Yakawedzerwa Yakadzika Yendege Yekusimudza uye Maitiro eAdjunctive eKumutsiridza kweKumusoro, Kwepakati, uye Kuzasi Chiso.

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naAndrew A. Jacono, MD, FACS

Muvhidhiyo iyi, Andrew A. Jacono, MD, FACS, chiremba anovhiya kumeso epurasitiki anovhiya kuchembera kwechiso, anoita kusimudza kwakadzika kwendege kwaakagadzira, nemaitiro ekuwedzera ekudzoreredza chepamusoro, chepakati, uye nechepasi muzvitatu zve face. Hunyanzvi hwekuvhiya kwekuvandudza chiso huri pakusarudza musanganiswa wakakodzera wemaitirwo. Iyi yakazara nzira yekunatsiridza kumeso inosanganisira endoscopic lateral temporal lift, tishu-inochengetedza kumusoro blepharoplasty, yakawedzera submuscular yakaderera blepharoplasty ine orbitomalar ligament kuburitswa uye orbital mafuta transposition, uye yakagadziridzwa lip lift. Misimboti inotungamira muhunyanzvi hwake ndeyekuisazve yakadzika kumeso uye eyelid mafuta kuti awedzere kuchembera kumeso uye zvinyoro zvinyoro. Kubatanidzwa kwemaitiro aya—kukwidziridzwa kwetemberi, mhanza, uye matama; kusanganiswa kwechivharo-cheek junction; uye kupfupika kwemuromo wepamusoro-kunotsanangura patsva axis yechiso, kushandura rectangle yekuchembera kune chiso chemoyo-chepwere. Vaoni vane chokwadi chekubatsirikana kubva mukuratidzira kwaDr. Jacono kwehunyanzvi hwekuita maererano nehupfumi hwake hweruzivo rweanatomiki.

Nyaya iyi ine kunyatsoongorora kutaridzika kwemurwere preoperative uye zvinangwa zvekuvhiya. Nhanho-ne-nhanho nzira inoratidzwa kubva munharaunda anesthesia infiltration kusvika pakuvhara. Mukati yose yakawedzerwa yakadzika ndege yakadzika nzira yekusimudza chiso, Dr. Jacono anotsanangura nzira yekuenda kune yakadzika ndege; kusunungurwa kwe zygomatic, masseteric, uye mandibular cutaneous ligaments; kukwidziridzwa kwemalar fat pad kubva pazygomaticus musculature; uye vertical vectoring yakadzika plane flap kuti voluize the midface. Munguva yepakati dissection, kusvika kune iyo buccal nzvimbo inofananidzirwa yebuccal mafuta pad yekuongorora uye kuderedza kana zvichidikanwa. Iyo mutsipa-inosimudza chikamu chekuvhiyiwa inoratidzira Dr. Jacono nzira yekuwedzera yakadzika ndege dissection mumutsipa, kusimudza yakakura platysma muscle flap yakaderera kubva kune sternocleidomastoid muscle uye nepakati. Iine platysma myotomy, iyi flap inoshandurwa kuita platysma sling, inotsigira submandibular gland uye kugadzira yakatsanangurwa jawline contour. Kuti awedzere kumutsiridza mutsipa wepakati, maitiro ake ekuvhura mutsipa anotsanangurwa, kusanganisira subplatysmal medial flap elevation, interplatysmal uye subplatysmal mafuta kubviswa, digastric kurapwa, uye hyoid fascia kumiswa kweiyo midline platysma panguva yecorset platysmaplasty.

Iyi yakazara kumeso uye mutsipa rejuvenation maitiro anosanganisira:

• Yakawedzerwa yakadzika ndege yekusimudza chiso
• An endoscopic lateral temporal lift
• Tissue-kuchengetedza kumusoro blepharoplasty
• Yakawedzerwa submuscular yakaderera blepharoplasty ine orbitomalar ligament kuburitswa uye orbital mafuta transposition.
• Kukwidziridzwa kwemuromo
• Kusimudza mutsipa, kuratidza maitiro aDr. Jacono ekuwedzera dhizaini yakadzika mumutsipa.