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* Upper Blepharoplasty【Surgical Video】

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課程導師介紹

翁昭仁 醫師

​杏群整形外科診所院長...

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Upper Blepharoplasty-【Surgical Video】

語言:中文

  By Surgical method- outline

Preoperative Patient Assessment: 
1.  General history
2.  General ophthalmological survey
    a. Inspection of both eyes gross condition
       Ptosis, strabismus and other eye condition
    b. Visual condition
       Visual acuity- myopia, hyperopia, dry eye, trichiasis, Contact lens, etc
3.  Periorbital anatomical condition
    a. Orbital size
      Eyeball position
    b. Eyelid skin (texture)
       Fullness(orbital fat)
       ROOF
    c. Eye brow
       Eye brow position, symmetry and eye brow-eyelid relationship
    d. Forehead - frowning

  Preoperative interview: Surgeon’s opinions, Patients' personal demands
Preoperative conversation and consents
1, intra-operative process
2, postoperative progression and changes
     a. Bleeding, hematoma
     b. Ecchymosis, progression and the managements
     c. Recommended postoperative visits for observation and instruction for after care
  3, explained the possible changes occurs afterward by different factors
     a. The width of lid fold will gradually narrowing after swelling subsided.
     b. The brow will contently keep in lower position than before surgery
     c. The width of lid folds on both sides will sometimes different because of the the brow 
action differently in power on both side, or the brow always in different position (this 
should be written in preoperative visit chart).
Postoperative visits; twice at least
  1. Postoperative 5-7day for stitches removal
  2. Postoperative 7-14days for scar observation and instruction scar care
  3. Any additional visit as patients have any doubts of eyelid or scar changes

INTRAOPERATIVE

DESIGN FOR LID FOLD FORMATION
- Width of lid fold
6 - 8 mm according to patient demand can be accepted narrower or somewhat wide ad the 
orbit side allowed.
- Lid skin excision
  Assess the width of lid skin allowable from 0 to 6mm even wider.
- Lipectomy as need
  should be consider patient‘s familial tendency of sunken change at aging
- ROOF manage as needed

POSTOPERATIVE CARE
- Cold compression 10-15 min per hour for the first two day
- warm compression star 3rd or 4th postoperative day till the ecchymosis disappeared.  
 
CASE PRESENTATION
AGE 21 years old lady
Eyelid skin fairly in thickness 
Eyelid - brow position medium
Epicanthal fold moderate
As showed in ppt.

台灣美容外科醫學會會員醫師 九折 優惠喔!!

 

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