Pre- and Post-Operative Care for Oculoplastic Surgery

Pre-operative care 1.1 do a good job of pre-operative consultation, grasp the patient’s psychology. Because of the important role of oculoplastic beauty in improving the beauty of the face, the patient’s psychological state and the motivation to seek medical treatment is more special, therefore, good preoperative communication is the key to the success or failure of surgery. Most patients have a clear purpose and motivation, and their requirements are reasonable, while individual patients do not have obvious defects in their appearance and eyes, but their psychological desires are too high and their requirements are not practical, and some even require a face-lifting effect after surgery. For such patients, medical staff should do more patient, detailed explanation, to let patients understand that plastic and cosmetic surgery is in line with the patient’s original basis to make the cosmetic routine surgery plastic. According to the patient’s eagerness for beauty, to do the correct guidance, so that they feel at ease to accept the surgery. For individual explanations, impractical patients, to refuse to give surgery. Tu Yongfang, Department of Oculoplastic Surgery, Anyang Eye Hospital 1.2 Introduce the surgery and eliminate patients’ fear. Pre-operative communication should be fully informed to the patient of the surgical method performed, the operation time, and the patient’s cooperation required during the operation, in order to obtain the cooperation during the operation. In addition, the patient should be introduced to some of the inevitable reactions after oculoplastic surgery, including swelling, bruising, scarring, etc., and its regression and prognosis, so that the patient can have a better understanding of the course of the disease and the prognosis, so that they can have a good idea. Postoperative care Oculoplastic cosmetic surgery, due to the type of surgery, surgery and different methods of anesthesia, postoperative treatment is not consistent. Oculoplastic cosmetic surgery routinely requires local cold compresses for 4 to 6 hours after surgery to reduce swelling, pain and hemostasis, inform patients of the role of local cold compresses and precautions, do not make the liquid outside the ice pack ooze out to soak the dressing. After surgery, depending on the type of surgery, the dressing should be applied for 24 to 72 hours, and the patient should not rub or squeeze the eye, and should not tear off the dressing by himself. During the daily dressing change, patients should be asked if there is any wound pain, itching and other discomfort, and observed if there is any blood and exudate in the wound, and if there is any redness, swelling, secretion and inflammation in the incision, and for joint flap transplantation, the color and contracture of the flap should be observed to see if the flap is viable. Drug change and eye spotting should be strictly implemented when aseptic operation to prevent infection. The suture removal time for cosmetic oculoplastic surgery is mostly 5-7 days after surgery. Since most of the 6-0 to 8-0 cosmetic sutures are used, scissors are inconvenient to remove, so 2ml injection needles can be used to pick off the knots to be removed. For cosmetic blepharoplasty and blepharoplasty, when the sutures are removed, the swelling of the eyelid has not been completely eliminated and the incision scar is obvious, so the patient can be asked to apply heat or physical therapy to promote the elimination of swelling and softening of the scar.