Izinqubo Ezandisiwe Zokuphakanyiswa Kobuso Bendiza Ejulile kanye Neyokuhlanganisa Yokuvuselela Ubuso obuphezulu, obuphakathi, nobuphansi.

Itholakala ekusakazeni kwe-HD

Amahora angu-3 nemizuzu engama-30 yevidiyo yokusebenza. 2018.

UZOTHOLA ISIQINISEKISO NGOKUXELWA KWESIKHATHI SOKUPHILA KWESIKHATHI SOKUPHILA NGOKUSHESHA NGEMVA KOKUKHOKHWA

ngu-Andrew A. Jacono, MD, FACS

Kule vidiyo, u-Andrew A. Jacono, MD,FACS, udokotela ohlinzayo wepulasitiki wobuso onguchwepheshe ohlinza abantu asebegugile, wenza ukuphakamisa ubuso bendiza obujulile asenzile, ngezinqubo ezihambisanayo zokuvuselela ingxenye yesithathu engaphezulu, emaphakathi nephansi. ubuso. Ubuciko bokuhlinzwa kokuvuselela ubuso busekukhetheni inhlanganisela efanele yezinqubo. Le nqubo ebanzi yokuvuselela ubuso ihlanganisa i-endoscopic lateral temporal lift, i-blepharoplasty egcina izicubu engaphezulu, i-blepharoplasty ephansi ye-submuscular enwetshiwe nokukhululwa kwe-orbitomalar ligament kanye nokuguqulwa kwamafutha e-orbital, kanye nokuphakama kwezindebe okushintshiwe. Izimiso eziyisiqondiso endleleni yakhe yokubeka kabusha amafutha obuso ajulile nejwabu leso ukuze kukhanye ubuso obugugayo nokulondoloza izicubu ezithambile. Inhlanganisela yalezi zinqubo—ukuphakama kwethempeli, ubunzi obuseceleni, nezihlathi; ukuhlanganiswa kwe-lid-cheek junction; kanye nokufinyezwa kodebe olungaphezulu—kuchaza kabusha i-eksisi yobuso eqondile nevundlile, kuguqula unxande ogugayo ube ubuso obufana nenhliziyo bobusha. Ababukeli nakanjani bazozuza ekuboniseni kukaDkt. Jacono indlela yokucophelela esekelwe ulwazi lwakhe oluningi lwe-anatomic.

Leli cala liqukethe ukubuyekezwa okuphelele kokubukeka kwesiguli ngaphambi kokuhlinzwa kanye nemigomo yokuhlinzwa. Inqubo yesinyathelo ngesinyathelo iboniswa kusukela ekungeneni kwe-anesthesia yendawo kuya ekuvaleni. Kuyo yonke inqubo enwetshiwe yokuphakamisa ubuso bendiza ejulile, uDkt. Jacono uchaza indlela eya endizeni ejulile; ukukhululwa kwemigqa ye-zygomatic, masseteric, ne-mandibular cutaneous; ukuphakama kwe-malar fat pad ephuma ku-zygomaticus musculature; kanye ne-vectoring eqondile i-flap yendiza ejulile ukuze ikhanyise i-midface. Ngesikhathi sokuhlukaniswa kwe-midface, ukusondela esikhaleni se-buccal kuboniswa ukuze kuhlolwe i-buccal fat pad nokunciphisa uma kudingeka. Ingxenye ye-neck-lift yokuhlinzwa igqamisa inqubo kaDkt. Jacono yokwelula ukuhlukaniswa kwendiza ejulile entanyeni, iphakamisa i-platysma muscle flap ebanzi ngaphansi kwemisipha ye-sternocleidomastoid naphakathi. Nge-platysma myotomy, leli flap liguqulwa libe i-platysma sling, esekela indlala engaphansi futhi yakhe i-contour yomhlathi ochaziwe. Ukuze kuqhutshekwe nokuvuselela intamo ye-midline, inqubo yakhe yokuvula intamo ichazwa, kufaka phakathi ukuphakama kwe-flap ye-subplatysmal medial, ukususwa kwamafutha e-interplatysmal kanye ne-subplatysmal, ukwelashwa kwe-digastric, nokumiswa kwe-hyoid fascia kwe-midline platysma ngesikhathi se-corset platysmaplasty.

Le nqubo ephelele yokuvuselela ubuso nentamo ihlanganisa:

• Ukuphakamisa ubuso bendiza ejulile
• I-endoscopic lateral lift yesikhashana
• I-blepharoplasty ephezulu yokulondoloza izicubu
• I-blepharoplasty ephansi ye-submuscular enwetshiwe ngokukhululwa kwe-orbitomalar ligament kanye nokuguqulwa kwamafutha e-orbital
• Ukuphakamisa izindebe okushintshiwe
• Ukuphakamisa intamo, okugqamisa indlela kaDkt. Jacono yokwelula ukuhlukaniswa kwendiza ejulile entanyeni