RU2489995C1 - Lower-lid blepharoplasty technique - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to aesthetic surgery, and may be used for a lower-lid blepharoplasty technique. A linear transconjunctival incision extends to 3 cm, and fat herniation is removed therefrom. A conjunctival wound is not closed. That is combined with the single-step lower-lid skin exposure to erbium laser in a pulse mode, laser spot 6 mm, power 7 kJ/mm².

EFFECT: method enables improving the cosmetic effect of the surgery and reducing the postoperative complications ensured by the surgical approach avoiding the formation of postoperative crusting and scarring, and the exposure to laser light ensuring contraction of the deep derma layers.

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Description

The invention relates to medicine, namely to aesthetic surgery, and can be used in the technique of lower blepharoplasty.

A known method of aesthetic lower blepharoplasty (application for invention No. 2008125376, A61F 9/007, Bull. No. 36, 12/27/2009), including surgical correction of the skin of the eyelids and fatty hernias by removing excess skin of the eyelids and orbital fat, characterized in that A biological implant capable of replacing with new connective tissue is placed on the dissected tarzoorbital fascia.

However, this method leads to postoperative complications.

Closest to the attached is the method of lower blepharoplasty (RF Patent No. 2254109, A61F 9/007, Bull. No. 17, 06/20/2005), including an inclined skin incision along one of the wrinkles behind the outer corner of the eye and under the ciliary edge. Peel the skin flap from the circular muscle of the eye downward at 1/2 the distance from the eyelash line to the lower orbital edge. Then cut horizontally circular muscle of the eye. At the middle of the distance from the ciliary to the lower orbital edges, the skin together with the muscle is exfoliated 0.5-1 cm below the orbital edge. The tarsoorbital fascia is dissected and fatty “hernias” and excess skin are removed. Strengthen the anterior orbital wall in layers by suturing the tarsoorbital fascia in the form of a duplicate with vertical shortening. After this, a muscle flap is formed by dissection of a circular muscle on a muscular skin flap to the bottom edge of the orbit vertically. A muscle flap is excised at the outer corner of the eye and the orbital part of the circular muscle is moved, fixing it by the outer edge to the periosteum. Suture the edges of the wound.

However, this method has a significant drawback:

negative cosmetic defect possible.

The objective of the proposed method: helps to increase the aesthetic effect of the operation and reduce postoperative complications.

The task is carried out due to the fact that they conduct a linear transconjunctival incision up to 3 cm, the conjunctiva is not sutured, additionally perform simultaneous treatment of the lower eyelid skin with an erbium laser - a spot of 6 mm, in a pulsed mode, with a power of 7 kJ / mm ² .

The method is as follows:

lower blepharoplasty with transconjunctival access is performed both under local anesthesia and under general anesthesia. The average operation time is 50-70 minutes.

After processing the surgical field, abduction and eversion of the lower eyelid with a special hook, transconjunctively departing from the ciliary edge of 3-4 mm, a linear incision is made up to 3 cm, through which excesses of the internal, central and external portions of intraorbital fat are removed. The postoperative wound of the conjunctiva is not sutured. Then the skin of the lower eyelids is treated with an erbium laser (spot 6 mm, pulse mode, power 7 kJ / mm ² ), to blood "dew". A wound dressing with an inert ointment “panthenol” is applied to the wound surface.

Patient N., 32 years old, upon receipt of a complaint for the presence of hernias in the lower eyelid. Operation: performed lower blepharoplasty with transconjunctival access under local filtration anesthesia with 0.2% lidocaine solution with an adrenaline of 1: 100000. The operation time was 65 minutes.

After processing the surgical field, abduction and inversion of the lower eyelid with a special hook, a transconjunctival incision of 3 cm was performed, departing from the ciliary edge of 4 mm. The excess of central and external portions of intraorbital fat was removed. The skin of the lower eyelids is treated with an erbium laser (spot 6 mm, pulse mode, power 7kJ / mm ² ), to the blood "dew". A dressing with an inert ointment “panthenol” was applied on the wound surface.

On day 4: Satisfactory condition. There are no complaints. Healing per prima. There is no scab. Mild hyperemia of the skin and eyelids is noted.

After 1 month: There are no complaints about the aesthetic nature after the operation.

The proposed method helps to increase the cosmetic effect of the operation and reduce postoperative complications.

Claims (1)

The method of lower blepharoplasty, including the removal of fatty “hernias”, characterized in that a linear transconjunctival incision is made up to 3 cm, the conjunctiva wound is not sutured, additionally, simultaneous treatment of the lower eyelid skin with an erbium laser is performed on a 6 mm spot, in a pulse mode, with a power of 7 kJ / mm ² .