Excessive removal of muscle and soft tissue just below the double eyelid line
There is abundant soft tissue in the outer layer of tarsus in Oriental eyelids, which separates the levator muscle and tarsus from the covering skin. Although an adequate amount of tissue should be removed, excessive, irregular removal can make a deep depressed scar on the double eyelid line.
If the muscles and tissues are excessively removed, the multi-layered structure is distorted resulting disruption of the normal structure underneath the skin. The irregularity of the surface with interrupted shadow makes the scar depressed.
The skin surface smoothness could be restored by scar excision and realignment of the layered structure along the normal skin crease.
Excessive removal of muscle and soft tissue just below the double eyelid line
After soft tissue reduction, the marginal skin should be fixed firmly to the deeper structure (tarsus, levator muscle or aponeurosis) to form an adhesion. At that time, the dissected skin can be fixed in various manner.
If it is fixed in method 1(fixed to the higher position), the skin would be stretched and thinner than upper skin. The step deformity occurs on the line due to the skin thickness difference between upper and lower side. It creates a depressed scar and deep fold. The eyelashes are lifted than the normal position and then hidden white mucosa might be exposed unnaturally.
If it is fixed to a lower point like method 3, the skin under the double eyelid line is loosely sagging over the eyelashes, and the fold becomes shallow or easy to relapse If the depressed scar is combined with the eyelashes eversion, the skin below the line should be fully dissected and fixed in a neural relaxed line (Method 3)
Not parallel to the natural skin crease
If the line is not parallel to the natural skin crease. The skin folds unnaturally with irregular unwanted wrinkles. Irregular multi-folds make discontinuous shadows which are more prominent than a wide scar tissue. This irregular discontinuous silhouette makes unnatural “Plastic Surgery” look
=> It is necessary to align the irregular shadow of the unnatural skin folds by correcting the line parallel to the natural skin crease.
The skin edge alignment of the suture should be even to each side
Wrong edge alignment
Correct edge alignment
JJ Plastic Surgery is Different and Special, Because
Zero medical accident for 16 years from the beginning with 1:1 privatized surgery
1 : 1 tailored operation from the beginning and the after care of operation Renowned for Specialized clinic in reoperation after thousands of cases of reoperation.
3D-CT –assisted preoperative measurement & preoperative medical check-up
Collaboration system by the specialty ; Full-time residing Anesthesiologist ; Poor availability with Emergent medication of Dantrolene, Bridion etc.
Aftercare program according to each surgery
preoperative stage
Operation planning and performing stage
Postoperative care stage
Allumni medical clinic of SEOUL NATIONAL UNIVERSITY HOSPITAL & Selected Plastic clinic for the “Let Me IN” for the medical support.
Allumni medical clinic of SEOUL NATIONAL UNIVERSITY HOSPITAL
Selected Plastic clinic for the “Let Me IN” for the medical support.
Full availability of High-tech Equipment for the safety.
· Measuring in delicacy using 3D-CT 3D-CT helps analyzing minute shape difference of bone indiscernable in naked eye, shape of nasal septum, general status of skin including shape, size and asymmetry in 3 dimensions. It highly elevates the possibility of operational success.
It is important for the clinic to be equipped with 3D-CT to avoid another re-operation.
· Acuvein, the high-tech equipment, not only minimizes swelling and bruising but also elevates the degree of safety
· Quick recovery after operation with help of “Hyperbaric Oxygen Therapy”
· Provision to possible medical accident by preoperative ‘One-Stop Safe medical check-up’
· Anesthesiologist resides all the time for safety
· Equipped with medication (Dantrolene) for malignant hyperthermia, which is only accessible in large scale hospital.
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