus before the adipose tissue to be cut off. Encountered in orbital fat prolapse should open the orbital septum, cut off excess fat. Fully bleeding stump of fat
retraction. Overlapping suture orbital septum. Intraoperative attention to the full stop bleeding, to prevent postoperative hematoma formation, affect the outcome. Due to damage larger veins have been cut off blocked lymphatic flow. Postoperative
edema heavier, longer recovery time, and the incision scar may be left over from the more obvious [2]. Skin tarsal immobilization most obvious advantage is that when the eyelid skin, relaxation, more subcutaneous fat, the use of this
method is appropriate, while the effect of continuous suture catgut-embedding method hardly satisfactory. Continuous suture catgut embedding method is more simple, suitable for 30-year-
old before the young, upper eyelid skin is not loose, fat little blepharophimosis longer in patients with high bridge of the nose. Mild postoperative edema and rapid recovery. Easy to form a natural, smooth double eyelid folds. However, 6 months after double eyelid fold higher incidence shallow. 3:00 Design of minimally invasive mini-incision double eyelid easy to
operate, in line with the majority of physicians 3 o'clock position burying method used. Incision is only made three
small incisions are not mutually consistent, to little effect on venous and lymphatic flow, so a slight postoperative edema, shorter recovery time, and burying method basically the same. 3:00 minimally invasive incision for double eyelid surgery can remove a small part of the orbital fat, not only for those thin upper eyelid, but also for medium-thickness upper eyelid
or mild swelling Yanpao persons, also applies to the burying method, ligation After the effects of magic are dissatisfied with or losers. Older than the relaxation of the upper eyelid in patients with appropriate method has been applied [3]. The
magic of no foreign body reaction. Easy after the formation of satisfaction, natural, smooth, permanent double eyelid folds.
By the surgeon and the surgeon should be a clear double eyelid surgery is a selective cosmetic surgery. By the
patients themselves choose the strong demand is the most important factor in whether or not surgery. Should have a variety of double eyelid surgery surgical surgical techniques should also be fully aware of the needs of those affected by surgery, for each subject, and eyelid surgery are facial morphology, personalized design after surgery, must not act rashly. By the patients so as to avoid the psychological,
function, appearance on the injury.
【References】
1 Shaozhen. Eye surgery study, 2nd edition. Beijing: People's Medical Publishing House ,1997,184-187.
2 Song Ruyao, Fanglin. Cosmetic plastic surgery. Beijing: Beijing Press ,2002,592-596.
3 Li Min, Liu Court. Three small incision double eyelid
operation 200 cases of their experiences. Chinese cosmetic medicine, 2003,12 (6) :639-640. Reposted elsewhere in the
paper for free download http://