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!

　　內窺鏡除皺的術前準備：

　　Preoperative preparation for endoscopic rhytidectomy

　　1、檢查身體健康程度，應無心、肺、肝血液等內科疾病；

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

　　2、容易增加手術風險的藥物，如阿司匹林、維生素E、肝素等應在1~2周前停用，停止抽煙，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、術前3天每天洗頭一次，手術當日需局部剃除毛發，編織小辮，以方便手術；

　　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、內窺鏡除皺術前晚上可適當服用安眠藥物，術前半小時酌情應用、止痛藥，根據麻醉術式，決定是否需要禁食；

　　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、受術者要提前解手術的大小、時間、步驟、疼痛的程度，恢復的快慢，可能達到的效果，可能存在的風險。

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

　　內窺鏡除皺術后注意事項：

　　Notes after endoscopic rhytidectomy:

　　一般內窺鏡除皺后均要包扎，并有引流條，一到三天內要根據情況換敷料內窺鏡手術除皺后三天內以頭高位靜臥休息為佳宜采用半臥位，有利于頭面部靜脈血液回流，減少局部腫脹及疼痛。這三天以內可以冷敷減輕腫脹；三天后熱敷促進恢復。依受術者術后情況決定是否服用抗生素及服用時間，手術一般是6-7天拆線，10內嚴禁大笑或做大的表情動作。

　　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，手術后面部皮膚會有不同程度的腫脹，甚者出現青紫,一般10日內可吸收消失,而面部水腫恢復要2-3周或更長一段時間。術后初期, 面部及頭皮內的皮膚感覺會變得麻木，遲鈍，以后還可能出現感覺異常如蟻行感或流水感。這種感覺變化一般在3個月左右可以完全恢復正常。由于手術區的皮膚在手術后其皮脂腺及汗腺分泌減少，故在拆線后，應注意適當使用皮膚營養劑來保護面部皮膚，使之保持潤澤。術后面部左右兩側可能有輕度不對稱，在1-2個月內，可由皮膚、軟組織自身的修復調整而恢復正常。手術后的效果， 腫脹消失后,一般到3-4個月以后效果為好。

　　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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