What Is Transconjunctival Blepharoplasty?
The lower eyelid bag refers to the degeneration and relaxation of the lower eyelid skin, orbicularis oris, orbital fascia, fatty hernia in the orbit, and swelling of the lower eyelid under the orbit. More common in middle-aged and elderly. Young people may also have lower eye bags, mostly caused by genetic factors, caused by lower orbital septum relaxation, orbital fat bulge. In some people, the orbicularis muscle hypertrophy at the lower eyelid margin results in a raised frontal eyelid at the lower eyelid margin.
Basic Information
- Chinese name
- Blepharoplasty
- Related diseases
- Lower eyelid pouch
- Specialty classification
- Ophthalmology
- Indication
- Excessive and slack skin on the lower eyelid, forming bags under the eyes
- Contraindications
- Severe systemic disease, inflammation of the eyelid or bulbar conjunctiva
- Postoperative complications
- Undercorrection, overcorrection, exposed sclera, etc.
Anesthesia method and preoperative preparation for blepharoplasty
- Anesthesia mode
- Local infiltration anesthesia.
- 2. Preoperative preparation
- (1) Routine biochemical examination and coagulation mechanism examination.
- (2) Sedation is given before surgery.
- (3) Drip antibiotic eye drops and flush the lacrimal duct.
Indications of blepharoplasty
- The lower eyelid skin is excessive and loose, forming eye bags, which affects the appearance.
Contraindications of blepharoplasty
- 1. Severe systemic diseases, such as high blood pressure, heart disease, and poorly controlled diabetes; those with acute inflammation of the eyelid or bulbar conjunctiva; those with inflammation in the anterior segment of the eye.
- 2. Platelet count is less than 90 × 10 9 / L.
- 3. Those with abnormal coagulation mechanism.
Lower eyelid surgery procedure
- 1. Draw a line parallel to the edge of the eyelid 2mm from the lower eyelid edge, and turn to the temporal region below the iliac crest.
- 2. Cut the skin and orbicularis muscle along the line, cut off the orbicularis muscle to the inferior side of the iliac crest, and separate it under the muscle to the lower edge of the eyelid pouch.
- 3. If the orbital fat swells, cut the orbital septum at the bulge, first press the eyeballs to make the orbital fat pads prolapse in sequence, clamp with the vascular forceps to remove, and then use electrocoagulation to stop bleeding.
- 4. Severe bags under the eyes with non-absorbable sutures suture the outer meibomian end and outer orbital periosteum.
- 5. Use scissors to cut off the excess skin and muscles on the outside, and sew a stitch on the outer corner.
- 6. Skin suture, horizontal skin incision can also be used for intradermal suture.
Postoperative complications of blepharoplasty
- Undercorrection, overcorrection, exposed sclera, eversion of lower eyelid, intraorbital or retrobulbar hematoma.
Nursing after blepharoplasty
- The dressing was changed routinely on the 1st day after surgery and the next day. Skin sutures were removed from 7 to 9 days after surgery.
Precautions for blepharoplasty
- Removal of excess skin vertically should be conservative to prevent eversion of the lower eyelid after surgery. Be careful not to injure the oblique muscle when removing orbital fat.
Diet after blepharoplasty
- Eat more protein-rich foods and fruits and vegetables to ensure a quiet and comfortable recovery environment. However, avoid excessive eye strain and avoid irritating foods such as peppers for a week. Do not smoke or drink.