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韓東亮副主任醫(yī)師 醫(yī)生集團(tuán)-上海 整形外科 唇部整形較為簡單,所以恢復(fù)時(shí)間也較短。 一般來說,唇部變薄術(shù)在術(shù)后5~7天即可拆線,在遵守注意事項(xiàng)的前提下,短時(shí)間內(nèi)即可恢復(fù)。 唇部整形前準(zhǔn)備工作(1)術(shù)前一周要不要吃瓜子、花生、海鮮和一些辛辣刺激性的食物。 (2)為創(chuàng)造良好的身體環(huán)境,術(shù)前3天需要患者溫水沖服板藍(lán)根、靜脈注射甲硝唑或其他的廣譜抗生素。 (3)女生要避免在月經(jīng)期間進(jìn)行手術(shù),經(jīng)期過后一周可以進(jìn)行手術(shù)。 唇部整形后注意事項(xiàng)(1)術(shù)后一周之內(nèi)需要用抗生素軟膏涂抹切口,由于傷口不包扎,還需同時(shí)口服抗生素一周以避免傷口感染。 (2)手術(shù)后要經(jīng)常使用漱口液漱口以保持口腔清潔。 (3)手術(shù)后4天內(nèi)盡量吃流食,以保證手術(shù)的效果。 (4)手術(shù)后,盡量不要使用唇膏等等的化妝品,最好平常嘴巴說話幅度不要太大。2021年08月02日
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韓東亮副主任醫(yī)師 醫(yī)生集團(tuán)-上海 整形外科 唇部的整形手術(shù)呢,包括上唇過長延長術(shù),口裂過大整形術(shù),重唇的一個(gè)整形術(shù),后唇的整形術(shù),以及人中的整形術(shù)。進(jìn)行唇部整形手術(shù)呢,通常創(chuàng)傷不是太大的,該類手術(shù)呢,都是一些中小的手術(shù),但是只要是外科手術(shù)呢,就會(huì)有一定的風(fēng)險(xiǎn),建議球門者呢,到正規(guī)的醫(yī)院,選擇有經(jīng)驗(yàn)的醫(yī)生面診之后,結(jié)合球門者自身唇部的具體情況,再制定相應(yīng)的治療方案。通常手術(shù)后呢,七天會(huì)進(jìn)行拆線,約有一周的一個(gè)腫脹時(shí)間,恢復(fù)自然大約要兩到三周。在手術(shù)后呢,求美者盡量少說話,要注意傷口呢部位不能碰水,避免出現(xiàn)感染。2021年06月16日
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蘇映軍副主任醫(yī)師 醫(yī)生集團(tuán)-陜西 整形科 教授,我們做完嘴角上揚(yáng)手術(shù)之后,會(huì)不會(huì)留疤呢????上揚(yáng)手術(shù)現(xiàn)在越來越流行,所以給人們戴眉呢,有一個(gè)多的選擇,不過呢,上陽手術(shù)這個(gè)部位啊,我就說嘴角這個(gè)部位啊,是我每天都要運(yùn)動(dòng)的部位,吃飯啦,說話等等都離不開嘴和嘴角處的運(yùn)動(dòng),這種運(yùn)動(dòng)呢,勢必對(duì)剛剛手術(shù)或者某一個(gè)項(xiàng)目造成局部的損傷呢,它在愈合過程中勢必會(huì)受到影響,這種影響可能導(dǎo)致嘴角處疤痕,特別是增生性疤痕的形成。 因此呢,嘴角上炎后的手術(shù),或者說嘴角上揚(yáng)后的疤痕是容易形成的,那形成之后怎么辦呢?我們就會(huì)采用治療化痕的方法,比如早期可以采用局部藥物啊,外用藥物,甚至是光電等等手段來進(jìn)行治療,嚴(yán)重的情況下,可能不得不重新進(jìn)行手術(shù)的了。2020年10月13日
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馬剛副主任醫(yī)師 上海第九人民醫(yī)院 整復(fù)外科 術(shù)后護(hù)理是預(yù)防感染的關(guān)鍵!!1.術(shù)后當(dāng)天晚上住上海,可能會(huì)有少量血性滲出,可以干凈紗布擦拭。2.術(shù)后第二天早上來醫(yī)院換藥后,無特殊情況,即可回家。加壓包扎3-7日后自行去除。3.術(shù)后第一周流質(zhì)飲食(牛奶、豆?jié){、果汁之類的無渣食品;第二周開始半流質(zhì)飲食(粥一類的不需要咀嚼的食物)。每次進(jìn)食后,需要漱口水漱口,清除食物殘?jiān)?.術(shù)后每天要清潔唇部傷口,不要有血痂、食物殘?jiān)犬愇锎媪簦駝t會(huì)引起傷口感染,導(dǎo)致傷口裂開。(傷口血痂清理方法:棉簽蘸點(diǎn)生理鹽水濕潤血痂后清除)。5.術(shù)后2周拆線。6.術(shù)后一個(gè)月預(yù)約門診復(fù)診,如有疤痕增生,需要進(jìn)行局部疤痕藥物注射。7.術(shù)后局部腫脹需要1-3個(gè)月左右慢慢消退。8.術(shù)后唇部麻木感需要1年左右慢慢恢復(fù),期間避免過熱食物燙傷嘴唇。術(shù)后半年視情況做第二次手術(shù)修整。2020年06月17日
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廖洪躍副主任醫(yī)師 南昌大學(xué)二附院 醫(yī)療美容科 一、適應(yīng)范圍厚唇變薄、薄唇變厚、口裂縮小、口裂增大、M型微笑唇、唇紅邊緣不齊、唇弓不鮮明、唇紅局部缺口、唇外翻、唇系帶過短、唇形矯正二、術(shù)后注意事項(xiàng)1、護(hù)理1-2天內(nèi)唇部避免過分夸張表情,盡量少說話。注意保持口腔的清潔,每天要用漱口液,如硼砂、多貝爾氏液,含漱四到六次;手術(shù)以后要嚴(yán)格地遵守醫(yī)生囑咐服藥,并且及時(shí)就診。,2、飲食手術(shù)后吃流質(zhì)食物三天,不吃太燙的食物,常溫即可。術(shù)后一周內(nèi)忌煙酒、魚蝦、辛辣刺激食物。吃完東西及時(shí)用生理鹽水清潔唇面,保持囗腔與唇部清潔,以免感染發(fā)炎。3、預(yù)防感染術(shù)后一般不需要包扎敷料,手術(shù)切口縫合后按醫(yī)生叮囑用抗生素軟膏涂抹,口服抗生素。4、換藥、拆線術(shù)后5-7天拆線,拆線后24小時(shí)內(nèi)傷口不能沾水;拆線后避免過多的唇部活動(dòng),太多的唇部活動(dòng)可引起瘢痕增生,甚至出血腫脹。5、出血術(shù)后當(dāng)天傷口可能出現(xiàn)少量滲血,屬正?,F(xiàn)象,但如出現(xiàn)出血不止、術(shù)區(qū)劇烈腫脹疼痛應(yīng)立即到醫(yī)院進(jìn)行急診處理。6、止痛一般無需服用止痛藥,個(gè)別體質(zhì)者可在當(dāng)天夜間給予口服2-4片洛芬待因緩釋片。一般第2天即無明顯疼痛感。7、消腫一般術(shù)后2-3天時(shí)水腫厲害,大部分在1周后逐漸消退。8、預(yù)防瘢痕術(shù)后不可用力揉搓傷口,可涂抹祛疤軟膏淡化疤痕。9、其他術(shù)后2-3月之內(nèi)切口可能略紅,觸之稍硬,偶有瘙癢,之后逐漸恢復(fù),穩(wěn)定后一般社交距離不易看出。術(shù)后可能會(huì)有上唇白唇麻木、感覺遲鈍等現(xiàn)象,一般半年左右逐漸恢復(fù)。建議術(shù)后正常活動(dòng),但不要進(jìn)行強(qiáng)度較大的體育鍛煉。健身、游泳等活動(dòng)建議等到術(shù)后1個(gè)月之后。10、復(fù)診術(shù)后1周、1月、6月需返院復(fù)診,醫(yī)生將據(jù)此判斷手術(shù)效果并將給出后續(xù)處理建議,請事前與醫(yī)生預(yù)約并按時(shí)復(fù)診。2020年06月16日
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吳鏑主任醫(yī)師 中國醫(yī)學(xué)科學(xué)院整形外科醫(yī)院 整形外科 做唇部手術(shù),不僅要找專業(yè)的醫(yī)院和醫(yī)生,術(shù)后護(hù)理也是很關(guān)鍵的,所以為了防止感染或者留疤,要遵醫(yī)囑做好厚唇修薄術(shù)后護(hù)理:換藥:1、剛手術(shù)后會(huì)有輕微的腫脹滲血,這都是正常的,手術(shù)后的第一天要來醫(yī)院清潔傷口,術(shù)后第三天、第五天根據(jù)需要也可以來醫(yī)院換藥。2、可口服抗生素藥1周以預(yù)防感染。拆線:手術(shù)之后第七天來醫(yī)院拆除縫線,如創(chuàng)口張力較大可酌情推遲。傷口:1、要注意保持傷口局部清潔、干燥。2、拆線48小時(shí)后可以正常沾水。3、結(jié)痂要自然脫落,不要用手揭掉。飲食:1、剛做完手術(shù),3天內(nèi)選擇溫涼的半流質(zhì)飲食或軟食,最好用勺子吃進(jìn)去,盡量避免弄臟傷口。千萬不要不進(jìn)食,這樣不利于傷口恢復(fù)。2、短期內(nèi)都不可以食用辛辣、濃茶、咖啡、煙酒等刺激性的食物??谇磺鍧崳好咳帐?,尤其是吃完飯后,可用漱口液或清水含漱,保持口腔清潔,這一點(diǎn)很重要,自己一定要護(hù)理好,預(yù)防術(shù)后感染。滋潤:1、早期由于唇部活動(dòng)減少,醫(yī)生換藥時(shí)會(huì)涂紅霉素軟膏保護(hù)傷口。2、后期自己可以涂護(hù)唇膏保持唇部滋潤。瘢痕護(hù)理:唇部瘢痕不易增生,手術(shù)之后一般不用涂去疤藥。如果有瘢痕體質(zhì)的傾向,可以咨詢醫(yī)生根據(jù)需要涂去疤藥。其他:術(shù)后應(yīng)減少唇部活動(dòng),避免唇部做吮吸動(dòng)作,嚴(yán)禁用吸管。(厚唇改薄術(shù)后即刻)——————————————————————————————————————2019年11月13日
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潘柏林主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術(shù)目的與效果Objective and Effect改善唇形,提高氣質(zhì)To improve the appearance of vermilion唇形說明 Aesthetic Consideration“屁股唇”:下唇中央收窄,兩側(cè)又飽滿的側(cè)唇珠,適合臉龐圓潤、嬰兒肥、氣質(zhì)清純可愛的女性。明星代表:湯唯、楊冪?!霸卵来健保合麓秸凶詈瘢騼蓚?cè)逐漸收窄,適合標(biāo)準(zhǔn)瓜子臉、五官大氣、性感高貴的女性。明星代表:Angela Baby、柳巖手術(shù)方法Surgical methods手術(shù)參考價(jià)格(2020年1月~)Price (Since Jan. 2020)下唇修薄/“屁股唇”成形/“月牙唇”成形 ¥15,000元Lower lip vermilion plasty ¥15,000 RMB臨床案例Clinic cases案例1 Case 1女,30歲,下唇“屁股唇”成形,術(shù)前與術(shù)后2月30-year-old female, lower lip vermilion plasty, before and 2 months after.案例2 Case 2女,25歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后2月25-year-old female, upper lip M-shape plasty and lower lip plasty, before and two months after.案例3 Case 3女,24歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后半年24-year-old female, upper lip M-shape plasty and lower lip plasty, before and 6 months after.案例4 Case 4女,30歲,上唇M唇+下唇“月牙唇”,術(shù)前與術(shù)后1年30-year-old female, upper lip M-shape plasty and lower lip plasty, before and one year after.案例5 Case 5女,30歲,上唇人中縮短+下唇“屁股唇”(脂肪填充)30-year-old female, upper lip lift and lower lip plasty by autologous fat injection.案例6 Case 6女,42歲,上唇人中縮短+下唇“屁股唇”42-year-old female, upper lip lift and lower lip plasty .案例7 Case 7女,23歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后2年23-year-old female, upper lip M-shape plasty and lower lip plasty, before and two years after.案例8 Case 8女,22歲,上唇M唇+下唇“月牙唇”,術(shù)前與術(shù)后半年22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 6 months after.案例9 Case 9女,22歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后8月22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 8 months after.術(shù)前注意事項(xiàng)Notes before surgery1、無出血性疾病以及心肺肝腎等重要器官活動(dòng)性或進(jìn)行性疾病,如患有高血壓、糖尿病或傳染性疾病等患者需在病情控制平穩(wěn)后手術(shù)。長期服用類固醇激素和阿司匹林等藥物者,最好能在術(shù)前一周停用,請咨詢相關(guān)醫(yī)生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情況者建議暫緩手術(shù):唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手術(shù)請避開月經(jīng)期;妊娠前期(3個(gè)月)和妊娠后期(3個(gè)月)暫緩手術(shù)。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情況:上頜骨前突、紅唇外翻等,手術(shù)效果可能欠滿意,需要當(dāng)面評(píng)估手術(shù)效果,慎重考慮。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、術(shù)后2-3月之內(nèi)切口可能略紅,觸之稍硬,偶有瘙癢,建議此段時(shí)間內(nèi)避開重要社交場合。之后逐漸恢復(fù),穩(wěn)定后一般社交距離不易看出,但極個(gè)別瘢痕體質(zhì)患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部組織松軟,切除量難以精確掌控,術(shù)后可能會(huì)出現(xiàn)左右局部不對(duì)稱(發(fā)生率50%)。一般輕微不對(duì)稱多能逐漸緩解,如3個(gè)月后仍存在明顯差異需要再次手術(shù)修復(fù) 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue,repair should be needed.麻醉方式 Anesthesia局部神經(jīng)阻滯麻醉:手術(shù)部位局部注射麻醉劑,不另收費(fèi)。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.靜脈全麻輔助:手術(shù)時(shí)間長、部位多、或?qū)μ弁茨褪懿钫?,靜脈給藥,無需氣管插管,另收費(fèi)(根據(jù)手術(shù)時(shí)間長短1500-3000元不等)。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).術(shù)前準(zhǔn)備 Preparation before lip surgery1、常規(guī)檢查:(可手術(shù)當(dāng)天做,局麻者無需空腹,靜脈全麻者空腹化驗(yàn);外地患者為節(jié)省時(shí)間也可以先在當(dāng)?shù)厝?jí)醫(yī)院提前完成,3個(gè)月內(nèi)有效) Regular test:局麻手術(shù)者:血常規(guī)、尿常規(guī)、凝血四項(xiàng)、美容免疫四項(xiàng)(乙肝、丙肝、梅毒、艾滋);For localanesthesia:routine blood test,routine urine test,coagulation function,screening of infectious diseases靜脈全麻手術(shù)者:上述6項(xiàng)、肝腎功能、空腹血糖、心電圖、胸片F(xiàn)orgeneral anesthesia: The above andblood biochemistry,ECG,chest X-ray2、選擇局麻者正常飲食,選擇靜脈全麻輔助者術(shù)前6小時(shí)禁食、4小時(shí)禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、術(shù)前注意術(shù)區(qū)清潔,剪短鼻毛與胡須,勿化妝 Keep the face clean, cut thenasal hair and beard. Do not make up.4、準(zhǔn)備術(shù)后用藥:冰袋2-3個(gè)、消腫藥(1周量)、止疼藥(1-2次)、外用祛疤膏(3月量)、漱口水(1周量) Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)術(shù)后注意事項(xiàng)Post-operative Care1、術(shù)后立刻唇部冰敷30-60分鐘,之后3天內(nèi)每天冰敷3-4次,每次30-60分鐘 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、術(shù)后當(dāng)晚可能術(shù)區(qū)會(huì)比較疼痛,必要時(shí)可以服用止疼藥或安眠藥幫助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、術(shù)后前3天進(jìn)軟流食,避免過熱食物,進(jìn)食后注意漱口。1周內(nèi)唇部避免夸張表情,盡量少說話,避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、黑色邊緣縫線術(shù)后7天拆除??趦?nèi)可吸收縫線可不拆,1個(gè)月內(nèi)自行吸收脫落。Suture will be removed 7 days after surgery. If absorbable sutures are applied, leave them fall offspontaneously in about a month.5、術(shù)后術(shù)區(qū)出現(xiàn)水腫、青紫、淤血等,屬于正?,F(xiàn)象,一般在術(shù)后2-3天時(shí)水腫最厲害,可服用消腫藥。大部分在1-2周后逐漸消退,如發(fā)現(xiàn)腫脹淤血或疼痛加劇、出血等等,請即聯(lián)系醫(yī)生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水腫時(shí)可能會(huì)發(fā)生個(gè)別縫線脫落可能,一般不致傷口裂開,所以不必驚慌,將縫線吐出即可。個(gè)別萬一發(fā)生傷口裂開者請立即聯(lián)系醫(yī)生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、術(shù)后瘢痕組織軟化和淡化需要大約3-6個(gè)月時(shí)間,這段時(shí)間內(nèi)有可能會(huì)出現(xiàn)切口疤痕硬、鼓起,笑不開,表情不自然,僵緊感,左右不對(duì)稱,黏膜脫屑等,請耐心等待,一般隨瘢痕組織逐漸軟化而緩解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于術(shù)后兩側(cè)恢復(fù)速率可能存在差異,短期內(nèi)輕微不對(duì)稱可能比較常見,一般徹底恢復(fù)后能逐漸不明顯;另外個(gè)別案例術(shù)后可能存在局部欠平整,一般隨疤痕軟化后會(huì)緩解流暢,最終效果可在術(shù)后至少3月以后再評(píng)價(jià),如果存在矯正不足或過度、不對(duì)稱或者局部不滿意,如徹底恢復(fù)后仍存在可在半年后再次修復(fù)。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日
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潘柏林主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術(shù)目的與效果Objective and Effect改善唇形,提高氣質(zhì)To improve the appearance of vermilion唇形說明 Aesthetic Consideration北京大學(xué)第三醫(yī)院成形外科(整形外科)潘柏林M唇:表達(dá)可愛、清純、陰柔氣質(zhì),明星代表:韓雪、林志玲M-shape:To express young and prettyΩ唇:表達(dá)硬朗、職業(yè)、性感氣質(zhì),明星代表:宋慧喬、舒淇Ω-shape: To express sexy and tough手術(shù)方法Surgical methods手術(shù)參考價(jià)格(2020年1月~) Price (Since Jan. 2020)上唇修薄/M唇成形/Ω唇成形 ¥15,000元Upper lip reduction/M-shape/Ω-shape ¥15,000 RMB臨床案例 Clinic cases案例1 Case 1女,24歲,上唇M唇成形,術(shù)前與術(shù)后半年24-year-old female, M-shape plasty, before and 6 months after.案例2 Case 2女,33歲,上唇M唇成形術(shù)后1年+口角上提術(shù)后1年33-year-old female, M-shape plasty and oral commissure lift, before and one year after.案例3 Case 3女,26歲,上唇M唇成形+硅膠隆下巴。術(shù)前與術(shù)后2年26-year-old female, M-shape plasty and chin augmentation, before and two years after.案例4 Case 4女,25歲,上唇M唇成形,術(shù)前與術(shù)后6月25-year-old female, M-shape plasty, before and 6 months after.案例5 Case 5女,23,上唇M唇成形23-year-old female, M-shape plasty, before and 6 months after.案例6 Case 6女,26歲,唇裂繼發(fā)畸形,紅唇肥厚,缺乏“丘比特弓”。 手術(shù)方案:上唇修薄,紅唇緣唇峰成形。26-year-old female, secondary deformation of cleft lip withunclear peak and thick vermilion, received upper lip reduction and vermilion peak lift,before and 6 months after.案例7 Case 7女,22歲,上唇M唇+下唇月牙唇22-year-old female, M-shape plasty and lower lip plasty, before and one year after.案例8 Case 8女,25歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后2月。25-year-old female, M-shape plasty and lower lip plasty, before and two months after.案例9:“微笑唇”套餐 Case 9女,33歲,上唇M唇+口角上提手術(shù)。術(shù)前與術(shù)后1月33-year-old female, M-shape plasty and lower lip plasty and oral commissure lift,, before and one months after.案例10 Case 10女,27歲,上唇M唇成形術(shù),術(shù)前與術(shù)后3個(gè)月。27-year-old female, M-shape plasty, before and three months after.案例11 Case 11上唇M唇+下唇“屁股唇”,女,28歲,術(shù)前術(shù)后半年28-year-old female, M-shape plasty and lower lip plasty, before and six months after.案例12:女,23歲,上唇M唇+下唇“屁股唇”,術(shù)前與術(shù)后2年23-year-old female, M-shape plasty and lower lip plasty, before and two years after.案例13 Case 13上唇M唇+下唇“屁股唇”,女,22歲,術(shù)前術(shù)后8個(gè)月。22-year-old female, M-shape plasty and lower lip plasty, before and 8 months after.術(shù)前注意事項(xiàng)Notes before surgery1、無出血性疾病以及心肺肝腎等重要器官活動(dòng)性或進(jìn)行性疾病,如患有高血壓、糖尿病或傳染性疾病等患者需在病情控制平穩(wěn)后手術(shù)。長期服用類固醇激素和阿司匹林等藥物者,最好能在術(shù)前一周停用,請咨詢相關(guān)醫(yī)生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情況者建議暫緩手術(shù):唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手術(shù)請避開月經(jīng)期;妊娠前期(3個(gè)月)和妊娠后期(3個(gè)月)暫緩手術(shù)。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情況:上頜骨前突、紅唇外翻等,手術(shù)效果可能欠滿意,需要當(dāng)面評(píng)估手術(shù)效果,慎重考慮。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、術(shù)后2-3月之內(nèi)切口可能略紅,觸之稍硬,偶有瘙癢,建議此段時(shí)間內(nèi)避開重要社交場合。之后逐漸恢復(fù),穩(wěn)定后一般社交距離不易看出,但極個(gè)別瘢痕體質(zhì)患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部組織松軟,切除量難以精確掌控,術(shù)后可能會(huì)出現(xiàn)左右局部不對(duì)稱(發(fā)生率50%)。一般輕微不對(duì)稱多能逐漸緩解,如3個(gè)月后仍存在明顯差異需要再次手術(shù)修復(fù) 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue,repair should be needed.麻醉方式 Anesthesia局部神經(jīng)阻滯麻醉:手術(shù)部位局部注射麻醉劑,不另收費(fèi)。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.靜脈全麻輔助:手術(shù)時(shí)間長、部位多、或?qū)μ弁茨褪懿钫?,靜脈給藥,無需氣管插管,另收費(fèi)(根據(jù)手術(shù)時(shí)間長短1500-3000元不等)。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).術(shù)前準(zhǔn)備 Preparation before lip surgery1、常規(guī)檢查:(可手術(shù)當(dāng)天做,局麻者無需空腹,靜脈全麻者空腹化驗(yàn);外地患者為節(jié)省時(shí)間也可以先在當(dāng)?shù)厝?jí)醫(yī)院提前完成,3個(gè)月內(nèi)有效) Regular test:局麻手術(shù)者:血常規(guī)、尿常規(guī)、凝血四項(xiàng)、美容免疫四項(xiàng)(乙肝、丙肝、梅毒、艾滋);For localanesthesia:routine blood test,routine urine test,coagulation function,screening of infectious diseases靜脈全麻手術(shù)者:上述6項(xiàng)、肝腎功能、空腹血糖、心電圖、胸片F(xiàn)orgeneral anesthesia: The above andblood biochemistry,ECG,chest X-ray2、選擇局麻者正常飲食,選擇靜脈全麻輔助者術(shù)前6小時(shí)禁食、4小時(shí)禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、術(shù)前注意術(shù)區(qū)清潔,剪短鼻毛與胡須,勿化妝 Keep the face clean, cut thenasal hair and beard. Do not make up.4、準(zhǔn)備術(shù)后用藥:冰袋2-3個(gè)、消腫藥(1周量)、止疼藥(1-2次)、外用祛疤膏(3月量)、漱口水(1周量) Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)術(shù)后注意事項(xiàng)Post-operative Care1、術(shù)后立刻唇部冰敷30-60分鐘,之后3天內(nèi)每天冰敷3-4次,每次30-60分鐘 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、術(shù)后當(dāng)晚可能術(shù)區(qū)會(huì)比較疼痛,必要時(shí)可以服用止疼藥或安眠藥幫助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、術(shù)后前3天進(jìn)軟流食,避免過熱食物,進(jìn)食后注意漱口。1周內(nèi)唇部避免夸張表情,盡量少說話,避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、術(shù)后7天拆除上唇邊緣縫線。Suture will be removed 7 days after surgery. Keep the incisioin clean before stiches removal.5、術(shù)后術(shù)區(qū)出現(xiàn)水腫、青紫、淤血等,屬于正?,F(xiàn)象,一般在術(shù)后2-3天時(shí)水腫最厲害,可服用消腫藥。大部分在1-2周后逐漸消退,如發(fā)現(xiàn)腫脹淤血或疼痛加劇、出血等等,請即聯(lián)系醫(yī)生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水腫時(shí)可能會(huì)發(fā)生個(gè)別縫線脫落可能,一般不致傷口裂開,所以不必驚慌,將縫線吐出即可。個(gè)別萬一發(fā)生傷口裂開者請立即聯(lián)系醫(yī)生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、術(shù)后瘢痕組織軟化和淡化需要大約3-6個(gè)月時(shí)間,這段時(shí)間內(nèi)有可能會(huì)出現(xiàn)切口疤痕硬、鼓起,笑不開,表情不自然,僵緊感,左右不對(duì)稱,黏膜脫屑等,請耐心等待,一般隨瘢痕組織逐漸軟化而緩解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于術(shù)后兩側(cè)恢復(fù)速率可能存在差異,短期內(nèi)輕微不對(duì)稱可能比較常見,一般徹底恢復(fù)后能逐漸不明顯;另外個(gè)別案例術(shù)后可能存在局部欠平整,一般隨疤痕軟化后會(huì)緩解流暢,最終效果可在術(shù)后至少3月以后再評(píng)價(jià),如果存在矯正不足或過度、不對(duì)稱或者局部不滿意,如徹底恢復(fù)后仍存在可在半年后再次修復(fù)。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日
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潘柏林主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術(shù)目的與效果:上揚(yáng)口角,提升親和力(微笑唇)適應(yīng)證:靜息狀態(tài)下口角下垂者,或者人中短縮后外側(cè)人中仍較長者;如面頰部松弛明顯或已形成明顯的“木偶紋”者,建議先進(jìn)行面部提升。手術(shù)方法:口角上方切除三角形皮膚,向上懸吊口角,并且離斷降口角肌。術(shù)后在口角上下紅唇緣有切口痕跡可能手術(shù)參考價(jià)格:(2020年1月~)口角上提手術(shù)¥18,000元臨床案例:案例1:上唇人中短縮+嘴角上提+唇珠成形顧客是一位很清純可愛的小姑娘,五官都已經(jīng)蠻好看了,只是覺得上唇有些長,嘴角有點(diǎn)下垂,不太符合自己的氣質(zhì),喜歡日式的那一種“卡哇伊”的感覺。手術(shù)設(shè)計(jì):上唇人中短縮+嘴角上提+唇珠增厚案例2:玻尿酸注射口角上提案例3:“蘿莉唇”套餐,上唇人中短縮+口角上提手術(shù)。女,25歲。術(shù)前與術(shù)后3月(附術(shù)后2周恢復(fù)過程)案例4:女,33歲,外切法口角上提,術(shù)前與術(shù)后1年。案例5:上唇M唇+口角上提(微笑唇套餐)女,33歲,上唇M唇術(shù)后1年,口角上提術(shù)后1月案例6:外切法口角上提女,26歲,外切法口角上提,術(shù)前與術(shù)后半年案例7:“微笑唇”套餐:女,33歲,上唇M唇+口角上提手術(shù)。術(shù)前與術(shù)后1月案例8:女,26歲,口角上提手術(shù)。術(shù)前與術(shù)后10月,期間切口疤痕治療2次。案例9:女,28歲,口角上提手術(shù)。術(shù)前與術(shù)后3月。案例10:男,35歲,企業(yè)高管,主訴平時(shí)面相嚴(yán)肅,有距離感,并且鐘情于菲薄的紅唇。予口角上提+上唇厚唇修薄,術(shù)前與術(shù)后2月。案例11:女,24歲,外院行口角上提術(shù),術(shù)后遺留切口瘢痕,瘢痕下方局部凹陷。予口角上提修復(fù)+上唇修薄術(shù)。案例12:女,25歲,口角上提術(shù)術(shù)前注意事項(xiàng):1、無出血性疾病以及心肺肝腎等重要器官活動(dòng)性或進(jìn)行性疾病,如患有高血壓、糖尿病或傳染性疾病等患者需在病情控制平穩(wěn)后手術(shù)。2、長期服用類固醇激素和阿司匹林等藥物者,最好能在術(shù)前一周停用,請咨詢相關(guān)醫(yī)生。3、如有以下唇部情況者建議暫緩手術(shù):唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。4、由于口角是活動(dòng)部位,術(shù)后切口疤痕容易增生,故此手術(shù)目前主要針對(duì)靜止?fàn)顟B(tài)下口角明顯下垂者,下垂不明顯或口角平直者不建議做。5、如果口角下方存在木偶紋,建議先進(jìn)行面部提升以改善木偶紋,然后再行口角上提手術(shù),否則容易出現(xiàn)術(shù)后木偶紋加深風(fēng)險(xiǎn)。6、女性患者手術(shù)請避開月經(jīng)期;妊娠前期(3個(gè)月)和妊娠后期(3個(gè)月)暫緩手術(shù)。7、因術(shù)后局部輕微腫脹可能延續(xù)2-3個(gè)月甚至半年,此時(shí)唇部形態(tài)略欠自然,故手術(shù)安排時(shí)請考慮在此段時(shí)間內(nèi)避開重要的社交場合。麻醉方式:局部麻醉+神經(jīng)阻滯麻醉:手術(shù)部位局部注射麻醉劑,不另收費(fèi)。靜脈全麻輔助:手術(shù)時(shí)間長、部位多、或?qū)μ弁茨褪懿钫撸o脈給藥,無需氣管插管,另收費(fèi)(根據(jù)手術(shù)時(shí)間長短1500-3000元不等)。術(shù)前準(zhǔn)備:1、常規(guī)檢查:(可手術(shù)當(dāng)天做,局麻者無需空腹,靜脈全麻者空腹化驗(yàn);外地患者為節(jié)省時(shí)間也可以先在當(dāng)?shù)厝?jí)醫(yī)院提前完成,3個(gè)月內(nèi)有效)局麻手術(shù)者:血常規(guī)、尿常規(guī)、凝血四項(xiàng)、美容免疫四項(xiàng)(乙肝、丙肝、梅毒、艾滋);靜脈全麻手術(shù)者:上述6項(xiàng)、肝腎功能、空腹血糖、心電圖、胸片2、選擇局麻者正常飲食,選擇靜脈全麻輔助者術(shù)前6小時(shí)禁食、4小時(shí)禁水3、術(shù)前注意術(shù)區(qū)清潔,剪短鼻毛與胡須,勿化妝4、準(zhǔn)備術(shù)后用藥:冰袋2-3個(gè)、消腫藥(1周量)、止疼藥(1-2次)、外用祛疤膏(3月量)術(shù)后注意事項(xiàng):1、術(shù)后立刻唇部冰敷30-60分鐘,之后3天內(nèi)每天冰敷3-4次,每次30-60分鐘。2、術(shù)后當(dāng)晚術(shù)區(qū)可能會(huì)比較疼痛,可以服用止痛藥幫助睡眠。3、術(shù)后前3天進(jìn)軟流食,避免過熱食物。進(jìn)食后注意漱口。術(shù)后1周內(nèi)忌煙酒、魚蝦、辛辣刺激食物。4、術(shù)后5天拆線。1周內(nèi)唇部避免夸張表情,盡量少說話,避免大笑以及用力哈欠??梢运⒀?,但注意輕柔,勿觸碰傷口。5、術(shù)后術(shù)區(qū)出現(xiàn)水腫、青紫、淤血等,屬于正?,F(xiàn)象,一般在術(shù)后2-3天時(shí)水腫最厲害,可在術(shù)后4天時(shí)開始服用消腫藥。大部分在1-2周后逐漸消退,如發(fā)現(xiàn)腫脹淤血或疼痛加劇、出血等等,請立即聯(lián)系醫(yī)生。6、拆線愈合后1周可以涂抹口紅化妝,外用祛疤膏可在拆線愈合后1周開始用,待祛疤膏干結(jié)形成保護(hù)膜以后,表面可以化妝。7、術(shù)后可能出現(xiàn)唇部局部麻木或感覺遲鈍,一般半年左右逐漸恢復(fù)。8、最終效果可在術(shù)后3月以后再評(píng)價(jià),如果存在局部上提不足或上提過度、不對(duì)稱或者局部不滿意,可在3個(gè)月后再次修復(fù)9、瘢痕一般在術(shù)后3個(gè)月到半年左右穩(wěn)定,這段時(shí)間仍然盡量避免過大表情,可以外用抗瘢痕藥預(yù)防,如仍較明顯請聯(lián)系醫(yī)生,有必要時(shí)進(jìn)一步疤痕注射或激光治療。10、半年后請聯(lián)系醫(yī)生復(fù)診。請登陸本網(wǎng)站留下您的看病經(jīng)驗(yàn)和評(píng)價(jià)。2013年08月18日
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潘柏林主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術(shù)目的與效果Objective and Effect改善唇紅緣(丘比特弓)形態(tài)To improve the appearance of the vermilion border(Cupid's bow)適應(yīng)證 Indications唇峰平坦、峰距過近或過遠(yuǎn)、唇紅緣形態(tài)不佳、唇裂二期畸形、外側(cè)人中過長等Lack of distinct Cupid's bow,inappropriate distance of peak,secondary deformation of cleft lip, overlong lateral upper lip.手術(shù)方法 Surgical methods根據(jù)唇紅緣的實(shí)際改善需要設(shè)計(jì)。Depend on the flaw of the vermilion border. 唇弓外側(cè)嵴提升:適用于唇弓外側(cè)嵴向下凹形塌陷者Lateral Cupid‘s bow lift: to correct the over-concave of the lateral vermilion border.唇峰提升:適用于唇峰平坦不明顯者Peak lift: to enhance the peak.手術(shù)參考價(jià)格(2020年1月~) Price (Since Jan. 2020)唇紅緣(丘比特弓)整形手術(shù) ¥12,000元Vermilion border correction ¥12,000 RMB臨床案例 Clinic cases案例1:上唇唇峰過于平坦,唇弓外側(cè)嵴向上弧度,上唇及下唇唇形向兩側(cè)擴(kuò)散,予上唇唇峰提升+上唇M唇+下唇月牙唇,術(shù)前與術(shù)后3月Case 1:Unclear peak with convex vermilion border, which makes the lip look wide. Bilateral peak lift were performed to correct it. Before and 3 months after.案例2:上唇唇紅緣兩側(cè)過度內(nèi)翻,予唇紅緣整形外翻恢復(fù)唇緣,術(shù)前與術(shù)后半年Case 2: The lateral vermilion border looked over-concave and recieved a lift. Before and 6 months after.案例3:唇裂二期畸形,患側(cè)唇峰平坦不明顯,紅唇增厚,予唇峰成形,紅唇修薄。Case 3: Secondary deformation of cleft lip withunclear peak and thick vermilion. Peak lift and lip reduction were performed.案例4:唇裂二期畸形,雙側(cè)唇峰平坦不明顯,局部紅唇增厚,予唇峰成形,紅唇修薄。Case 4: Secondary deformation of cleft lip with bilateralunclear peak and thick vermilion. Bilateral peak lift and lip reduction were performed.案例5:唇裂二期畸形,患側(cè)唇峰平坦不明顯,紅唇增厚,予局部植皮唇峰成形,紅唇修薄,術(shù)后予紋唇。Case 5: Secondary deformation of cleft lip with bilateralunclear peak and thick vermilion. Vermilion removal with skin grafting and lip reduction were performed. 案例6:上唇外側(cè)唇紅緣提升 Case 6:Lift of the lateral vermilion border of upper lip案例7:上唇唇峰提升+上唇M唇 Case 7:Lift of the peak of upper lip and M-shape vermilion plasty術(shù)前注意事項(xiàng) Notes before surgery1、無出血性疾病以及心肺肝腎等重要器官活動(dòng)性或進(jìn)行性疾病,如患有高血壓、糖尿病或傳染性疾病等患者需在病情控制平穩(wěn)后手術(shù)。長期服用類固醇激素和阿司匹林等藥物者,最好能在術(shù)前一周停用,請咨詢相關(guān)醫(yī)生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情況者建議暫緩手術(shù):唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手術(shù)請避開月經(jīng)期;妊娠前期(3個(gè)月)和妊娠后期(3個(gè)月)暫緩手術(shù)。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情況:上頜骨前突、紅唇外翻等,手術(shù)效果可能欠滿意,需要當(dāng)面評(píng)估手術(shù)效果,慎重考慮。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、術(shù)后2-3月之內(nèi)切口可能略紅,觸之稍硬,偶有瘙癢,建議此段時(shí)間內(nèi)避開重要社交場合。之后逐漸恢復(fù),穩(wěn)定后一般社交距離不易看出,但極個(gè)別瘢痕體質(zhì)患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、其它術(shù)后可能出現(xiàn)的風(fēng)險(xiǎn):切口疤痕、兩側(cè)輕度不對(duì)稱等。 There may be some side effects along with the surgery, including incision scar,asymmetry etc, which will be subject to the actual situation of individuals.麻醉方式 Anesthesia局部神經(jīng)阻滯麻醉:手術(shù)部位局部注射麻醉劑,不另收費(fèi)。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.靜脈全麻輔助:手術(shù)時(shí)間長、部位多、或?qū)μ弁茨褪懿钫?,靜脈給藥,無需氣管插管,另收費(fèi)(根據(jù)手術(shù)時(shí)間長短1500-3000元不等)。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).術(shù)前準(zhǔn)備 Preparation before lip surgery1、常規(guī)檢查:(可手術(shù)當(dāng)天做,局麻者無需空腹,靜脈全麻者空腹化驗(yàn);外地患者為節(jié)省時(shí)間也可以先在當(dāng)?shù)厝?jí)醫(yī)院提前完成,3個(gè)月內(nèi)有效) Regular test:局麻手術(shù)者:血常規(guī)、尿常規(guī)、凝血四項(xiàng)、美容免疫四項(xiàng)(乙肝、丙肝、梅毒、艾滋);For localanesthesia:routine blood test,routine urine test,coagulation function,screening of infectious diseases靜脈全麻手術(shù)者:上述6項(xiàng)、肝腎功能、空腹血糖、心電圖、胸片F(xiàn)orgeneral anesthesia: The above andblood biochemistry,ECG,chest X-ray2、選擇局麻者正常飲食,選擇靜脈全麻輔助者術(shù)前6小時(shí)禁食、4小時(shí)禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、術(shù)前注意術(shù)區(qū)清潔,剪短鼻毛與胡須,勿化妝 Keep the face clean, cut thenasal hair and beard. Do not make up.4、準(zhǔn)備術(shù)后用藥:冰袋2-3個(gè)、消腫藥(1周量)、止疼藥(1-2次)、外用祛疤膏(3月量) Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery), anti-scar ointment (from the 3rd day after suture removal), anti-inflammatory medicine (if necessary).術(shù)后注意事項(xiàng) Post-operative Care1、術(shù)后立刻唇部冰敷30-60分鐘,之后3天內(nèi)每天冰敷3-4次,每次30-60分鐘 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、術(shù)后當(dāng)晚可能術(shù)區(qū)會(huì)比較疼痛,必要時(shí)可以服用止疼藥或安眠藥幫助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、 當(dāng)天進(jìn)冷流食。 2天后正常飲食,但術(shù)后1周內(nèi)忌煙酒、魚蝦、辛辣刺激食物。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and tooth-brushing should be avoided to the maximum extent.4、術(shù)后5天拆除全部縫線。切口在拆線前保持清潔,可以涂抹紅霉素軟膏保持濕潤。Suture will be removed 5 days after surgery. Keep the incisioin clean before stiches removal.5、1周內(nèi)唇部避免夸張表情,盡量少說話,避免大笑以及用力哈欠??梢运⒀?,但注意輕柔,勿觸碰傷口。 Within 1 week after surgery, the exaggerated expressions on lips should be avoided, please speak as little as possible, and laugh and yawn should also be avoided.6、 術(shù)后術(shù)區(qū)出現(xiàn)水腫、青紫、淤血等,屬于正常現(xiàn)象,一般1-2周逐漸消退,如希望腫脹盡快消退可在術(shù)前1天開始服用消腫藥。 Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.7、個(gè)別案例拆線后可能出現(xiàn)切口表層裂隙、局部小缺損或者結(jié)痂等,一般3-5天自行恢復(fù),可局部涂抹紅霉素軟膏;個(gè)別案例可能出現(xiàn)皮下可吸收線(白色線結(jié))外露,可聯(lián)系醫(yī)生拆除。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.8、外用祛疤膏可在拆線愈合后3天開始用,待祛疤膏干結(jié)形成保護(hù)膜以后,表面可以化妝。瘢痕一般在術(shù)后3-6個(gè)月左右穩(wěn)定,盡量減少夸張表情活動(dòng),以及外用祛疤膏預(yù)防。如仍較明顯可能需要進(jìn)一步治療:鼓起增生者可以疤痕內(nèi)注射含激素的祛疤針,平坦或者凹陷的疤痕可以后期激光減淡。Anti-scar ointment is recommended externally 3 days after suture removal, and continuously applied for about 3 months. If there is dense hyperplasia scar above the lip surface, the steroid hormone can be injected locally (once a month) for softening.9、由于術(shù)后兩側(cè)恢復(fù)速率可能存在差異,短期內(nèi)輕微不對(duì)稱可能比較常見,一般徹底恢復(fù)后能逐漸不明顯;另外個(gè)別案例術(shù)后可能存在局部欠平整,一般隨疤痕軟化后會(huì)緩解流暢,最終效果可在術(shù)后至少3月以后再評(píng)價(jià),如果存在矯正不足或過度、不對(duì)稱或者局部不滿意,如徹底恢復(fù)后仍存在可在半年后再次修復(fù)。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2012年01月17日
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