-
韓東亮副主任醫(yī)師 醫(yī)生集團-上海 整形外科 唇部整形較為簡單,所以恢復時間也較短。 一般來說,唇部變薄術在術后5~7天即可拆線,在遵守注意事項的前提下,短時間內即可恢復。 唇部整形前準備工作(1)術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,術前3天需要患者溫水沖服板藍根、靜脈注射甲硝唑或其他的廣譜抗生素。 (3)女生要避免在月經期間進行手術,經期過后一周可以進行手術。 唇部整形后注意事項(1)術后一周之內需要用抗生素軟膏涂抹切口,由于傷口不包扎,還需同時口服抗生素一周以避免傷口感染。 (2)手術后要經常使用漱口液漱口以保持口腔清潔。 (3)手術后4天內盡量吃流食,以保證手術的效果。 (4)手術后,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 1308 0 8
-
潘柏林副主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術目的與效果Objective and Effect改善唇形,提高氣質To improve the appearance of vermilion唇形說明 Aesthetic Consideration“屁股唇”:下唇中央收窄,兩側又飽滿的側唇珠,適合臉龐圓潤、嬰兒肥、氣質清純可愛的女性。明星代表:湯唯、楊冪?!霸卵来健保合麓秸凶詈瘢騼蓚戎饾u收窄,適合標準瓜子臉、五官大氣、性感高貴的女性。明星代表:Angela Baby、柳巖手術方法Surgical methods手術參考價格(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,術前與術后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”,術前與術后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”,術前與術后半年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”,術前與術后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”,術前與術后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”,術前與術后半年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”,術前與術后8月22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 8 months after.術前注意事項Notes before surgery1、無出血性疾病以及心肺肝腎等重要器官活動性或進行性疾病,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。長期服用類固醇激素和阿司匹林等藥物者,最好能在術前一周停用,請咨詢相關醫(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: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、女性患者手術請避開月經期;妊娠前期(3個月)和妊娠后期(3個月)暫緩手術。 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,手術效果可能欠滿意,需要當面評估手術效果,慎重考慮。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、術后2-3月之內切口可能略紅,觸之稍硬,偶有瘙癢,建議此段時間內避開重要社交場合。之后逐漸恢復,穩(wěn)定后一般社交距離不易看出,但極個別瘢痕體質患者除外。 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,術后可能會出現左右局部不對稱(發(fā)生率50%)。一般輕微不對稱多能逐漸緩解,如3個月后仍存在明顯差異需要再次手術修復 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局部神經阻滯麻醉:手術部位局部注射麻醉劑,不另收費。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.靜脈全麻輔助:手術時間長、部位多、或對疼痛耐受差者,靜脈給藥,無需氣管插管,另收費(根據手術時間長短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).術前準備 Preparation before lip surgery1、常規(guī)檢查:(可手術當天做,局麻者無需空腹,靜脈全麻者空腹化驗;外地患者為節(jié)省時間也可以先在當地三級醫(yī)院提前完成,3個月內有效) Regular test:局麻手術者:血常規(guī)、尿常規(guī)、凝血四項、美容免疫四項(乙肝、丙肝、梅毒、艾滋);For localanesthesia:routine blood test,routine urine test,coagulation function,screening of infectious diseases靜脈全麻手術者:上述6項、肝腎功能、空腹血糖、心電圖、胸片Forgeneral 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前6小時禁食、4小時禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、術前注意術區(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、準備術后用藥:冰袋2-3個、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)術后注意事項Post-operative Care1、術后立刻唇部冰敷30-60分鐘,之后3天內每天冰敷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、術后當晚可能術區(qū)會比較疼痛,必要時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、術后前3天進軟流食,避免過熱食物,進食后注意漱口。1周內唇部避免夸張表情,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、黑色邊緣縫線術后7天拆除??趦瓤晌湛p線可不拆,1個月內自行吸收脫落。Suture will be removed 7 days after surgery. If absorbable sutures are applied, leave them fall offspontaneously in about a month.5、術后術區(qū)出現水腫、青紫、淤血等,屬于正?,F象,一般在術后2-3天時水腫最厲害,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、水腫時可能會發(fā)生個別縫線脫落可能,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、術后瘢痕組織軟化和淡化需要大約3-6個月時間,這段時間內有可能會出現切口疤痕硬、鼓起,笑不開,表情不自然,僵緊感,左右不對稱,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、由于術后兩側恢復速率可能存在差異,短期內輕微不對稱可能比較常見,一般徹底恢復后能逐漸不明顯;另外個別案例術后可能存在局部欠平整,一般隨疤痕軟化后會緩解流暢,最終效果可在術后至少3月以后再評價,如果存在矯正不足或過度、不對稱或者局部不滿意,如徹底恢復后仍存在可在半年后再次修復。 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 23239 3 0
-
潘柏林副主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術目的與效果Objective and Effect改善唇形,提高氣質To improve the appearance of vermilion唇形說明 Aesthetic Consideration北京大學第三醫(yī)院成形外科(整形外科)潘柏林M唇:表達可愛、清純、陰柔氣質,明星代表:韓雪、林志玲M-shape:To express young and prettyΩ唇:表達硬朗、職業(yè)、性感氣質,明星代表:宋慧喬、舒淇Ω-shape: To express sexy and tough手術方法Surgical methods手術參考價格(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,術前與術后半年24-year-old female, M-shape plasty, before and 6 months after.案例2 Case 2女,33歲,上唇M唇成形術后1年+口角上提術后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。術前與術后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,術前與術后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”,術前與術后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。術前與術后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,術前與術后3個月。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,術前術后半年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”,術前與術后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,術前術后8個月。22-year-old female, M-shape plasty and lower lip plasty, before and 8 months after.術前注意事項Notes before surgery1、無出血性疾病以及心肺肝腎等重要器官活動性或進行性疾病,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。長期服用類固醇激素和阿司匹林等藥物者,最好能在術前一周停用,請咨詢相關醫(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: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、女性患者手術請避開月經期;妊娠前期(3個月)和妊娠后期(3個月)暫緩手術。 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,手術效果可能欠滿意,需要當面評估手術效果,慎重考慮。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、術后2-3月之內切口可能略紅,觸之稍硬,偶有瘙癢,建議此段時間內避開重要社交場合。之后逐漸恢復,穩(wěn)定后一般社交距離不易看出,但極個別瘢痕體質患者除外。 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,術后可能會出現左右局部不對稱(發(fā)生率50%)。一般輕微不對稱多能逐漸緩解,如3個月后仍存在明顯差異需要再次手術修復 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局部神經阻滯麻醉:手術部位局部注射麻醉劑,不另收費。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.靜脈全麻輔助:手術時間長、部位多、或對疼痛耐受差者,靜脈給藥,無需氣管插管,另收費(根據手術時間長短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).術前準備 Preparation before lip surgery1、常規(guī)檢查:(可手術當天做,局麻者無需空腹,靜脈全麻者空腹化驗;外地患者為節(jié)省時間也可以先在當地三級醫(yī)院提前完成,3個月內有效) Regular test:局麻手術者:血常規(guī)、尿常規(guī)、凝血四項、美容免疫四項(乙肝、丙肝、梅毒、艾滋);For localanesthesia:routine blood test,routine urine test,coagulation function,screening of infectious diseases靜脈全麻手術者:上述6項、肝腎功能、空腹血糖、心電圖、胸片Forgeneral 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前6小時禁食、4小時禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、術前注意術區(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、準備術后用藥:冰袋2-3個、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)術后注意事項Post-operative Care1、術后立刻唇部冰敷30-60分鐘,之后3天內每天冰敷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、術后當晚可能術區(qū)會比較疼痛,必要時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、術后前3天進軟流食,避免過熱食物,進食后注意漱口。1周內唇部避免夸張表情,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、術后術區(qū)出現水腫、青紫、淤血等,屬于正?,F象,一般在術后2-3天時水腫最厲害,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、水腫時可能會發(fā)生個別縫線脫落可能,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、術后瘢痕組織軟化和淡化需要大約3-6個月時間,這段時間內有可能會出現切口疤痕硬、鼓起,笑不開,表情不自然,僵緊感,左右不對稱,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、由于術后兩側恢復速率可能存在差異,短期內輕微不對稱可能比較常見,一般徹底恢復后能逐漸不明顯;另外個別案例術后可能存在局部欠平整,一般隨疤痕軟化后會緩解流暢,最終效果可在術后至少3月以后再評價,如果存在矯正不足或過度、不對稱或者局部不滿意,如徹底恢復后仍存在可在半年后再次修復。 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 50715 10 1
-
潘柏林副主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術目的與效果:上揚口角,提升親和力(微笑唇)適應證:靜息狀態(tài)下口角下垂者,或者人中短縮后外側人中仍較長者;如面頰部松弛明顯或已形成明顯的“木偶紋”者,建議先進行面部提升。手術方法: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。術后在口角上下紅唇緣有切口痕跡可能手術參考價格:(2020年1月~)口角上提手術¥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,五官都已經蠻好看了,只是覺得上唇有些長,嘴角有點下垂,不太符合自己的氣質,喜歡日式的那一種“卡哇伊”的感覺。手術設計: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。女,25歲。術前與術后3月(附術后2周恢復過程)案例4:女,33歲,外切法口角上提,術前與術后1年。案例5:上唇M唇+口角上提(微笑唇套餐)女,33歲,上唇M唇術后1年,口角上提術后1月案例6:外切法口角上提女,26歲,外切法口角上提,術前與術后半年案例7:“微笑唇”套餐:女,33歲,上唇M唇+口角上提手術。術前與術后1月案例8:女,26歲,口角上提手術。術前與術后10月,期間切口疤痕治療2次。案例9:女,28歲,口角上提手術。術前與術后3月。案例10:男,35歲,企業(yè)高管,主訴平時面相嚴肅,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,術前與術后2月。案例11:女,24歲,外院行口角上提術,術后遺留切口瘢痕,瘢痕下方局部凹陷。予口角上提修復+上唇修薄術。案例12:女,25歲,口角上提術術前注意事項:1、無出血性疾病以及心肺肝腎等重要器官活動性或進行性疾病,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。2、長期服用類固醇激素和阿司匹林等藥物者,最好能在術前一周停用,請咨詢相關醫(yī)生。3、如有以下唇部情況者建議暫緩手術:唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。4、由于口角是活動部位,術后切口疤痕容易增生,故此手術目前主要針對靜止狀態(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,建議先進行面部提升以改善木偶紋,然后再行口角上提手術,否則容易出現術后木偶紋加深風險。6、女性患者手術請避開月經期;妊娠前期(3個月)和妊娠后期(3個月)暫緩手術。7、因術后局部輕微腫脹可能延續(xù)2-3個月甚至半年,此時唇部形態(tài)略欠自然,故手術安排時請考慮在此段時間內避開重要的社交場合。麻醉方式:局部麻醉+神經阻滯麻醉:手術部位局部注射麻醉劑,不另收費。靜脈全麻輔助:手術時間長、部位多、或對疼痛耐受差者,靜脈給藥,無需氣管插管,另收費(根據手術時間長短1500-3000元不等)。術前準備:1、常規(guī)檢查:(可手術當天做,局麻者無需空腹,靜脈全麻者空腹化驗;外地患者為節(jié)省時間也可以先在當地三級醫(yī)院提前完成,3個月內有效)局麻手術者:血常規(guī)、尿常規(guī)、凝血四項、美容免疫四項(乙肝、丙肝、梅毒、艾滋);靜脈全麻手術者:上述6項、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前6小時禁食、4小時禁水3、術前注意術區(qū)清潔,剪短鼻毛與胡須,勿化妝4、準備術后用藥:冰袋2-3個、消腫藥(1周量)、止疼藥(1-2次)、外用祛疤膏(3月量)術后注意事項:1、術后立刻唇部冰敷30-60分鐘,之后3天內每天冰敷3-4次,每次30-60分鐘。2、術后當晚術區(qū)可能會比較疼痛,可以服用止痛藥幫助睡眠。3、術后前3天進軟流食,避免過熱食物。進食后注意漱口。術后1周內忌煙酒、魚蝦、辛辣刺激食物。4、術后5天拆線。1周內唇部避免夸張表情,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、術后術區(qū)出現水腫、青紫、淤血等,屬于正?,F象,一般在術后2-3天時水腫最厲害,可在術后4天時開始服用消腫藥。大部分在1-2周后逐漸消退,如發(fā)現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,待祛疤膏干結形成保護膜以后,表面可以化妝。7、術后可能出現唇部局部麻木或感覺遲鈍,一般半年左右逐漸恢復。8、最終效果可在術后3月以后再評價,如果存在局部上提不足或上提過度、不對稱或者局部不滿意,可在3個月后再次修復9、瘢痕一般在術后3個月到半年左右穩(wěn)定,這段時間仍然盡量避免過大表情,可以外用抗瘢痕藥預防,如仍較明顯請聯(lián)系醫(yī)生,有必要時進一步疤痕注射或激光治療。10、半年后請聯(lián)系醫(yī)生復診。請登陸本網站留下您的看病經驗和評價。2013年08月18日 24022 3 4
-
潘柏林副主任醫(yī)師 北醫(yī)三院 成形外科(整形外科) 手術目的與效果:修薄紅唇,改善唇形適應證:上唇或下唇紅唇過厚、重唇、外翻,或者唇形平坦欠佳者手術方法:手術參考價格:(2020年1月~)重唇、厚唇修薄術(一片唇) ¥15,000元 (包含唇形塑造)臨床案例:案例1:女,19歲,下唇厚唇修薄,術前與術后1月案例2:女,38歲,下唇厚唇修薄,術前與術后2月案例3:男,24歲,下唇厚唇修薄,術前與術后3月案例4:女,25歲,右上唇瘢痕,唇形不對稱,予局部修薄,術前與術后半年。案例5:男,20歲,上唇重唇矯正,術前與術后2月。案例6:男,24歲,上唇厚唇修薄,術前與術后6月。術前注意事項:1、無出血性疾病以及心肺肝腎等重要器官活動性或進行性疾病,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。2、長期服用類固醇激素和阿司匹林等藥物者,最好能在術前一周停用,請咨詢相關醫(yī)生。3、如有以下唇部情況者建議暫緩手術:唇部存在口腔潰瘍、毛囊炎等感染灶,急性炎癥等。4、女性患者手術請避開月經期;妊娠前期(3個月)和妊娠后期(3個月)暫緩手術。5、因術后局部輕微腫脹可能延續(xù)2-3個月甚至半年,此時唇部形態(tài)略欠自然,故手術安排時請考慮在此段時間內避開重要的社交場合。6、由于唇部組織松軟,切除量難以精確掌控,術后可能會出現左右局部不對稱(發(fā)生率50%)。一般輕微不對稱多能逐漸緩解,如3個月后仍存在明顯差異需要再次手術修復。7、個別人可能存在切口瘢痕增生風險,如發(fā)生需進一步后續(xù)治療。麻醉方式:局部神經阻滯麻醉:手術部位局部注射麻醉劑,不另收費。靜脈全麻輔助:手術時間長、部位多、或對疼痛耐受差者,靜脈給藥,無需氣管插管,另收費(根據手術時間長短1500-3000元不等)。術前準備:1、常規(guī)檢查:(可手術當天做,局麻者無需空腹,靜脈全麻者空腹化驗;外地患者為節(jié)省時間也可以先在當地三級醫(yī)院提前完成,3個月內有效)局麻手術者:血常規(guī)、尿常規(guī)、凝血四項、美容免疫四項(乙肝、丙肝、梅毒、艾滋);靜脈全麻手術者:上述6項、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前6小時禁食、4小時禁水3、術前注意術區(qū)清潔,剪短鼻毛與胡須,勿化妝4、準備術后用藥:冰袋2-3個、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)術后注意事項:1、 術后立刻唇部冰敷30-60分鐘,之后3天內每天冰敷3-4次,每次30-60分鐘2、 術后前3天進軟流食,不能用吸管,可以用勺。避免過熱食物,進食后注意漱口,漱口后外涂紅霉素軟膏。1周內唇部避免夸張表情,盡量少說話,避免大笑以及用力哈欠。可以刷牙,但注意輕柔,勿觸碰傷口。3、 術后1周內忌煙酒、魚蝦、辛辣刺激食物。4、 術后7天拆線。5、 除特殊交待以外,一般不常規(guī)用抗生素。可服用消腫藥。手術當天晚上如疼痛可以服用止疼藥。6、 術后術區(qū)出現水腫、青紫、淤血等,屬于正常現象,一般在術后2-3天時水腫最厲害,可服用消腫藥。大部分在1-2周后逐漸消退,如發(fā)現腫脹淤血或疼痛加劇、出血等等,請即聯(lián)系醫(yī)生。7、術后瘢痕組織軟化和淡化需要大約3-6個月時間,這段時間內有可能會出現切口疤痕硬、鼓起,笑不開,表情不自然,僵緊感,左右不對稱,黏膜脫屑等,請耐心等待,一般隨瘢痕組織逐漸軟化而緩解。8、 術后可能出現唇部局部麻木或感覺遲鈍,一般半年左右逐漸恢復。9、 最終效果可在術后3個月以后再評價,如果存在局部矯正不足或矯正過度、不對稱或者局部不滿意可在3個月后再次修復10、 半年后請聯(lián)系醫(yī)生復診。請登陸本網站留下您的看病經驗和評價。2012年01月06日 41362 9 17
唇部整形相關科普號
戴傳昌醫(yī)生的科普號
戴傳昌 副主任醫(yī)師
上海交通大學醫(yī)學院附屬第九人民醫(yī)院
整復外科
2.7萬粉絲28.4萬閱讀
吳鏑醫(yī)生的科普號
吳鏑 主任醫(yī)師
中國醫(yī)學科學院整形外科醫(yī)院
整形外科
2496粉絲11.7萬閱讀
薛志強醫(yī)生的科普號
薛志強 主治醫(yī)師
醫(yī)生集團-北京
線上診療科
512粉絲71.5萬閱讀