Endoscopic rhytidectomy is a minimally invasive technique, which is called endoscopic assisted frontotemporal subperiosteal rhytidectomy. Endoscopic rhytidectomy refers to the operation of rhytidectomy through small incision under endoscope guidance. Although doctors can't look directly at the operation area, they can carry out accurate separation, incision, hemostasis, suture and other surgical operations according to the clear images from the endoscope, which can avoid the injury of nerves and blood vessels. The following endoscopic equipment repair of small braid, we learn about it!

　　内窥镜除皱的术前准备：

　　Preoperative preparation for endoscopic rhytidectomy

　　1、检查身体健康程度，应无心、肺、肝血液等内科疾病；

　　1. Check the health level, should not have heart, lung, liver, blood and other medical diseases;

　　2、容易增加手术风险的药物，如阿司匹林、维生素E、肝素等应在1~2周前停用，停止抽烟，喝酒等；

　　2. Drugs that increase the risk of surgery, such as aspirin, vitamin E and heparin, should be stopped 1-2 weeks ago, smoking and drinking should be stopped;

　　3、术前3天每天洗头一次，手术当日需局部剃除毛发，编织小辫，以方便手术；

　　3. Shampoo once a day 3 days before operation. On the day of operation, local hair should be shaved and braided to facilitate operation;

　　4、内窥镜除皱术前晚上可适当服用安眠药物，术前半小时酌情应用、止痛药，根据麻醉术式，决定是否需要禁食；

　　4. Sleeping drugs should be taken one night before endoscopic rhytidectomy. Sedatives and analgesics should be used half an hour before operation. Fasting should be decided according to the anesthesia method;

　　5、受术者要提前解手术的大小、时间、步骤、疼痛的程度，恢复的快慢，可能达到的效果，可能存在的风险。

　　5. The size, time, steps, degree of pain, recovery speed, possible effects and possible risks of the operation should be understood in advance.
                

　　内窥镜除皱术后注意事项：

　　Notes after endoscopic rhytidectomy:

　　一般内窥镜除皱后均要包扎，并有引流条，一到三天内要根据情况换敷料内窥镜手术除皱后三天内以头高位静卧休息为佳宜采用半卧位，有利于头面部静脉血液回流，减少局部肿胀及疼痛。这三天以内可以冷敷减轻肿胀；三天后热敷促进恢复。依受术者术后情况决定是否服用抗生素及服用时间，手术一般是6-7天拆线，10内严禁大笑或做大的表情动作。

　　In general, endoscopic rhytidectomy should be bandaged up with drainage strips. Dressing should be changed within one to three days according to the situation. It is better to rest at a high position within three days after endoscopic rhytidectomy. It is better to use semi recumbent position, which is conducive to venous blood return to the head and face and reduce local swelling and pain. Cold compress can reduce swelling within three days, and hot compress can promote recovery after three days. According to the patient's postoperative situation, whether to take antibiotics or not and the time of taking antibiotics should be decided. The operation is usually 6-7 days. It is forbidden to laugh or make big facial expressions within 10 days.

　　另外，手术后面部皮肤会有不同程度的肿胀，甚者出现青紫,一般10日内可吸收消失,而面部水肿恢复要2-3周或更长一段时间。术后初期, 面部及头皮内的皮肤感觉会变得麻木，迟钝，以后还可能出现感觉异常如蚁行感或流水感。这种感觉变化一般在3个月左右可以完全恢复正常。由于手术区的皮肤在手术后其皮脂腺及汗腺分泌减少，故在拆线后，应注意适当使用皮肤营养剂来保护面部皮肤，使之保持润泽。术后面部左右两侧可能有轻度不对称，在1-2个月内，可由皮肤、软组织自身的修复调整而恢复正常。手术后的效果， 肿胀消失后,一般到3-4个月以后效果为好。

　　In addition, the facial skin will have varying degrees of swelling, even cyanosis, which can be absorbed and disappeared within 10 days, while the recovery of facial edema takes 2-3 weeks or longer. At the beginning of the operation, the skin sensation on the face and scalp will become numb and dull. In the future, there may be sensory abnormalities such as ant walking or running water. This kind of feeling change can completely return to normal in about 3 months. Since the secretion of sebaceous glands and sweat glands of the skin in the operation area is reduced after the operation, it is necessary to properly use skin nutrients to protect the facial skin and keep it moist. There may be slight asymmetry between the left and right sides of the face after operation, which can be restored to normal by the repair and adjustment of skin and soft tissue within 1-2 months. The effect after operation, swelling disappeared can be effective, generally to 3-4 months after the effect is good.

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