CN112155614A - Minimally invasive double-eyelid method - Google Patents
Minimally invasive double-eyelid method Download PDFInfo
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- CN112155614A CN112155614A CN202010973952.7A CN202010973952A CN112155614A CN 112155614 A CN112155614 A CN 112155614A CN 202010973952 A CN202010973952 A CN 202010973952A CN 112155614 A CN112155614 A CN 112155614A
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- meibomian
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- orbicularis oculi
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00792—Plastic surgery
Abstract
The invention relates to the technical field of medical cosmetology, and discloses a minimally invasive double eyelid method, which comprises the following steps: s1: drawing a preset tangent line at the upper eyelid of the patient according to a preset design requirement; s2: anesthetizing the upper eyelid of the patient and incising or removing the skin in a preset range according to a preset excision method; s3: removing anterior meibomian fat from part of orbicularis oculi muscles of a patient according to a preset punching and degreasing method, and performing multi-point suture on the orbicularis oculi muscles and the corresponding positions of the upper edge of the meibomian plate. The method can lead the orbicularis oculi muscle and the tarsal plate to be closely adhered through the preset punching degreasing method, and the completeness of the orbicularis oculi muscle is kept at the punched part of the orbicularis oculi muscle, so that the double eyelids form a state which is closer to the nature after the operation, the original tension and layered state are basically kept after the muscle incision suture and the skin suture, and the patient is more natural and beautiful when closing the eyes. The minimally invasive double eyelid method is suitable for most double eyelids, and is particularly suitable for customers with loose upper eyelid skin and more upper eyelid fat.
Description
Technical Field
The invention relates to the technical field of medical cosmetology, in particular to a minimally invasive double eyelid method.
Background
The double eyelid surgery is the most common plastic surgery at present, and the mainstream surgery at present is various surgery modes such as a thread embedding method, a traditional incision method, a park method and the like. However, each operation has its own limitation, the catgut embedding method is natural and vivid without scars, but the effect is not good for patients with loose clothes and people with too thick fat of the upper eyelid, the park method and the traditional method have good effect for the customers with much fat for skin relaxation, but as the whole method is adopted, the double eyelid loses the assistance of the anterior fascia of the eyelid plate, thereby losing natural muscle tension, so that the double eyelid has the condition of not being natural enough, many customers can still see the operation traces after several years of the operation, and scars are also more obvious.
Disclosure of Invention
Aiming at the current situation of the prior art, the invention aims to provide a minimally invasive double eyelid method which is suitable for customers with loose upper eyelid skin and more upper eyelid fat and solves the problem that the postoperative double eyelid has no tension and has meat strips which are not natural enough.
The minimally invasive double-fold eyelid method specifically comprises the following technical scheme:
a minimally invasive double eyelid method comprising the steps of:
s1: drawing a preset tangent line at the upper eyelid of the patient according to a preset design requirement;
s2: anesthetizing the upper eyelid of the patient and incising or removing the skin in a preset range according to a preset excision method;
s3: removing anterior meibomian fat from part of orbicularis oculi muscles of a patient according to a preset punching and degreasing method, and performing multi-point suture on the orbicularis oculi muscles and the corresponding positions of the upper edge of the meibomian plate.
Further, the step S1 includes:
s11: drawing a line at the upper eyelid of the patient according to the preset design requirement;
s12: drawing a double-fold eyelid incision line and removing a skin line correspondingly according to the preset design requirement.
Further, the step S2 includes:
s21: anaesthetizing the upper eyelid of the patient according to the position of the preset tangent line;
s22: judging whether the skin of the upper eyelid of the patient is loose or not;
if so, removing the skin of the tangent line part according to a preset tangent line and keeping subcutaneous muscle tissues;
if not, cutting the skin of the tangent line part according to a preset tangent line and reserving subcutaneous muscle tissue.
Further, the step S3 includes:
s31: punching a hole at the first orbicularis oculi muscle to remove anterior meibomian fat and retain anterior fascia of the meibomian, performing multi-point suture on the first orbicularis oculi muscle close to the meibomian and the upper edge of the meibomian, and then performing suture between the first upper orbicularis oculi muscle and the first orbicularis oculi muscle;
s32: perforating the second orbicularis oculi muscle to remove anterior meibomian fat and muscle tissue and retain anterior meibomian fascia, performing multi-point suture on the second lower orbicularis oculi muscle close to the meibomian plate and the upper edge of the meibomian plate along the anterior meibomian fascia, and then performing suture between the second upper orbicularis oculi muscle and the second lower orbicularis oculi muscle.
Further, the first orbicularis oculi muscle is located at a position right above the eye of the patient, and the second orbicularis oculi muscle is located at a position at the tail of the eye of the patient.
Further, a 5-10mm hole is punched at the second orbicularis oculi muscle, the anterior meibomian fat, orbital septal fat and muscle tissue in the hole are removed, and the anterior meibomian fascia is preserved.
Further, the step S3 further includes:
s33: the skin of the patient cut at the upper eyelid is sutured.
Further, the step S1 further includes:
s13: drawing a corresponding preset tangent line according to the preset face shape of the patient.
The invention adopts the technical scheme at least comprising the following beneficial effects:
the technical method can maximally reserve the previous layer structure of the eyelid, the orbicularis oculi and the eyelid plate are tightly adhered by the preset punching and degreasing method, the completeness of the orbicularis oculi is reserved at the punched part of the orbicularis oculi as much as possible, and the double eyelids form a state which is closer to nature after operation. The minimally invasive double eyelid method is suitable for most double eyelids, and is particularly suitable for customers with loose upper eyelid skin and more upper eyelid fat.
Drawings
FIG. 1 is a first flowchart of the present minimally invasive double eyelid method;
fig. 2 is a second flowchart of the minimally invasive double eyelid method.
Detailed Description
The following are specific embodiments of the present invention and are further described with reference to the drawings, but the present invention is not limited to these embodiments.
This example
The embodiment provides a minimally invasive double eyelid method, as shown in fig. 1, the method includes the steps of: s1: drawing a preset tangent line at the upper eyelid of the patient according to a preset design requirement; s2: anesthetizing the upper eyelid of the patient and incising or removing the skin in a preset range according to a preset excision method; s3: removing anterior meibomian fat from part of orbicularis oculi muscles of a patient according to a preset punching and degreasing method, and performing multi-point suture on the orbicularis oculi muscles and the corresponding positions of the upper edge of the meibomian plate.
As shown in fig. 2, step S1 includes: s11: drawing a line at the upper eyelid of the patient according to the preset design requirement; s12: drawing a double-fold eyelid incision line and removing a skin line correspondingly according to preset design requirements; s13: drawing a corresponding preset tangent line according to the preset face shape of the patient.
Specifically, the double-fold eyelid shape required by the patient is obtained through communication with the patient, and then the design is carried out by combining the face shape of the patient, and finally different preset design requirements aiming at different patients are obtained; drawing a double eyelid cutting line and a skin removing line at the upper eyelid of the patient according to the preset requirements; wherein, the patient of round face can adopt fan-shaped double-fold eyelid design, and the patient of long face can adopt european style double-fold eyelid design.
Step S2 includes: s21: anaesthetizing the upper eyelid of the patient according to the position of the preset tangent line; s22: judging whether the skin of the upper eyelid of the patient is loose or not; if so, removing the skin of the tangent line part according to a preset tangent line and keeping subcutaneous muscle tissues; if not, cutting the skin of the tangent line part according to a preset tangent line and reserving subcutaneous muscle tissue.
Specifically, firstly, anaesthetizing the upper eyelid of the patient, and secondly, determining whether to remove the skin with the skin line, wherein whether to remove the skin depends on whether the upper eyelid of the patient is in a loose state; if relaxed, the skin at the skin line removal is removed and the subcutaneous muscle tissue is retained; if not relaxed, the skin of the tangent portion is incised directly and the subcutaneous muscle tissue is retained.
Step S3 includes: s31: punching a hole at the first orbicularis oculi muscle to remove anterior meibomian fat and retain anterior fascia of the meibomian, performing multi-point suture on the first orbicularis oculi muscle close to the meibomian and the upper edge of the meibomian, and then performing suture between the first upper orbicularis oculi muscle and the first orbicularis oculi muscle; s32: punching holes on the second orbicularis oculi muscle to remove anterior meibomian fat and muscle tissue and retain anterior meibomian fascia, performing multi-point suture on the second lower orbicularis oculi muscle close to the meibomian plate and the upper edge of the meibomian plate along the anterior meibomian fascia, and then performing suture between the second upper orbicularis oculi muscle and the second lower orbicularis oculi muscle; s33: suturing the skin cut at the upper eyelid of the patient; the first orbicularis oculi muscle is located at a position right above the patient's eye, and the second orbicularis oculi muscle is located at a position at the patient's tail of the eye. A5-10 mm hole was made in the second orbicularis oculi muscle, and the anterior meibomian fat, orbital septal fat and muscle tissue were removed from the hole, leaving the anterior meibomian fascia.
The retained subcutaneous musculature is the orbicularis oculi, the orbicularis oculi is completely cut in the prior art, the anterior meibomian fat in the orbicularis oculi is removed, the anterior fascia of the meibomian is damaged by the method, and therefore the natural tension is lost, and the double eyelids are not natural enough.
The method comprises the steps of respectively punching two holes at the orbicularis oculi muscle of a patient, and removing the anterior meibomian fat through the two holes, so that the original anterior meibomian fascia of the patient can be reserved, and the most natural tension is kept; two holes are distributed and punched at the first orbicularis oculi muscle and the second orbicularis oculi muscle; wherein, the first orbicularis oculi muscle is positioned right above the eye, and the width of the hole is 5 mm; the second orbicularis oculi muscle is located at the position of the tail of the eye, the width of the hole is 5-10mm, and the width of the hole can be properly increased according to the length of the tail of the eye of different patients. The tarsal fat on the left side and the right side can be removed through the holes on the first orbicularis oculi muscle, and then the tarsal fat on the tail part of the eye is removed through the second orbicularis oculi muscle, wherein the muscle tissue is also removed at the second orbicularis oculi muscle so as to prevent the skin sagging of the tail of the eye from influencing the naturalness of double eyelids due to the aging of people; then performing multi-point suture on the first orbicularis inferior oculi muscle close to the eyelid plate and the eyelid plate, and then performing suture on the first orbicularis inferior oculi muscle and the first orbicularis superior oculi muscle; and performing multi-point suture on the second lower orbicularis oculi muscle close to the eyelid plate and the eyelid plate, then performing suture on the second lower orbicularis oculi muscle and the second upper orbicularis oculi muscle, and finally performing suture on the skin.
By the treatment of the technical method, the anterior meibomian fat at the upper eyelid of the patient is removed under the condition of not damaging the anterior fascia of the meibomian, the incision is small, and the most natural tension state is kept.
Secondly, the method further comprises the steps of: judging whether the patient has ptosis problem or not; if so, the aponeurosis of the patient's upper eyelid lifting muscle is treated according to a preset suturing method, and then the skin cut at the upper eyelid of the patient is sutured.
Wherein, look over whether there is the problem of ptosis in the patient, if exist, just need shorten the patient and carry the length of the aponeurosis of the eyelid muscle to solve the ptosis problem, this kind of processing mode is only applicable to the patient of slight ptosis.
The technical method can maximally reserve the previous layer structure of the eyelid, the orbicularis oculi and the eyelid plate are tightly adhered by the preset punching and degreasing method, the completeness of the orbicularis oculi is reserved at the punched part of the orbicularis oculi as much as possible, and the double eyelids form a state which is closer to nature after operation. The minimally invasive double eyelid method is suitable for most double eyelids, and is particularly suitable for customers with loose upper eyelid skin and more upper eyelid fat.
The specific embodiments described herein are merely illustrative of the spirit of the invention. Various modifications or additions may be made to the described embodiments or alternatives may be employed by those skilled in the art without departing from the spirit or ambit of the invention as defined in the appended claims.
Claims (8)
1. A minimally invasive double eyelid method, comprising the steps of:
s1: drawing a preset tangent line at the upper eyelid of the patient according to a preset design requirement;
s2: anesthetizing the upper eyelid of the patient and incising or removing the skin in a preset range according to a preset excision method;
s3: removing anterior meibomian fat from part of orbicularis oculi muscles of a patient according to a preset punching and degreasing method, and performing multi-point suture on the orbicularis oculi muscles and the corresponding positions of the upper edge of the meibomian plate.
2. The minimally invasive double eyelid method according to claim 1, wherein the step S1 includes:
s11: drawing a line at the upper eyelid of the patient according to the preset design requirement;
s12: drawing a double-fold eyelid incision line and removing a skin line correspondingly according to the preset design requirement.
3. The minimally invasive double eyelid method according to claim 1, wherein the step S2 includes:
s21: anaesthetizing the upper eyelid of the patient according to the position of the preset tangent line;
s22: judging whether the skin of the upper eyelid of the patient is loose or not;
if so, removing the skin of the tangent line part according to a preset tangent line and keeping subcutaneous muscle tissues;
if not, cutting the skin of the tangent line part according to a preset tangent line and reserving subcutaneous muscle tissue.
4. The minimally invasive double eyelid method according to claim 1, wherein the step S3 includes:
s31: punching a hole at the first orbicularis oculi muscle to remove anterior meibomian fat and retain anterior fascia of the meibomian, performing multi-point suture on the first orbicularis oculi muscle close to the meibomian and the upper edge of the meibomian, and then performing suture between the first upper orbicularis oculi muscle and the first orbicularis oculi muscle;
s32: perforating the second orbicularis oculi muscle to remove anterior meibomian fat and muscle tissue and retain anterior meibomian fascia, performing multi-point suture on the second lower orbicularis oculi muscle close to the meibomian plate and the upper edge of the meibomian plate along the anterior meibomian fascia, and then performing suture between the second upper orbicularis oculi muscle and the second lower orbicularis oculi muscle.
5. The minimally invasive double eyelid method according to claim 4, wherein the first orbicularis oculi muscle is located at a position right above the patient's eye, and the second orbicularis oculi muscle is located at a position at the patient's tail of the eye.
6. The minimally invasive double eyelid method according to claim 4, wherein a 5-10mm hole is made in the second orbicularis oculi muscle, and the anterior meibomian fat, orbital septal fat and muscle tissue in the hole are removed while the anterior meibomian fascia is preserved.
7. The minimally invasive double eyelid method according to claim 4, wherein the step S3 further comprises:
s33: the skin of the patient cut at the upper eyelid is sutured.
8. The minimally invasive double eyelid method according to claim 1, wherein the step S1 further comprises:
s13: drawing a corresponding preset tangent line according to the preset face shape of the patient.
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| CN202010973952.7A CN112155614A (en) | 2020-09-16 | 2020-09-16 | Minimally invasive double-eyelid method |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2262416Y (en) * | 1996-09-05 | 1997-09-17 | 张威 | Double-fold eyelid shaper |
| CN1565400A (en) * | 2003-06-25 | 2005-01-19 | 崔伯良 | Implantation method for forming double-fold eyelid |
| US20140257145A1 (en) * | 2013-03-08 | 2014-09-11 | Ulthera, Inc. | Devices and methods for multi-focus ultrasound therapy |
| CN104337552A (en) * | 2013-07-26 | 2015-02-11 | 王晶花 | Catgut embedded double-eyelid shaping method |
| CN109938783A (en) * | 2019-03-31 | 2019-06-28 | 罗金刚 | A kind of double-fold eyelid operation operating method |
-
2020
- 2020-09-16 CN CN202010973952.7A patent/CN112155614A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2262416Y (en) * | 1996-09-05 | 1997-09-17 | 张威 | Double-fold eyelid shaper |
| CN1565400A (en) * | 2003-06-25 | 2005-01-19 | 崔伯良 | Implantation method for forming double-fold eyelid |
| US20140257145A1 (en) * | 2013-03-08 | 2014-09-11 | Ulthera, Inc. | Devices and methods for multi-focus ultrasound therapy |
| CN104337552A (en) * | 2013-07-26 | 2015-02-11 | 王晶花 | Catgut embedded double-eyelid shaping method |
| CN109938783A (en) * | 2019-03-31 | 2019-06-28 | 罗金刚 | A kind of double-fold eyelid operation operating method |
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