Philtrum Reduction Surgery 人中缩短术
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- Philtrum Reduction Surgery 人中缩短术
别名
上唇人中缩短术
项目介绍
人中缩短术是缩短鼻子下方到嘴巴的距离,令嘴部周围轮廓更清晰。手术方法是沿鼻头下方,根部切除4-9mm左右的皮肤。之后把切除部位进行缝合,从而达到缩短人中的效果。缝合时上嘴唇被上提,令嘴唇看上去更厚、更有立体感。
项目特色
人中太长比例不协调还显老,做人中缩短术效果能减龄不少。
功效
减龄,面部年轻化
适合人群特征
人中过长
适合人群
上唇人中超比例过长者; 红唇细薄或内翻,呈现严肃、年长面容的求美者。
关注度
⭐⭐⭐✩✩
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐⭐✩
项目优点
缩短人中效果明显; 疤痕在鼻基底处,不明显。
项目缺点
切口在皮肤上,有疤痕增生的风险; 后期有回缩的可能性。
禁忌人群
高血压、糖尿病或传染性疾病等患者; 长期服用类固醇激素和阿司匹林等药物者; 月经期和妊娠期女性; 上颌骨前突、上唇中央过高红唇坡度陡、人中厚度偏厚者(手术效果可能欠满意,需要当面评估手术效果,慎重考虑)。
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
6个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
无痛
术前必读
- .女性避开经期,避免出血增多或肿胀加重;
- 手术前两周内,请勿服用固醇激素和阿司匹林类抗凝药物;
- 手术当日不要化妆,也不要戴装饰物等;
- 如有以下唇部情况者建议暂缓手术:唇部存在口腔溃疡、毛囊炎等感染灶,急性炎症等;
- 妊娠前期(三个月)或妊娠后期(三个月)暂缓手术;
- 男性需要提前戒烟一周;
- 常规身体检查,血压、心电图等。
0-第6天
恢复提示: 术后术区出现水肿、青紫、淤血等,属于正常现象。
护理方法:
- 1术后冰敷30-60分钟,之后3天内,每天冰敷3-4次;
- 术后当晚,可能术区会比较疼痛,必要时可以服用止疼药或安眠药帮助睡眠;
- 当天进冷流食,不能用吸管,可以用勺;2天后正常饮食;
- 口服抗生素3天,预防感染。
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;
- 注意饮食清淡,禁食辛辣刺激性食物。
8-第15天
恢复提示:
消肿比较迅速,几乎没有其他不适感。
护理方法:
- 术后一周内,忌烟酒、辛辣刺激性食物;
- 术后1周内,避免夸张表情,尽量少说话,避免大笑以及用力哈欠;
- 术后可以刷牙,但注意轻柔,勿触碰伤口。
16-第30天
恢复提示:
一般术后水肿症状,大部分在1-2周后逐渐消退;如发现肿胀、淤血或疼痛加剧等情况,需立即联系医生。
护理方法:
- 外用祛疤膏,可在拆线愈合后1周开始用,待祛疤膏干结形成保护膜以后,表面可以化妆。
31-第90天
恢复提示:
术后2-3个月之内,切口可能略红,触之稍硬,偶尔有瘙痒,之后会逐渐恢复,待稳定后一般社交距离不易看出。
护理方法:
- 瘢痕一般在术后3-6个月左右稳定,尽量减少夸张表情活动,以及外用祛疤膏预防;如仍较明显可能需要进一步治疗(若出现增生者,可以疤痕内注射含激素的祛疤针;若平坦或者凹陷的疤痕,可以后期激光减淡)。
温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。
Alias Name
Upper Lip Shortening
Procedure Detail
Philtrum – is the vertical column in the middle area of the upper lip. A short philtrum signifies youth and beauty. Whereas a long philtrum makes a female’s face less feminine. A lip shortening procedure should address not only the vertical length of the skin of upper lip but also the shape and fullness of the vermilion. The skin excision is immediately below the nose in the crease below the nostril rim (alar) and the columella. The incision extends into the floor of the nostril so as to minimize its visibility. After skin is excised, a portion of the orbicularis iris is also excised and resuspended to the base of the nose so as to give a more durable result and also to evert the upper lip.
Features
If the philtrum ratio is too long, one will look old. The effect of shortening can restore youthfulness.
Benefits
Look younger, youthful appearance.
Recommended
Philtrum too long.
Suitable Candidate
Philtrum ratio is too long; thin upper lips; ‘trout pout’ appearance.
Popularity
⭐⭐⭐✩✩
Safety
⭐⭐⭐✩✩
Complexity
⭐⭐⭐✩✩
Pros
The result is obvious and incision scar can be hidden well.
Cons
The incision is on the skin, there is a risk of scar hyperplasia; there is a possibility of retraction.
Unsuitable Candidate
Patients with high blood pressure, diabetes, or infectious diseases; those who take steroids and aspirin for a long time; women during menstruation and pregnancy; those with maxillary protrusion, upper lip center too high, and philtrum is thick (the result may be unsatisfactory).
Scar
No
Treatment Time
1-1.5 hr
Anesthesia Method
Local anesthetic
Treatment Course
Single Time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
No pain
Before the Procedure
- Women avoid menstrual periods to avoid increased bleeding or swelling.
- Do not take steroid and aspirin anticoagulants within two weeks before surgery.
- Don’t wear makeup on the day of surgery, and no jewelries.
- It is recommended to postpone the operation if you have the following lip conditions: oral ulcers, folliculitis and other infections, acute inflammation, etc..
- Pre-pregnancy (three months) or late pregnancy (three months) postponed surgery.
- Men need to quit smoking one week in advance.
- Routine physical examination, blood pressure, electrocardiogram, etc..
0-6th days
Severe swelling period from 0 days to 6 days Recovery Tips: Postoperative edema, bruising, and congestion in the operation area are normal.
Aftercare methods:
- Apply ice for 30-60 minutes after the operation and apply ice 3-4 times a day for 3 days after the operation.
- On the night after the operation, wound may be painful. If necessary, you can take painkillers or sleeping pills to help you sleep.
- Take cold liquid food on the same day, cannot use a straw, you can use a spoon; eat a normal diet after 2 days.
- Oral antibiotics for 3 days to prevent infection.
7th days
7 days for the stitches to be removed. Recovery Tips:
7 days for the stitches to be removed at the hospital (because the procedure is different, the stitches must be removed at the hospital at the time of the doctor’s order).
Aftercare methods:
- Keep the wound clean to prevent infection.
- The wound should not be wet within 24 hours after the thread is removed.
- The wound should not be rubbed.
- Light diet and no spicy and irritating food.
8-15th days
Recovery tips:
Swelling gradually reduced, mild pain.
Aftercare methods:
- Within one week after surgery, avoid smoking, alcohol and spicy food.
- Within one week of surgery, avoid exaggerated expressions, talk as little as possible, avoid laughing and yawning.
- You can brush your teeth after surgery but Be gentle and do not touch the wound.
16-30th days
16 to 30 days tissue recovery period. Recovery tips:
Generally, the post operation symptoms, most of them gradually disappear after 1-2 weeks; if you find swelling, congestion or increased pain, please contact your doctor immediately.
Aftercare methods:
- Topical scar removal cream can be used 1 week after stitch removal and healing. After the scar removal cream has dried and formed a protective film, the surface can be put on makeup.
31-90th days
31 days to 90 days stable period. Recovery Tips:
Within 2-3 months after surgery, the incision may be slightly red, slightly hard, and occasionally itching, it will gradually recover. Generally, the car will not be seen from a distance.
Care methods:
- Scars are generally stable around 3-6 months after surgery, minimize exaggerated expression activities, and use topical scar cream to prevent them; if it is still obvious, further treatment may be needed (if hyperplasia occurs, hormone injections can be injected into the scar; if the scar is flat or sunken, laser light can be used later).
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
- Local anesthesia: local injection of anesthetic at the surgical site.
- Intravenous general anesthesia: for patients with long operation time, multiple parts, or poor tolerance to pain, intravenous administration without tracheal intubation.
- 局部神经阻滞麻醉:手术部位局部注射麻醉剂,不另收费;
- 静脉全麻辅助:手术时间长、部位多、或对疼痛耐受差者,静脉给药,无需气管插管,另收费(根据手术时间长短1500-3000元不等)。
This is to check if you have any medical problems that might need to be treated before your operation, or if you’ll need special care during or after the surgery. The tests you have will depend on what operation and the kind of anesthetic you’re having. Surgeons who require lab work as part of a pre-op evaluation will likely ask for a full panel of blood work, a urinalysis, and an ECG or EKG. If the surgery requires the use of a general anesthetic, a chest x-ray may be taken.
常规检查:(可手术当天做,局麻者无需空腹,静脉全麻者空腹化验;外地患者,为节省时间也可以先在当地三级医院提前完成,3个月内有效) 局麻手术者:血常规、尿常规、凝血四项、美容免疫四项(乙肝、丙肝、梅毒、艾滋); 静脉全麻手术者:上述6项、肝肾功能、空腹血糖、心电图。
The active recovery period from this surgery lasts about 5-7 days. Patients usually experience a moderate amount of swelling and may experience some pain or discomfort in the first 72 hours.
1周内唇部避免夸张表情,尽量少说话,避免大笑以及用力哈欠。可以刷牙,但注意轻柔,勿触碰伤口。
The surgical incision is relatively long and may leave a scar. It may change the shape of the columella, ala nasi or nostril. However, there’s always ways to remove the scar later on, consult your doctor for best solution.
瘢痕一般在术后3-6个月左右稳定,尽量减少夸张表情活动,以及外用祛疤膏预防。如仍较明显可能需要进一步治疗:出现增生者,可以疤痕内注射含激素的祛疤针;平坦或者凹陷的疤痕,可以后期激光减淡。
The final effect can be evaluated at least 3 months after surgery; if there is insufficient or excessive correction, asymmetry or partial dissatisfaction, it can be repaired again after half a year.
最终效果,可在术后至少3月以后再评价;如果存在矫正不足或过度、不对称或者局部不满意,可在半年后再次修复。