Q: What is oculoplastic surgery? What are the problems in the eye area that need to be solved by oculoplastic surgery? A: Oculoplastic surgery refers to a wide range of therapeutic and cosmetic procedures performed on the eye using plastic surgery techniques. Many problems of the skin, connective tissue, muscles, and fat of the eye can be solved by oculoplastic surgery. Q: What procedures are available for oculoplastic surgery? What eye problems are each applicable to? A: 1. Therapeutic procedures include: entropion/exotropion correction, eyelid recession correction, ptosis correction, eyelid reconstruction; 2. Surgery; inner canthus / outer canthus enlargement, commonly known as “open eye” surgery; 3, brow lift Q: Who can not perform oculoplastic surgery? A: Generally speaking, people with serious systemic diseases, eye infections can not undergo oculoplastic surgery. Q: I am a keloid can be open? Will oculoplastic surgery leave scars and will they be visible? A: When it comes to keloid, people generally have a misconception that they are keloid if they have opened a scar on other parts of their body, in fact, as long as our skin has been opened, it will definitely leave a scar, there are no exceptions, only some people are heavy, some people are light. The key feature is that a small injury (e.g. a small pustule or a small scratch on the skin) can lead to a large scar (several centimeters or even a dozen centimeters obviously bulging outward), and this scar will keep expanding outward. Therefore, most people are not keloid and can have oculoplastic surgery without worrying too much about scarring. It is the specialty of plastic surgeons to avoid obvious scars or not to leave scars, for example, the incision of the inner eye bag surgery is designed on the conjunctiva of the inner eyelid, leaving no trace on the skin, and then for example, the minimally invasive double eyelid surgery, which is finely operated and minimally traumatic, the incision is closed with fine cosmetic sutures, and the post-operative recovery is fast, and effective preventive measures against scars are taken after the surgery, etc. Q: Do I need to be hospitalized for oculoplastic surgery? How long does the recovery period take? A: Some of the more complex and major procedures require hospitalization, but most can be completed on an outpatient basis. The recovery period varies from person to person and is also related to the size and location of the surgery, post-operative rest, medication, etc. Generally, the stitches are removed 5 to 7 days after surgery and recovery takes 1 to 3 months. Q: What are the surgical methods for double eyelid surgery? Which type of patients are they suitable for? What are the advantages and disadvantages of each? A: 1.Minimally invasive incision method: It can remove the excess skin, muscle and fat on the eyelids, and make the eyes look spiritual, eyelashes uplifted and energetic. It is suitable for most people, especially those with loose eyelids, triangular eyes, multiple eyelids, and buried lines that disappear. In the past, the incision method will have obvious incisions in the early stage, the eyelids take longer to swell, and it is easy to see that the eyelids are “done double eyelids”, but now through the minimally invasive method (commonly known as “Korean double eyelids”) these problems have been well solved, generally 7 days to remove the stitches The double eyelid is basically swollen, 2 to 3 weeks is basically natural, 1 month when many people can not see is to do the double eyelid. 2. Buried wire method: A non-absorbable wire is buried in the eyelid to fix the skin to the lid. It is suitable for people who are afraid of open surgery and those who want to try to see the double eyelid effect first. The disadvantage is that the effect may not last and there is a possibility that the double eyelids will gradually disappear. Q: What is the right size for double eyelids? Is there an appropriate range? A: It depends on the specific situation of the patient’s eyes, including the size of the eyes, the size of the lids, and the distance between the eyebrows and the eyes. Q: What kind of people need to open the corners of their eyes? Which is more common: opening the inner corner of the eye or opening the outer corner of the eye? A: People with obvious inner canthus need to open the inner corner of the eye, while people with particularly short eyes can consider opening the outer corner of the eye. There are more open inner eye corners than open outer eye corners. Q: Does eyebrow surgery fall under the category of oculoplastic surgery? What kind of eyebrow surgery is available? What are the main problems that can be solved? A: Eyebrows and eyes belong to a whole cosmetic unit, and eyebrow surgery belongs to the category of oculoplastics. The drooping eyebrows can cause the eyelids to sag, and the eyebrow-eye distance is an important reference for upper eyelid surgery. Eyebrow plastic surgery includes: brow cut (to solve bad brow writing), brow lift with upper brow incision (to solve laxity of both brow and eye), and upper lid correction with lower brow incision (to solve laxity of upper lid). Q: What are the causes of under-eye bags? Who is prone to under-eye bags? A: It is mainly the result of the outward herniation of the fat in the orbit, the relaxation of the lower lid skin and the orbicularis oculi muscle. People who are prone to under-eye bags: people with genetic factors, people who have irregular life and stay up late. Q: What are the methods to get rid of under-eye bags? What are the indications for each? Aļ¼There are two types of eye bags removal methods: internal incision and external incision Internal incision: commonly known as “liposuction to remove eye bags”, suitable for people who only have fat protruding without obvious skin laxity, mainly young people, no external skin incision; external incision: suitable for middle-aged and elderly people who have different degrees of lower lid fat and skin sagging, the advantage is that it can have a comprehensive comprehensive treatment of the lower lid. rejuvenation treatment. Q: What questions do patients who want to have oculoplastic surgery need to share with their surgeon? A: An accurate description of what they want to do; asking the doctor’s judgment of their situation and recommended treatment; clearly stating their concerns; asking the doctor about their experience and certainty of treatment; the general history before and after surgery; and the cost of treatment. Q: What are the misconceptions about oculoplastic surgery that patients often encounter in the clinic? How should patients view oculoplastic surgery correctly? A: Excessive demands; misjudgment of their own situation. Patients should work with their doctors to have a more accurate and objective assessment of their own situation and have more reasonable expectations of the surgery. Q: Can people with high myopia have oculoplastic surgery? A: People with high myopia who have significant proptosis need to be aware when having oculoplastic surgery that there may be incomplete eyelid closure after upper lid surgery and lid ectropion after lower lid surgery. If the proptosis is not significant, there are no clear contraindications to surgery. Q: What are the causes of droopy eyelids? What are the manifestations and types? Dr. Luo: The causes can be divided into 4 categories: 1. Tendinopathy. This is often seen in adults and is often caused by trauma, where the levator aponeurosis is severed from the lid attachment point. 2. Myogenic. The transverse muscle fibers of the levator muscle are replaced by noncontractile fibers, which is the most common form of congenital ptosis, accounting for 75% of patients. 3. neurogenic. Such as myasthenia gravis, myotonic dystrophy, and chronic progressive extraocular muscle paralysis. 4. Mechanical. It can occur when there is a swelling or swelling of the eyelid. Q: What are the most common malignancies of the eyelid? Where are the most common sites for malignant tumors of the eyelid? A: Basal cell carcinoma is extremely common among eyelid tumors, followed by squamous cell carcinoma and adenocarcinoma. For well-demarcated non-sclerosing basal cell carcinomas less than 2 cm in diameter, 95% of patients have no cancer cells within 1-2 mm of the normal tumor margin. For recurrent and more advanced tumors, extensive excision is necessary and repair is best delayed until the results of paraffin section are clear. Adenocarcinoma of the eyelid is uncommon, not easily diagnosed and has a poor prognosis. The lower lid is the most common site of development.