CN117942222A - Method for retaining upper eyelid vascular network double eyelid forming - Google Patents
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- CN117942222A CN117942222A CN202311829991.XA CN202311829991A CN117942222A CN 117942222 A CN117942222 A CN 117942222A CN 202311829991 A CN202311829991 A CN 202311829991A CN 117942222 A CN117942222 A CN 117942222A
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- 238000000034 method Methods 0.000 title claims abstract description 49
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- 238000002690 local anesthesia Methods 0.000 claims abstract description 9
- 230000002093 peripheral effect Effects 0.000 claims abstract description 6
- RBTBFTRPCNLSDE-UHFFFAOYSA-N 3,7-bis(dimethylamino)phenothiazin-5-ium Chemical compound C1=CC(N(C)C)=CC2=[S+]C3=CC(N(C)C)=CC=C3N=C21 RBTBFTRPCNLSDE-UHFFFAOYSA-N 0.000 claims abstract description 3
- 229960000907 methylthioninium chloride Drugs 0.000 claims abstract description 3
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- 239000000243 solution Substances 0.000 claims description 14
- 238000002399 angioplasty Methods 0.000 claims description 13
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 claims description 10
- 229960004194 lidocaine Drugs 0.000 claims description 10
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- CPKVUHPKYQGHMW-UHFFFAOYSA-N 1-ethenylpyrrolidin-2-one;molecular iodine Chemical compound II.C=CN1CCCC1=O CPKVUHPKYQGHMW-UHFFFAOYSA-N 0.000 claims description 5
- 206010002091 Anaesthesia Diseases 0.000 claims description 5
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- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 claims description 3
- CYDMQBQPVICBEU-UHFFFAOYSA-N chlorotetracycline Natural products C1=CC(Cl)=C2C(O)(C)C3CC4C(N(C)C)C(O)=C(C(N)=O)C(=O)C4(O)C(O)=C3C(=O)C2=C1O CYDMQBQPVICBEU-UHFFFAOYSA-N 0.000 claims description 3
- CYDMQBQPVICBEU-XRNKAMNCSA-N chlortetracycline Chemical compound C1=CC(Cl)=C2[C@](O)(C)[C@H]3C[C@H]4[C@H](N(C)C)C(O)=C(C(N)=O)C(=O)[C@@]4(O)C(O)=C3C(=O)C2=C1O CYDMQBQPVICBEU-XRNKAMNCSA-N 0.000 claims description 3
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- Surgical Instruments (AREA)
Abstract
The invention relates to the technical field of beauty treatment and medical treatment, in particular to a method for retaining upper eyelid vascular network double eyelid molding, which comprises the following steps: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfected part from the peripheral area, and finally the skin range to be removed and the double eyelid incision line are marked by using the methylene blue, so that the local anesthesia is carried out by injecting anesthetic under the skin layer of the patient; the double eyelid shaping method provided by the invention has the advantages of keeping subcutaneous and myometrial vascular networks, preventing vein reflux from being damaged, greatly shortening the postoperative recovery time, being stable and durable in suture, and basically having no trace in eye closure after operation, and solves the problems that the traditional double eyelid incision method is large in operation wound, does not keep subcutaneous and myometrial vascular networks, causes longer edema fading period and is easy to leave scars, so that operation can be better performed, the success rate of operation is improved, and the best operation effect is achieved.
Description
Technical Field
The invention relates to the technical field of beauty treatment and medical treatment, in particular to a method for retaining upper eyelid vascular network double eyelid molding.
Background
Double eyelid surgery, also known as double eyelid molding, is one of the most common procedures for plastic surgery. Generally, the double eyelid visually increases the outline of eyes, increases the stereoscopic impression of eyes, makes eyes appear larger, and makes eyelashes upwarp, thereby giving lively and tranquillizing feeling to people. Double eyelid surgery, also called blepharography, can be divided into two main categories: cut-out and non-cut-out. The non-incision method has the advantage of simple and quick operation, but has the disadvantage that double eyelid is easy to disappear. In contrast, the surgical effect of the incision is more durable.
Double eyelid molding is a permanent double eyelid operation that removes loose skin and excess fat through an incision and performs multi-point suturing of only the dermis and meibomian portions to form a double eyelid line. Before the operation, the shape of the eyes in the normal open state and the fully closed state is studied, and then the coordination degree of the whole face is observed for adjustment.
The traditional double eyelid incision method is used for removing orbicularis oculi, suturing skin and anterior fascia of meibomian, has the defects of larger operation wound, no reserved subcutaneous vascular net, longer edema fading period and easy scar leaving, and the problem is solved by the double eyelid shaping method which can reserve the subcutaneous vascular net, prevent vein reflux from being damaged, greatly shorten postoperative recovery time, ensure stable and durable suturing and basically have no trace after eye closure.
Disclosure of Invention
The invention aims to provide a method for retaining double eyelid vascular network double eyelid forming operation, which has the advantages of retaining subcutaneous vascular network, preventing vein reflux from being damaged, greatly shortening the postoperative recovery time, ensuring stable and durable suture and basically no trace of closed eyes after operation, and solves the problems that the traditional double eyelid incision operation has larger wound, does not retain subcutaneous vascular network, leads to longer edema resolution period and is easy to leave scars.
In order to achieve the above purpose, the present invention provides the following technical solutions: a method of preserving double lid angioplasty of the vascular network of the upper lid, the method comprising the steps of:
(1) Surgical preparation: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfected part from the peripheral area, and finally the double eyelid incision line and the skin range to be removed are marked by using the methylene blue;
(2) Drug injection: injecting anesthetic under the skin layer of the patient for local anesthesia to expand the subcutaneous vascular network and the tissues;
(3) Instrument preparation: taking a surgical blade 11, titanium alloy micro-shears, titanium alloy micro-forceps and an 8-0 cosmetic suture line for surgical operation;
(4) Tissue excision: after the anesthesia is successful, a No. 11 blade is adopted to cut the epidermis along a design line, the subcutaneous vascular network is exposed, then, the micro-scissors and the micro-forceps are used to remove part of orbicular muscle along the vascular gap, the meibomian and the anterior fascia of the meibomian are exposed, and the subcutaneous and muscular vascular network is completely reserved;
(5) Skin suturing: after tissue excision is completed, the muscle and the skin are sutured layer by using 8-0 cosmetic threads, and after the layer by layer suture is completed, the 8-0 cosmetic threads are cut off, so that the operation can be smoothly completed;
(6) Postoperative recovery: the face of the patient is cleaned with a small amount of physiological saline after the operation, the face is wiped dry and wrapped with gauze, the patient is required to stay in the hospital for observing for more than one hour, and simultaneously the eyelid is pressed to reduce the bleeding after the operation.
Preferably, in the step (1), the subject is a group in need of double eyelid operation.
Preferably, in the step (1), povidone-iodine solution is used for facial disinfection, and the number of times of facial disinfection is three.
Preferably, in the step (2), the anesthetic is a lidocaine solution, wherein the content of lidocaine is 1%.
Preferably, in the step (3), the surgical blade 11, the titanium alloy micro-shears and the titanium alloy micro-forceps are sterilized by a high-pressure steam sterilization method.
Preferably, in the step (4), the vascular network needs to be precisely avoided during the operation, and the tissues outside the blood vessel need to be removed.
Preferably, in the step (5), care should be taken to check the radian and symmetry during skin suturing, and the position of the suturing point is adjusted at any time.
Preferably, in the step (6), the incision line is cleaned with iodine solution 3-5 times per day after the operation, and the incision line cannot see water during the recovery, and meanwhile, the subject avoids spicy food and is prohibited from smoking and drinking.
Preferably, in the step (6), the gauze covered by the incision is removed the next day after the operation, and the incision is smeared with the chlortetracycline eye ointment every day.
Preferably, in the step (6), the postoperative recovery period is 7-10 days, and the double eyelid is formed naturally and closed eye has no mark after 15-20 days.
Compared with the prior art, the invention has the following beneficial effects:
The double eyelid shaping method provided by the invention has the advantages of keeping subcutaneous and myometrial vascular networks, preventing vein reflux from being damaged, greatly shortening the postoperative recovery time, being stable and durable in suture, and basically having no trace in eye closure after operation, and solves the problems that the traditional double eyelid incision method is large in operation wound, does not keep subcutaneous and myometrial vascular networks, causes longer edema fading period and is easy to leave scars, so that operation can be better performed, the success rate of operation is improved, and the best operation effect is achieved.
Drawings
FIG. 1 is a schematic flow chart of the method of the invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Embodiment one:
A method of double eyelid shaping to preserve the vascular network of the upper eyelid, the method comprising the steps of:
(1) Surgical preparation: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfection part from the peripheral area, the meran mark double eyelid incision line and the skin range needing to be removed are finally used, the patient is a group needing double eyelid operation, the face is disinfected by povidone iodine solution, the number of times of face disinfection is three, and disinfection and sterilization can be effectively carried out, so that the risk of infection in the operation is reduced;
(2) Drug injection: the anesthetic is injected under the skin layer of the patient to carry out local anesthesia, so that subcutaneous and muscular vascular networks and tissues are expanded, the anesthetic is a lidocaine solution, the content of the lidocaine is 1%, the patient can be subjected to local anesthesia, and arrhythmia of the patient can be prevented;
(3) Instrument preparation: taking a No. 11 surgical blade, a titanium alloy micro-shear, a titanium alloy micro-forceps and an 8-0 cosmetic suture line for surgical operation, and adopting a high-pressure steam sterilization method to sterilize the No. 11 surgical blade, the titanium alloy micro-shear and the titanium alloy micro-forceps, so that germs are prevented from adhering to the surface of a surgical instrument, and the risk of surgical infection is reduced;
(4) Tissue excision: after the anesthesia is successful, a No. 11 blade is adopted to cut the epidermis along a design line, the subcutaneous vascular network is exposed, then, the micro-scissors and the micro-forceps are used to remove part of orbicular muscle along the vascular gap, the meibomian and the anterior fascia of the meibomian are exposed, and the subcutaneous and muscular vascular network is completely reserved;
(5) Skin suturing: after tissue excision is completed, the muscle and the skin are sutured layer by using 8-0 cosmetic threads, and after the layer by layer suture is completed, the 8-0 cosmetic threads are cut off, so that the operation can be smoothly completed;
(6) Postoperative recovery: the face of the patient is cleaned with a small amount of physiological saline after the operation, the face is wiped dry and wrapped with gauze, the patient is required to stay in the hospital for observing for more than one hour, and simultaneously the eyelid is pressed to reduce the bleeding after the operation.
Embodiment two:
a method of preserving double lid angioplasty of the vascular network of the upper lid, the method comprising the steps of:
(1) Surgical preparation: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfection part from the peripheral area, the meran mark double eyelid incision line and the skin range needing to be removed are finally used, the patient is a group needing double eyelid operation, the face is disinfected by povidone iodine solution, the number of times of face disinfection is three, and disinfection and sterilization can be effectively carried out, so that the risk of infection in the operation is reduced;
(2) Drug injection: the anesthetic is injected under the skin layer of the patient to carry out local anesthesia, so that subcutaneous and muscular vascular networks and tissues are expanded, the anesthetic is a lidocaine solution, the content of the lidocaine is 1%, the patient can be subjected to local anesthesia, and arrhythmia of the patient can be prevented;
(3) Instrument preparation: taking a No. 11 surgical blade, a titanium alloy micro-shear, a titanium alloy micro-forceps and an 8-0 cosmetic suture line for surgical operation, and adopting a high-pressure steam sterilization method to sterilize the No. 11 surgical blade, the titanium alloy micro-shear and the titanium alloy micro-forceps, so that germs are prevented from adhering to the surface of a surgical instrument, and the risk of surgical infection is reduced;
(4) Tissue excision: after the anesthesia is successful, a No. 11 blade is adopted to cut the epidermis along a design line, the subcutaneous vascular network is exposed, then, the microscopic scissors and the microscopic forceps are used to remove part of orbicular muscles along the vascular gap, the meibomian and the anterior fascia of the meibomian are exposed, the vascular network is required to be precisely avoided in the operation process, the tissues outside the blood vessel are removed, the vascular network can be reserved, the venous reflux is not damaged, the detumescence is rapid, and no scar is left;
(5) Skin suturing: after tissue excision is finished, the muscle and the skin are sutured in layers by using 8-0 cosmetic threads, the 8-0 cosmetic threads are cut off after the layer-by-layer suturing is finished, the operation can be smoothly finished, the radian and the symmetry are checked when the skin is sutured, the position of the suture point is regulated at necessary time, the appearance of the double eyelid sutured can be ensured, and the optimal operation effect can be further achieved;
(6) Postoperative recovery: the face of the patient is cleaned with a small amount of physiological saline after the operation, the face is wiped dry and wrapped with gauze, the patient is required to stay in the hospital for observing for more than one hour, and simultaneously the eyelid is pressed to reduce the bleeding after the operation.
Embodiment III:
a method of preserving double lid angioplasty of the vascular network of the upper lid, the method comprising the steps of:
(1) Surgical preparation: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfection part from the peripheral area, the meran mark double eyelid incision line and the skin range needing to be removed are finally used, the patient is a group needing double eyelid operation, the face is disinfected by povidone iodine solution, the number of times of face disinfection is three, and disinfection and sterilization can be effectively carried out, so that the risk of infection in the operation is reduced;
(2) Drug injection: the anesthetic is injected under the skin layer of the patient to carry out local anesthesia, so that subcutaneous vascular networks and tissues are expanded, the anesthetic is a lidocaine solution, the content of the lidocaine is 1%, the patient can be subjected to local anesthesia, and arrhythmia of the patient can be prevented;
(3) Instrument preparation: taking a No. 11 surgical blade, a titanium alloy micro-shear, a titanium alloy micro-forceps and an 8-0 cosmetic suture line for surgical operation, and adopting a high-pressure steam sterilization method to sterilize the No. 11 surgical blade, the titanium alloy micro-shear and the titanium alloy micro-forceps, so that germs are prevented from adhering to the surface of a surgical instrument, and the risk of surgical infection is reduced;
(4) Tissue excision: after the anesthesia is successful, a No. 11 blade is adopted to cut the epidermis along a design line, the subcutaneous vascular network is exposed, then, the microscopic scissors and the microscopic forceps are used to remove part of orbicular muscles along the vascular gap, the meibomian and the anterior fascia of the meibomian are exposed, the vascular network is required to be precisely avoided in the operation process, the tissues outside the blood vessel are removed, the vascular network can be reserved, the venous reflux is not damaged, the detumescence is rapid, and no scar is left;
(5) Skin suturing: after tissue excision is finished, the muscle and the skin are sutured in layers by using 8-0 cosmetic threads, the 8-0 cosmetic threads are cut off after the layer-by-layer suturing is finished, the operation can be smoothly finished, the radian and the symmetry are checked when the skin is sutured, the position of the suture point is regulated at necessary time, the appearance of the double eyelid sutured can be ensured, and the optimal operation effect can be further achieved;
(6) Postoperative recovery: the face of a patient is cleaned by a small amount of normal saline after the operation, the face is wiped dry and wrapped by gauze, the patient is required to stay in a hospital for observing for more than one hour, simultaneously, the eyelid is pressurized to reduce postoperative bleeding, the incision line is cleaned by iodine solution after the operation, 3-5 times per day, the incision line cannot see water during the recovery period, meanwhile, the operator avoids spicy food and smoke and wine, discomfort such as eyelid burning or itching can be prevented, the gauze covered by the incision is removed the next day after the operation, and aureomycin eye ointment is smeared on the incision every day, so that the skin healing can be accelerated, the postoperative recovery time is shortened, the double eyelid is naturally formed after 15-20 days, and the eye is closed and has no trace.
The double eyelid shaping method provided by the invention has the advantages of keeping subcutaneous and myometrial vascular networks, preventing vein reflux from being damaged, greatly shortening the postoperative recovery time, being stable and durable in suture, and basically having no trace in eye closure after operation, and solves the problems that the traditional double eyelid incision method is large in operation wound, does not keep subcutaneous and myometrial vascular networks, causes longer edema fading period and is easy to leave scars, so that operation can be better performed, the success rate of operation is improved, and the best operation effect is achieved.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising one … …" does not exclude the presence of other like elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made therein without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A method of preserving double lid angioplasty of the vascular network of the upper lid, characterized by: the method comprises the following steps:
(1) Surgical preparation: the patient lies on the operation table in the supine position, the face of the patient is disinfected, then a sterile treatment towel is used for isolating the disinfected part from the peripheral area, and finally the double eyelid incision line and the skin range to be removed are marked by using the methylene blue;
(2) Drug injection: injecting anesthetic under the skin layer of the patient for local anesthesia to expand the subcutaneous vascular network and the tissues;
(3) Instrument preparation: taking a surgical blade 11, titanium alloy micro-shears, titanium alloy micro-forceps and an 8-0 cosmetic suture line for surgical operation;
(4) Tissue excision: after the anesthesia is successful, a No. 11 blade is adopted to cut the epidermis along a design line, the subcutaneous vascular network is exposed, and then, the micro-scissors and the micro-forceps are used to remove part of orbicular muscle along the vascular gap, the meibomian and the anterior fascia of the meibomian are exposed, and the subcutaneous and muscular vascular network is completely reserved.
(5) Skin suturing: after tissue removal, the muscle and the skin are sutured layer by using 8-0 cosmetic threads, and after the layer by layer suture is completed, the 8-0 cosmetic threads are cut off, so that the operation can be successfully completed;
(6) Postoperative recovery: the face of the patient is cleaned with a small amount of physiological saline after the operation, the face is wiped dry and wrapped with gauze, the patient is required to stay in the hospital for observing for more than one hour, and simultaneously the eyelid is pressed to reduce the bleeding after the operation.
2. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (1), the subject is a group requiring double eyelid operation.
3. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (1), povidone-iodine solution is adopted for facial disinfection, and the times of facial disinfection are three times.
4. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (2), the anesthetic is a lidocaine solution, wherein the content of the lidocaine is 1%.
5. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (3), the surgical blade, the titanium alloy micro-shears and the titanium alloy micro-forceps of No. 11 are sterilized by adopting a high-pressure steam sterilization method.
6. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (4), the vascular network needs to be precisely avoided in the operation process, and the tissues outside the blood vessel are removed.
7. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (5), the skin is sutured by checking the radian and symmetry, and adjusting the position of the suture point at necessary time.
8. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (6), the incision line is cleaned by the iodine solution after operation and recovered for 3 to 5 times per day, the incision line can not see water during recovery, and meanwhile, the operator can avoid spicy food and avoid smoking and drinking.
9. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (6), gauze covered by the incision is removed the next day after the operation, and the incision is smeared with chlortetracycline eye ointment every day.
10. A method of preserving double lid angioplasty of the vascular network of the upper lid according to claim 1 wherein: in the step (6), the postoperative recovery period is 7-10 days, and the double eyelid is formed naturally and closed with no mark after 15-20 days.
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