July 9th, 2010 | Author: admin
Magnivision Fold
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For the past few years, I have seen patients who are increasingly demanding an increase in Asia "western" the lid on the upper eyelid and so I developed a specific technique for these patients. Moreover, most Asian patients are very specific and concrete about their desires and expectations. Some of them have no eyelid fold around and not just a (usually) in Asia times in the upper eyelid: the desire to double eyelid without changing the ethnic character of the same. Other patients want a complete Westernization with a high lid crease and resection of prolapsed orbital fat pockets. In fact often complain of heavy cover.
There is also a third group of patients with true ptosis, ie, a real margin of lower eyelid (Partially) covers the pupil. These patients can only wish that their eyelids are lifted without altering the character of the eyelids. Here, the skin incision should be lower, either in a pre-existing fold or, if the patient has a crease at all, no more than 4-5 mm above the eyelid margin. In addition to the incision contralateral fold cover should be measured and accurately reproduced. So the procedure must be individualized for each patient and their wishes should be discussed before surgery. It is also important that patients know the limitations of the intervention, however in most cases small changes and give excellent results. So I recommend only subtle, very natural changes in height and contour of the upper eyelid crease.
Avery important step in surgery is the demarcation incision and skin upperlid resection with the patient upright. For infiltration of anesthetic to put the patient in supine position. All incisions performed with radiosurgery unit, because this way the incision is no pressure and that gives the best results, especially for the delicate skin of the upper eyelid .. Moreover, radiosurgery limits bleeding and swelling during and after surgery leading to a faster recovery. It is known Asian patients are more prone to hypertrophic scarring ant that is why, especially in these patients, I always use and Radiosurgery never a salpel or CO2 laser.
Contrary to conventional surgical intervention does not begin with a deep skin resection of the muscle, but make only a very superficial skin excision. After that, I switch to a wave of different radiosurgery not only get the underlying orbicularis to accentuate the crease, but also to promote fat pockets back into the orbit. Only in very rare cases of orbicularis muscle is incised to carry performed conservative resection of fat .. If the muscle is incised for the resection of fat, which is absorbable suture with 6 / 0 Vicryl sutures. The skin is closed with different Prolene 6 / 0 sutures can be removed after 6 days. We put a mask cooling eye to prevent postoperative bleeding and swelling. The surgery itself Tekes no more than 45 minutes. The patient remains in our recovery room for 30 minutes and then returns home. patient acceptance of this type of surgery is excellent and because in most cases, the muscle does not need a cut, the risks and complications of upper eyelid blepharoplasty radiosurgery assisted minimal.
If you want to know more about Dr. Peter Raus you can visit his website www.peter-raus.be or www.dry-eyes-therapy.com
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