Transcutaneous Blepharoplasty 外切去眼袋
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- Transcutaneous Blepharoplasty 外切去眼袋
别名
下睑缘切口入路法、眼袋外切
项目介绍
外切去眼袋,医学上称为下睑缘切口入路法,手术时切口选择在距下睑缘最下排睫毛1mm左右,在下睑外皮肤作线形切口,去除脱垂的多余眶隔脂肪,同时收紧眶隔及眼轮匝肌,适合于皮肤松弛且下睑中重度膨隆者。
项目特色
外切法适用于皮肤与眼轮匝肌均松弛类型眼袋
功效
减龄,眼部美化,眼周年轻化,去眼袋,去黑眼圈
适合人群特征
下睑皮肤松弛,眼袋
适合人群
下睑中重度膨隆型,且伴有下睑的皮肤松弛者; 时间充裕,手术后有足够时间休养,决心切除眼袋同时紧致皮肤,改善皮肤皱纹者.
关注度
⭐⭐⭐⭐⭐
安全度
⭐⭐⭐⭐✩
复杂度
⭐⭐⭐⭐✩
项目优点
去眼袋的同时,紧致松弛的皮肤,实现眼底年轻化; 维持时间较长,术后效果可靠,改善明显
项目缺点
可能出现下睑外翻、下睑凹陷等并发症; 术中出血相对较多,术后水肿时间较长; 术后皮肤遗留切口瘢痕,随着时间慢慢淡去。
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
30分钟-1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
3-6 个月
操作人员资质
医疗美容科或整形科执业医师
疼痛感
中度疼痛
术前必读
- 术前两周内,请勿服用含有阿司匹林的药物,因为阿司匹林会使得血小板凝固的功能降低;
- 患有高血压和糖尿病的患者,应该在初诊时向医生告知病情,以便应诊医生确认手术方案
- 术前确定身体健康,无传染性疾病或其他身体炎症;
- 术前不要化妆;
- 女性要避开月经期;
- 吸烟者要提前戒烟一周。
0天~3天 严重肿胀期
恢复提示:
肿胀比较明显,术后当天回有少许渗血,轻微疼痛
护理方法:
- 术后可口服抗生素和消肿药3-5天;
- .手术24小时后复诊、换药、解除包扎;
- 术后72小时内可冰敷,冰敷15-20分钟; 不要用手去揉眼睛,术后当日有少许渗血可用无菌棉签擦拭
4天~6天 快速消肿期
恢复提示:
速消肿期,此期眼部消肿迅速,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:
- 保持手术部位伤口清洁干燥,拆线前不能沾水;
- 每天早晚各一次,在伤口部位消毒,化妆洗脸后也请使用棉棒进行消毒;
- 手术一周以后温敷和冰敷,一起进行有助于恢复。
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;
- 注意饮食清淡,禁食辛辣刺激性食物。
8天~15天 持续消肿期
恢复提示:
肿胀部位持续消肿。
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、防晒工作。
16天~30天 组织恢复期
恢复提示:
逐渐恢复,可看出效果,但不是最终效果,形态有待恢复。
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、防晒工作
31天~90天效果稳定期
恢复提示:
效果明显,3个月稳定。
护理方法:
- 耐心等待最终效果,及时回诊,检查术后恢复情况.
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
External Lower Lid Surgery, Eye Bag Removal
Procedure Detail
Traditional transcutaneous blepharoplasty, a reductive procedure in which skin and/or fat was removed in order to reduce lower eyelid wrinkles, skin redundancy, and fat bulges.
Features
Corrects multidimensional aspects of periorbital aging through tightening the lower eyelid skin and muscle and manipulation of orbital fat.
Benefits
Younger, Less-tired looking, Remove eye-bag, Reduce dark circle.
Recommended
Puffiness, Eye-bag, Sagging lower lid.
Suitable Candidate
Those with moderate to severe bulging of the lower eyelid and sagging skin on the lower eyelid; those who have enough time to recuperate after surgery, and are determined to remove eye bags while tightening the skin and improving skin wrinkles.
Popularity
⭐⭐⭐⭐✩
Safety
⭐⭐⭐⭐✩
Complexity
⭐⭐⭐⭐✩
Pros
Provide superior, long-lasting results and eliminate complications by repositioning excess or malpositioned orbital fat, managing excess lower eyelid skin, and recontouring the tear trough and lid-cheek junction.
Cons
The disadvantages to this approach include a higher risk of lower eyelid malposition eg. Ectropion. Longer recovery time, with scar.
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
30min-1hr
Anesthesia Method
Local anesthesia
Treatment Course
Single time
Procedures Technique
Surgery
Sustainability
Permanent
Recovery Period
3-6 months
Qualification
Practitioner in medical aesthetics or plastic surgeon
Pain Scale
Medium Pain
Before the Procedure
- Do not take medicines containing aspirin two weeks before surgery, because aspirin will reduce the function of platelet clot.
- Patients with hypertension and diabetes should inform their doctors of their condition at the first visit so that the doctor can confirm Surgical plan.
- Make sure you are healthy before the operation, without infectious diseases or other body inflammation.
- Do not put on makeup before the operation.
- Women should avoid procedure during menstrual periods;
- Smokers should quit smoking one week in advance.
0-3rd days
Severe swelling period from 0 days to 3 days Recovery tips:
Obvious swelling around eye area, sign of bleeding on 1st day, pain, all these are normal.
Aftercare methods:
- Oral antibiotics can be taken for 3-5 days after the operation.
- Follow up, change the dressing 24 hours after the operation.
- Apply ice for 15-20 minutes within 72 hours after the operation. Do not rub your eyes with your hands. If there is a little bleeding on the 1st day, wipe it with a sterile cotton swab.
4-6th days
4 to 6 days rapid swelling period Recovery Tips:
Swelling period, skin bruises are basically absorbed, yellowish skin around the eyes is a sign of bruise absorption, wait a few days to completely disappear.
Caring methods:
- Keep the wound at the surgical site clean and dry, and keep it away from water before removing the stitches.
- Disinfect the wound site once a day in the morning and at night. Please use cotton swabs for disinfection after makeup and face washing.
- Warm compress after one week of surgery. Applying ice packs together will help recovery.
7th days, suture removal
Recovery tips:
7 days later go to the hospital for suture removal (because of the different surgical procedures, you need to follow the doctor’s order to remove the sutures).
Caring methods:
- Keep the wound clean to prevent infection;
- Within 24 hours after the stitches are removed, the wound should not be wetted;
- Do not rub the wound, apply scar ointment to dilute the scar.
- Pay attention to a light diet and no spicy and irritating food.
8-15th days
8 to 15 days swelling period Recovery Tips:
Gradually recover, the result gradually appears.
Aftercare methods:
- Wash and bath normally.
- There should be comfortable environment for recuperation after surgery. Do not watch TV or newspapers for 2 weeks. It is best to stay in a semi-recumbent position during bed rest to avoid excessive eye fatigue or low head position which may aggravate wound swelling.
- Wear sunglasses or eye protection and sun protection within one month.
16-30th days
Tissue recovery period from 16 days to 30 days Recovery prompt :
Gradually recover, the effect can be seen, but it is not the final effect, the shape needs to be recovered.
Aftercare methods:
- After the stitches are removed, you can wash and dip normally.
- There should be a quiet and 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 fatigue or low head position and aggravate wound swelling.
- Wear sunglasses, eye protection, and sun protection within one month.
31-180th days
31-180 days stable stage
Recovery tips:
The effect is obvious, stable for 3 months.
Aftercare methods:
- Patiently wait for the final result, return to the clinic in time, and check the postoperative recovery.
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
There can be some bruising and unfavourable scarring. However, these are common and temporary. Some other rare complications include dry eyes and the inability to close the upper lids if too much skin is removed.
眼袋手术风险有:术后切口瘢痕、睑外翻、睑球分离、溢泪、睑裂闭合不全、下睑退缩等并发症。
Most people return to normal activities after seven to 10 days following blepharoplasty. By two weeks after eyelid surgery, the majority of the bruising and swelling will resolve.
眼袋手术对眼睛下方的软组织有轻微损伤,同时有少量血液渗透到毛细血管外,因此在眼周会出现淤青和皮肤发黄现象。通常术后2周左右,淤青发黄消除。如淤青散除较慢,可以采用热敷的方法,加速眼周血液循环。
Yes of course! When venturing outside after your eyelid surgery, wear large sunglasses that would cover any bruising that you may have. You should also wear sunblock over any reddened or bruised areas (just not over any sutured areas) for as long as the redness or bruising remains.
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。
外切去眼袋手术有出现血肿的可能,一般对视力没有影响。术中应严格止血,术后加压包扎,有凝血功能障碍的人不宜手术;术后休息时,头部抬高,避免弯腰低头。
Ectropion is a condition that can occur after cosmetic eyelid surgery to remove bags and puffiness. You need a good and experienced doctor to perform the surgery to avoid this.
如外切去眼袋手术时切除皮肤过多,有可能出现睑外翻,一般多为手术时经验不足所致。如由于医生技术经验不足,术后出现中、重度睑外翻,一般需再次手术修复。