Every girl loves beauty by nature, so micro-adjustment of body shaping is very popular nowadays. Some people think that their droopy eyelids make them look very listless, so they want to have an eyelid lift. Generally speaking, the incision for an eyelid lift is made on the upper eyelid, but when doing an eyelid lift, you should pay attention to the surgical condition and postoperative recovery, and go to the hospital for examination in time. Upper eyelid ptosis is a cosmetic surgery. It is achieved by shortening the levator palpebrae superioris muscle to strengthen the muscle strength and improve its eyelid lifting ability. The clinical manifestations include neurogenic ptosis, myogenic ptosis, aponeurotic ptosis, and mechanical ptosis. The main types of upper eyelid ptosis. 1. Neurogenic ptosis This is the result of a loss of innervation. Common causes: ① Oculomotor nerve palsy is often combined with other symptoms of cranial nerve III palsy; ② Oculomotor nerve palsy is less common, characterized by oculomotor nerve palsy on the same side after unilateral migraine; ③ Horner syndrome occurs after sympathetic nerve damage; ④ Synkinetic ptosis (Marcus Gunn syndrome). 2. Myogenic ptosis Ptosis is caused by defects in the levator palpebrae superioris muscle, such as congenital dysplasia, myasthenia gravis, muscular atrophy, oculopharyngeal muscular dystrophy, and eye trauma that affects the contraction function of the levator palpebrae superioris muscle. This type of ptosis can be divided into three types: mild (1-2mm), moderate (3-4mm), and severe (5-6mm). The function of the levator palpebrae superioris muscle can be described as: good (>8mm), fair (5-7mm), and poor (4mm or less). This is only used to estimate the amount of congenital ptosis. If it is used for surgical correction of the same amount of acquired ptosis, it will normally result in overcorrection. 3. Aponeurotic ptosis It is due to the conduction disorder of the levator palpebrae superioris muscle. The levator aponeurosis is weak due to aponeurosis defect or tear. The aponeurosis may also be infiltrated or replaced by fatty tissue. Aponeurotic ptosis may occur after various types of eye surgery and may be caused by postoperative eyelid edema or excessive extension of the patient's eye when covering the eye, injuring the delicate aponeurosis. The typical manifestation of aponeurotic defects is an exaggerated or blurred eyelid crease (double eyelid), and the eyelid above the tarsal plate is so thin that the pupil can be seen from here even when the patient closes the eyelid. |
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