Periorbital Fat Grafting 眶隔脂肪释放
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- Periorbital Fat Grafting 眶隔脂肪释放
别名
眶隔重置法
项目介绍
“眼袋”别扔,留着给泪沟;眼袋的本质是脂肪,而泪沟则是软组织的缺失,两者正好优劣互补,用眼袋多余的脂肪填充泪沟的凹陷,实现眼部年轻化,也称为“眶隔脂肪释放术”。眶隔脂肪释放,可以采用眼结膜切口(内路)或皮肤切口(外路),后者适合下眼皮肤松弛和皱纹的中老年人
项目特色
针对中重度眼袋,同时有泪沟或眶颧沟的人,有明显的改善效果。
功效
减龄,眼部美化,眼周年轻化
适合人群特征
睑眶脂肪外突
适合人群
同时有眼袋和泪沟者; 下睑眶脂肪明显外突但皮肤和眼轮匝肌不松弛者
关注度
⭐⭐⭐⭐✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐⭐✩
项目优点
去眼袋的同时填充泪沟,年轻眼周; 不取脂肪、不易反弹,效果明显而且持久; 修复已松弛的眼睑各层组织、平整睑颊沟; 不会出现由于脂肪取出过多,造成的凹陷现象,对那些已经出现的凹陷的患者,也可以进行良好的修复。
项目缺点
手术较为复杂,对医生技术水平要求高; 手术时间较长,术后水肿时间较长; 如采用皮肤切口,术后皮肤上会遗留切口瘢痕,需要时间恢复。
禁忌人群
瘢痕体质者; 有先天弱视、慢性结膜炎、红眼病、急性感染等眼科疾患者; 有出血倾向疾病和高血压病者; 心、肺、肝、肾等重要器官的活动性和进行性疾病者; 尚未控制的糖尿病和传染性疾病者; 月经期、孕妇或妊娠期女性; 因各种原因有眼球突出者。
留疤
无
治疗时长
1-1.5小时
麻醉方式
局麻
治疗周期
单次
操作方式
手术
效果持续
持久
恢复时间
1个月左右
操作人员资质
医疗美容科或整形科执业医师
疼痛感
中度疼痛
术前必读
- 如有结膜炎、睑缘炎、严重砂眼者,必须治愈后才能手术,眼周有炎症者暂缓手术,术前一天滴抗菌素眼药水;
- 有出血倾向病史的受术者,要检查血小板和出凝血时间;
- 中、老年受术者必要时需测血压和做心电图,如有轻度异常,在术前要对症用药;
- 全身检查,各项化验检查,尤其注意有无易出血性倾向,女性避开月经期施行手术 ;
- 术前7-10天,停服类固醇激素和阿司匹林等抗凝药物。
0天~3天 严重肿胀
恢复提示:
肿胀比较明显,术后当天回有少许渗血,轻微疼痛,疼痛程度可忍。
护理方法:
- .在切口处用纱布覆盖、轻压;
- 24小时复诊、换药、解除包扎;
- 1-2天内头高平卧位休息,冷敷,减少眼部活动,防止术后出血,减轻术后肿胀;
- 术后72小时内可冰敷,每次冰敷15-20分钟。
4天~6天 快速消肿期
恢复提示:
眼部消肿迅速,皮肤淤青基本吸收,眼周围皮肤发黄是淤青吸收标志,耐心等待几日后可完全消失。
护理方法:
- 术后7天之内,尽量避免手术部位沾水。
7天~7天拆线日
恢复提示:
7天到院拆线(因为术式不同,需按医嘱时间,到院拆线)。
护理方法:
- 保持伤口清洁,防止感染;
- 拆线后24小时内,伤口不能沾水;
- 不可用力揉搓伤口,可涂抹祛疤软膏,淡化疤痕; 4.注意饮食清淡,禁食辛辣刺激性食物.
8天~30天持续消肿期
恢复提示:
逐渐恢复,形态基本固定。
护理方法:
- 拆线后可正常洗漱沾水;
- 术后应有安静舒适的环境休养。2周内不要看电视、报纸,卧床休息时最好半卧位,避免眼睛过度疲劳或头部位置过低而加重伤口肿胀 ;
- 一个月内戴墨镜或眼睛防护、防晒.
31天~46天组织恢复期 :
恢复提示:
形态效果逐渐稳定。
护理方法:
- 耐心等待最终效果,及时回诊,检查术后恢复情况。
Alias Name
Periorbital Rejuvenation
Procedure Detail
Fat grafting to the eyelids and periorbita is a delicate and highly specialized surgical treatment to restore volume and improve on soft-tissue contours around the eye. The procedure addresses hollow and sunken eyes, under eye creases, periorbital dark circles, minor eye bags, thinning skin and pronounced tear troughs. In addition, placement of fat within the orbit can improve eyelid health for individuals with scarring, atrophy, lid retraction, ectropion, lagophthalmos and facial palsy.
Features
Targeted to rejuvenate the appearance of protruding retroseptal fat pads, tear trough deformity, and negative vector.
Benefits
Facial rejuvenation, preventing volume loss.
Recommended
Periorbital hollowness.
Suitable Candidate
Volume depletion and loss of fullness in the periorbit.
Popularity
⭐⭐⭐⭐✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐⭐✩
Pros
Significantly refresh the eyes and orbit and provide long-term improvement to both aesthetics and function; preventing ageing related to atrophy and volume loss in and around the periorbital region. Long lasting rejuvenation results.
Cons
Due to the fine and delicate nature of the tissue and the complexity of the procedure, it required high experienced and skillful doctors. The whole surgery takes a longer time and need longer recovery period.
Unsuitable Candidate
Scar hyperplasia; patients with congenital amblyopia, chronic conjunctivitis, red eye disease, acute infection and other eye diseases; those with bleeding-prone diseases and hypertension; heart, lung, liver, kidney and other vital organs And progressive diseases; uncontrolled diabetes and infectious diseases; menstrual period, pregnant women; those with protruding eyeballs for various reasons.
Scar
No
Treatment Time
1-1.5 hr
Anesthesia Method
Local anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
About 1 month
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Medium
Before the Procedure
- If there is conjunctivitis, blepharitis, severe trachoma, must be cured first, and if there is inflammation around the eye, the operation should be suspended, and antibiotic eye drops should be dripped one day before the operation.
- Recipients with a history of bleeding tendency should check on Platelet and blood clotting.
- Middle-aged and elderly patients need to measure blood pressure and do electrocardiogram if necessary, if there is mild abnormality, take symptomatic medication before surgery.
- Do body check and laboratory tests, especially if there is any Prone to bleeding tendency, women avoid menstrual period for surgery; 5. 7-10 days before surgery, stop taking steroids and aspirin and other anticoagulant drugs.
0-3rd days
Severe swelling period from 0 days to 3 days:
The swelling is more obvious, there is a little blood oozing, slight pain, and the pain is tolerable on the day after surgery..
Aftercare methods:
- Cover the incision with gauze and lightly press.
- Follow up after 24 hours, change the dressing; Rest in the supine position with head high, cold compress, reduce eye movement, prevent postoperative bleeding.
- Ice compress within 72 hours after operation, 15-20 minutes each time.
4-6th days
4 to 6 days swelling
Recovery tips:
Eye swelling is quickly reduced, skin bruises are basically absorbed, and yellowish skin around the eyes is a sign of bruise absorption. Wait a few days and it will disappear completely.
Aftercare methods:
- Within 7 days after surgery, try to avoid water on the surgical site.
7th days
7 to 7 days for the stitches to be removed
Recovery Tips:
7 days, sutures to be removed at the hospital (because the surgical procedure is different, the stitches must be removed at the hospital at the time of the doctor’s advice).
Aftercare methods:
Keep the wound clean to prevent infection.
- Within 24 hours after the stitches are removed, the wound should not be exposed to water.
- Do not rub the wound vigorously. You can apply scar ointment to lighten the scars.
- Light diet and no Spicy food.
8-30th days
8 to 30 days continuous swelling period
Recovery Tip:
Gradually recover, the shape is basically fixed.
Aftercare methods:
- After the sutures are removed, you can wash and bath normally.
- There should be a comfortable environment for recuperation after the operation. Do not watch TV or newspapers for 2 weeks. It is best to stay in a semi-recumbent position when resting in bed to avoid excessive eye usage or low head position and aggravate wound swelling.
Wear sunglasses or eye protection and sun protection within one month.
31-46th days
From 31 days to 46 days, the final recovery period Recovery tips:
The effect gradually stabilizes.
Aftercare methods:
- Patiently wait for the final result, return to the clinic on time to follow up.
Reminder
The above postoperative care is for reference only. Due to individual differences and different surgical procedures, the recovery cycle, suture removal time and aftercare methods will be different. The specific plan is to follow the doctor’s advice.
FAQ 常见问答题
A common unfavorable problem after the operation is that the lower eyelid tissue is removed too much, which causes the lower eyelid ectropion, which usually recovers gradually.
术后常见的不良问题是,下睑组织祛除量过多,从而造成下睑外翻,一般会逐渐恢复。
The incision line of the surgery is very fine, and there may be red marks within 2 weeks after the operation. Generally, after a period of time, it basically returns to normal, leaving no scars, even if there is, generally not easy to notice.
眶隔脂肪释放手术的切口线非常细微,术后2周内可能有红色的印迹。一般在经过一段时间后,基本恢复正常,不会留下瘢痕,即使是形成瘢痕也一般不易察觉。
Yes, it will be long lasting. Because there are wide variations in eyelid/periorbital anatomy among individuals, it is necessary to customize the volume restoration for each patient.
一般在术后3-4年内,是不轻易反弹的。另外,是否反弹还与具体操作有关,比如对眶隔脂肪疝出型眼袋,是否对眶隔膜做折叠收紧缝合就很关键,当然采用什么样的手法,还要视具体情况而定。
5-7天拆线,10-14天左右淤青发黄消除,1个月时基本恢复自然效果。
是的,为了防止在伤口愈合期强光照射,刺激眼睛;其次,在手术切口位置的皮肤,在术后半年内要尽量避免紫外线照射,以免出现色素沉着。