CN110811983A - Technical method for traceless double-fold eyelid - Google Patents

Technical method for traceless double-fold eyelid Download PDF

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Publication number
CN110811983A
CN110811983A CN201911021385.9A CN201911021385A CN110811983A CN 110811983 A CN110811983 A CN 110811983A CN 201911021385 A CN201911021385 A CN 201911021385A CN 110811983 A CN110811983 A CN 110811983A
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patient
image
eyelid
preoperative
traceless
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CN201911021385.9A
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王心营
欧阳则军
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Henan Mingmen Plastic Surgery Hospital Co Ltd
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Henan Mingmen Plastic Surgery Hospital Co Ltd
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Priority to CN201911021385.9A priority Critical patent/CN110811983A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Robotics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The invention discloses a technical method of traceless double-fold eyelid, which comprises the following steps that firstly, preoperative customization simulation is carried out, (1) preoperative real images of a patient are collected through a digital camera or a scanner, the preoperative real images are used as input images and input into a PC (personal computer) carrying a Win10 system and a three-dimensional plastic surgery simulation system, and virtual plastic surgery is carried out to obtain virtual surgery images; (2) comparing the virtual operation image with the preoperative real image to customize the requirement of satisfying the patient; step two, performing traceless operation; thirdly, recovering after operation; according to the technical method for the traceless double-fold eyelid, the double-fold eyelid operation is carried out in a mode of simulating firstly and then actually operating, so that the internal fear and the psychological pressure of a patient caused by the unknown operation are relieved; meanwhile, the operator can roughly know the face, particularly the eyes of the patient through preoperative simulation, can perform operation better, improves the success rate of the operation and achieves the best operation effect.

Description

Technical method for traceless double-fold eyelid
Technical Field
The invention relates to a technical method of traceless double-fold eyelid, belonging to the technical field of medical cosmetology.
Background
As the living standard of people is improved and the beauty is changed, more and more people favor the double-fold eyelids, so that a plurality of fashionable men and women with the single-fold eyelids can go to a beauty parlor to make the single-fold eyelids into the double-fold eyelids to make the people more youthful and beautiful, therefore, an industrial chain for making double-fold eyelids is gradually formed in the beauty industry, however, when making double-fold eyelids with single-fold eyelids, the prior art generally adopts a method of sewing and then sewing eyelids, the method has long preparation time, and large dose of anesthetic needs to be injected before preparation, thereby not only improving the preparation cost, simultaneously has influence on human body, has relatively large damage to eyelids in the preparation process and long recovery period, meanwhile, when the sewing is carried out after the sewing, errors are easy to occur, so that the reworking is caused, and the double-edged eyelid is not easy to adjust after the manufacturing is finished, so that the overall failure risk is high; chinese patent application No.: 201711008586.6 discloses a method for making double-fold eyelid, which solves the problems of the prior art that the procedure for making double-fold eyelid is complex, the making cost is high, the making time is long, the damage to eyelid is large, the recovery period is difficult to predict, and the final making failure rate is high because the adjustment is difficult after making; the method mainly comprises the following steps: cleaning and disinfecting the four layers of eyelids and tools; then, drawing lines on the four layers of eyelids to design the shape of double eyelids, and marking six catgut embedding points along the positions of the double eyelids in sequence; then, sequentially penetrating six thread burying points by adopting a polypropylene monofilament line with barbs in the same direction so as to attach the first layer of eyelid and the fourth layer of eyelid; finally, cutting off the excessive polypropylene monofilament yarns remained on the eyelids by using scissors, and cleaning the tool; the technical scheme has the advantages of simple and convenient preparation process, quick response, short preparation time, low preparation risk, little damage to eyelid, no formation of gall, extremely short recovery time or no recovery period, and low failure rate of double eyelid preparation. However, in the method for manufacturing the double-edged eyelid in the technical scheme, the face and the eyes of the patient are not analyzed before the operation, and the preoperative simulation of the double-edged eyelid operation cannot be performed, so that the situation of dissatisfaction of the patient after the operation and the like is easily caused; therefore, in order to solve the above problems, a new technical method for forming a traceless double eyelid is needed.
Disclosure of Invention
In order to solve the problems, the invention provides a technical method for double-fold eyelid without traces, which reduces the fear and psychological pressure of patients caused by the unknown operation by carrying out double-fold eyelid operation in a mode of first simulation and then actual operation; the physician can conveniently adjust the incision and the catgut embedding position before operation.
The technical method of the traceless double-fold eyelid comprises the following steps:
the first step, preoperative customization simulation,
(1) acquiring a preoperative real image of a patient through a digital camera or a scanner, inputting the preoperative real image serving as an input image into a PC (personal computer) carrying a Win10 system and a three-dimensional plastic surgery simulation system, and performing a virtual plastic surgery to obtain a virtual surgery image;
(2) comparing the virtual operation image with the preoperative real image to customize the requirement of satisfying the patient;
the second step, a traceless operation,
(1) when preparing an operation, a patient lies on an operation bed in a supine position, the face of the patient is disinfected three times by povidone iodine solution so as to reduce the risk of infection in the operation, and then the disinfected part and the peripheral area are isolated by an operation sheet;
(2) drawing a wrinkle line with methylene blue, the height of which is usually 6-8mm from the eyelashes at the middle pupil, firmly pressing a toothless forceps on the inner part of the drawn line to observe the desired effect, if no adjustment is needed to the drawn line, then preparing to inject an anesthetic into the skin, injecting a 1:10000 epinephrine diluted 75% ropivacaine solution onto the skin and the orbicularis oculi muscle layer along the wrinkle line; a small 2-5mm incision was made outside the upper eyelid mark, from which a small disc of orbicularis muscle and diaphragm was removed to the levator space, and if necessary, a small amount of infraorbital fat was also removed;
(3) passing a 6-0 nylon suture through the small open incision to the upper levator fascia and out 2-3mm medially from the insertion point, the point of suture exit being the next insertion point, i.e. 2-3mm medially from the insertion point, in such a way that the sutures engage each other, thereby preventing the levator fascia from loosening; this process is repeated until the suture reaches the medial canthus, and the suture is threaded back to the original insertion point and tied under the orbicularis oculi muscle; the patient is asked to open his eyes to see the aesthetic effect after placing the suture, and if necessary, the small incision is sutured using 6-0 silk suture (depending on the length of the small incision);
the third step, the postoperative recovery,
after the operation, washing the face of the patient with a small amount of normal saline, wiping the face with gauze, applying a chlortetracycline ointment to the eyelid, wrapping the eyelid with the gauze, requiring the patient to be observed in a hospital for more than one hour, and applying pressure to the eyelid to reduce postoperative bleeding; after a patient is observed in a hospital for one hour, the patient can go home if no discomfort (such as dizziness) appears, the dressing needs to be removed at home after 24 hours of operation, and the incision line is cleaned by iodine solution 3-5 times a day; during the recovery period, the incision line can not be seen in water, and meanwhile, the patient should avoid spicy food and avoid smoking and drinking, so that the recovery is facilitated, discomfort such as eyelid burning or itching is prevented, and after 7 days, the patient goes to a hospital to remove the line.
As a preferred embodiment, the scanner is a face 3D scanner.
Further, the virtual plastic surgery comprises the following specific operation steps: firstly, a face 3D scanner is used for scanning the face of a patient, and an obj-format scanning model is stored in a specified local file path; then clicking a shaping vault option in an operation interface of the three-dimensional shaping surgery simulation system to pop up a client management panel; clicking a new button, popping up a file browsing window by the system, and then loading the three-dimensional model of the client from a folder for storing the three-dimensional scanning model; after finishing, filling in personal basic information of a new client, clicking a confirmation button on a client management panel to display the newly added client, and when carrying out primary deformation operation on the new client, firstly, identifying feature points of the face; after the new client is registered, in the subsequent operation, a doctor can introduce the face model into the simulation system only by selecting a patient to be subjected to traceless double-eyelid simulation operation on the client management panel; next, an image deformation region is determined by manipulating the window user-defined geometry.
Still further, the image deformation area comprises an image deformation area used for representing an image area where the eyes are located before deformation, an image modification area used for representing an image area where the eyes are located after deformation, and an image modification range area used for representing that when image deformation operation is carried out, the boundary of the deformation area is required to be specified, deformation is carried out on the part inside the boundary only, and operation is not carried out on the part outside the boundary; wherein the image modification range area comprises an image modified area and an image before deformation area.
Further, in the second step, the disinfected area is isolated from the peripheral area by a surgical drape, which is specifically operated by covering the forehead, the left mandible to the chin, and the right mandible to the chin with the surgical drape.
In a preferred embodiment, the third step of postoperative recovery further comprises taking a photograph or scanning a file of the patient after performing the real plastic surgery, and comparing the real postoperative image with the virtual postoperative image to observe the effect after the real surgery.
Compared with the prior art, the technical method for the traceless double-fold eyelid comprises the steps of firstly adopting a three-dimensional plastic surgery simulation system to carry out virtual simulation plastic on the eyelid part of a patient so as to customize the double-fold eyelid effect meeting the requirements of the patient; the patient is subjected to real operation after the virtual simulation operation, so that doctors and patients can know the result after the operation, and doctors can conveniently adjust the positions of the incision and the catgut embedding before the operation; the double-fold eyelid operation is carried out in a mode of first simulation and then actual operation, so that the fear and the psychological pressure of a patient caused by the unknown operation are relieved; meanwhile, the operator can roughly know the face, particularly the eyes of the patient through preoperative simulation, can perform operation better, improves the success rate of the operation and achieves the best operation effect.
Detailed Description
The technical method of the traceless double-fold eyelid comprises the following steps:
the first step, preoperative customization simulation,
(1) acquiring a preoperative real image of a patient through a digital camera or a scanner, inputting the preoperative real image serving as an input image into a PC (personal computer) carrying a Win10 system and a three-dimensional plastic surgery simulation system, and performing a virtual plastic surgery to obtain a virtual surgery image;
(2) comparing the virtual operation image with the preoperative real image to customize the requirement of satisfying the patient;
the second step, a traceless operation,
(1) when preparing an operation, a patient lies on an operation bed in a supine position, the face of the patient is disinfected three times by povidone iodine solution so as to reduce the risk of infection in the operation, and then the disinfected part and the peripheral area are isolated by an operation sheet;
(2) drawing a wrinkle line with methylene blue, the height of which is usually 6-8mm from the eyelashes at the middle pupil, firmly pressing a toothless forceps on the inner part of the drawn line to observe the desired effect, if no adjustment is needed to the drawn line, then preparing to inject an anesthetic into the skin, injecting a 1:10000 epinephrine diluted 75% ropivacaine solution onto the skin and the orbicularis oculi muscle layer along the wrinkle line; a small 2-5mm incision was made outside the upper eyelid mark, from which a small disc of orbicularis muscle and diaphragm was removed to the levator space, and if necessary, a small amount of infraorbital fat was also removed;
(3) passing a 6-0 nylon suture through the small open incision to the upper levator fascia and out 2-3mm medially from the insertion point, the point of suture exit being the next insertion point, i.e. 2-3mm medially from the insertion point, in such a way that the sutures engage each other, thereby preventing the levator fascia from loosening; this process is repeated until the suture reaches the medial canthus, and the suture is threaded back to the original insertion point and tied under the orbicularis oculi muscle; the patient is asked to open his eyes to see the aesthetic effect after placing the suture, and if necessary, the small incision is sutured using 6-0 silk suture (depending on the length of the small incision);
the third step, the postoperative recovery,
after the operation, washing the face of the patient with a small amount of normal saline, wiping the face with gauze, applying a chlortetracycline ointment to the eyelid, wrapping the eyelid with the gauze, requiring the patient to be observed in a hospital for more than one hour, and applying pressure to the eyelid to reduce postoperative bleeding; after a patient is observed in a hospital for one hour, the patient can go home if no discomfort (such as dizziness) appears, the dressing needs to be removed at home after 24 hours of operation, and the incision line is cleaned by iodine solution 3-5 times a day; during the recovery period, the incision line can not be seen in water, and meanwhile, the patient should avoid spicy food and avoid smoking and drinking, so that the recovery is facilitated, discomfort such as eyelid burning or itching is prevented, and after 7 days, the patient goes to a hospital to remove the line.
The scanner is a face 3D scanner.
The virtual plastic surgery comprises the following specific operation steps: firstly, a face 3D scanner is used for scanning the face of a patient, and an obj-format scanning model is stored in a specified local file path; then clicking a shaping vault option in an operation interface of the three-dimensional shaping surgery simulation system to pop up a client management panel; clicking a new button, popping up a file browsing window by the system, and then loading the three-dimensional model of the client from a folder for storing the three-dimensional scanning model; after finishing, filling in personal basic information of a new client, clicking a confirmation button on a client management panel to display the newly added client, and when carrying out primary deformation operation on the new client, firstly, identifying feature points of the face; after the new client is registered, in the subsequent operation, a doctor can introduce the face model into the simulation system only by selecting a patient to be subjected to traceless double-eyelid simulation operation on the client management panel; next, an image deformation region is determined by manipulating the window user-defined geometry.
The image deformation area comprises an image deformation area used for representing an image area where the eyes are located before deformation, an image modification area used for representing the image area where the eyes are located after deformation, and an image modification range area used for representing that when image deformation operation is carried out, the boundary of the deformation area is required to be specified, deformation is carried out on the part inside the boundary, and operation is not carried out on the part outside the boundary.
In the second step, the disinfection part and the peripheral area are isolated by the surgical drape, and the specific operation is to cover the forehead, the left mandible to the chin and the right mandible to the chin by the surgical drape.
And after the postoperative recovery in the third step, the patient is subjected to real plastic cosmetology operation and then is photographed or scanned for retaining a file, and the real postoperative image is compared with the virtual postoperative image to observe the effect after the real operation.
The technical method of the traceless double-fold eyelid of the invention comprises the steps of firstly adopting a three-dimensional plastic surgery simulation system to carry out virtual simulation plastic on the eyelid part of a patient so as to customize the double-fold eyelid effect meeting the requirements of the patient; the patient is subjected to real operation after the virtual simulation operation, so that doctors and patients can know the result after the operation, and doctors can conveniently adjust the positions of the incision and the catgut embedding before the operation; the double-fold eyelid operation is carried out in a mode of first simulation and then actual operation, so that the fear and the psychological pressure of a patient caused by the unknown operation are relieved; meanwhile, the operator can roughly know the face, particularly the eyes of the patient through preoperative simulation, can perform operation better, improves the success rate of the operation and achieves the best operation effect.
The above-described embodiments are merely preferred embodiments of the present invention, and all equivalent changes or modifications of the structures, features and principles described in the claims of the present invention are included in the scope of the present invention.

Claims (6)

1. A technical method for forming a traceless double eyelid is characterized by comprising the following steps:
the first step, preoperative customization simulation,
(1) acquiring a preoperative real image of a patient through a digital camera or a scanner, inputting the preoperative real image serving as an input image into a PC (personal computer) carrying a Win10 system and a three-dimensional plastic surgery simulation system, and performing a virtual plastic surgery to obtain a virtual surgery image;
(2) comparing the virtual operation image with the preoperative real image to customize the requirement of satisfying the patient;
the second step, a traceless operation,
(1) when preparing an operation, a patient lies on an operation bed in a supine position, the face of the patient is disinfected three times by povidone iodine solution so as to reduce the risk of infection in the operation, and then the disinfected part and the peripheral area are isolated by an operation sheet;
(2) drawing a wrinkle line with methylene blue, the height of which is usually 6-8mm from the eyelashes at the middle pupil, firmly pressing a toothless forceps on the inner part of the drawn line to observe the desired effect, if no adjustment is needed to the drawn line, then preparing to inject an anesthetic into the skin, injecting a 1:10000 epinephrine diluted 75% ropivacaine solution onto the skin and the orbicularis oculi muscle layer along the wrinkle line; cutting a small incision of 2-5mm on the outer side of the upper eyelid mark, and removing a small disc of orbicularis muscle and septum from the small incision to reach the levator space;
(3) passing a 6-0 nylon suture through the small open incision to the upper levator fascia and out of the insertion point along the inner side for 2-3mm, wherein the point of the thread out is the next insertion point; this process is repeated until the suture reaches the medial canthus, and the suture is threaded back to the original insertion point and tied under the orbicularis oculi muscle; the patient is asked to open his eyes to observe the aesthetic effect after placing the suture;
the third step, the postoperative recovery,
after the operation, washing the face of the patient with a small amount of normal saline, wiping the face with gauze, applying a chlortetracycline ointment to the eyelid, wrapping the eyelid with the gauze, requiring the patient to be observed in a hospital for more than one hour, and applying pressure to the eyelid to reduce postoperative bleeding; after the patient is observed in a hospital for one hour, the patient can go home if no discomfort occurs, the dressing needs to be removed at home after 24 hours of operation, and the incision line is cleaned by iodine solution 3-5 times a day; during the recovery period, the incision line can not be seen in water, and meanwhile, the patient should avoid spicy food, avoid smoking and drinking, and prevent discomfort such as eyelid burning or itching, and after 7 days, the patient goes to the hospital to take out the line.
2. The technical method of traceless double eyelid according to claim 1, wherein said scanner is a human face 3D scanner.
3. The technical method of traceless double eyelid according to claim 1, wherein the virtual plastic surgery comprises the following specific operation steps: firstly, a face 3D scanner is used for scanning the face of a patient, and an obj-format scanning model is stored in a specified local file path; then clicking a shaping vault option in an operation interface of the three-dimensional shaping surgery simulation system to pop up a client management panel; clicking a new button, popping up a file browsing window by the system, and then loading the three-dimensional model of the client from a folder for storing the three-dimensional scanning model; after finishing, filling in personal basic information of a new client, clicking a confirmation button on a client management panel to display the newly added client, and when carrying out primary deformation operation on the new client, firstly, identifying feature points of the face; after the new client is registered, in the subsequent operation, a doctor can introduce the face model into the simulation system only by selecting a patient to be subjected to traceless double-eyelid simulation operation on the client management panel; next, an image deformation region is determined by manipulating the window user-defined geometry.
4. The technical method of traceless double eyelid according to claim 3, wherein the image deformation region comprises a pre-deformation region for representing an image region where the eye before deformation is located, an image modification region for representing an image region where the eye after deformation is located, and an image modification range region for representing that when an image deformation operation is performed, a boundary of the deformation region is to be specified, deformation is performed only for a portion inside the boundary, and no operation is performed for a portion outside the boundary.
5. The technical method of traceless double eyelid according to claim 1, wherein in said second step, the disinfected area is isolated from the peripheral area by a surgical drape, which is specifically operated to cover the forehead, the left chin to the chin, and the right chin to the chin by the surgical drape.
6. The technical method of traceless double eyelid according to claim 1, wherein said third step of postoperative recovery further comprises taking a photograph or scanning a file of the patient after the actual plastic surgery, comparing the real postoperative image with the virtual postoperative image to observe the effect after the actual surgery.
CN201911021385.9A 2019-10-25 2019-10-25 Technical method for traceless double-fold eyelid Pending CN110811983A (en)

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Application Number Priority Date Filing Date Title
CN201911021385.9A CN110811983A (en) 2019-10-25 2019-10-25 Technical method for traceless double-fold eyelid

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201911021385.9A CN110811983A (en) 2019-10-25 2019-10-25 Technical method for traceless double-fold eyelid

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CN110811983A true CN110811983A (en) 2020-02-21

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