IMG 1602
:::1. Upper Blepharoplasty (ตาสองชั้น)

• Indication:
  • Patient has relatively heavy upper eyelids with low/no visible crease.
  • Mild skin redundancy, with some medial epicanthus fullness.
• Goal:
  • Create a natural upper eyelid crease that opens the eyes, improving symmetry and definition.
• Advice:
  • Consider a mini-incision or full-incision blepharoplasty depending on amount of skin/fat.
  • Avoid too high crease (to maintain natural Asian look). Usually 6–7 mm in men is good.
  • If medial epicanthus is significant, may add epicanthoplasty for better result.

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2. Alarplasty (การตัดปีกจมูก)

• Indication:
  • Nasal alae appear wide, base is broad.
• Goal:
  • Reduce nasal base width, narrow nostrils, achieve better proportion with nasal dorsum and tip.
• Advice:
  • Use alar base resection (Weir excision) with careful placement of scars along alar-facial groove.
  • Avoid over-resection (risk of pinched nostrils, functional airway compromise).
  • Ensure symmetry – measure both sides pre-op.

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3. Combined Consideration

• Can be done in one session if patient is healthy.
• Sequence: usually upper blepharoplasty first, then alarplasty.
• Downtime: expect swelling/bruising 7–10 days.

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4. Counseling Points

• Emphasize natural look, not overcorrection.
• Discuss scar placement (eyelid crease + alar groove).
• Inform about possible complications: asymmetry, hypertrophic scarring, infection, under/overcorrection.

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👉 My advice: This patient seems to be a good candidate for upper blepharoplasty (low crease, natural) + alarplasty (moderate reduction).

1. 上睑成形术（双眼皮手术）

• 适应症：
  • 上睑皮肤较厚重，睑褶不明显或缺失。
  • 有轻度皮肤冗余，并伴有内眦区域饱满。
• 手术目标：
  • 形成自然的上睑皱褶，使眼睛更有神，更有立体感和对称性。
• 建议：
  • 根据皮肤及脂肪量选择 小切口法 或 全切法。
  • 男性双眼皮皱褶高度不宜过高，以自然为主，一般 6–7 毫米 比较适合。
  • 若内眦赘皮明显，可考虑联合做 开内眦术。

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2. 鼻翼缩小术（Alarplasty，鼻翼缩小）

鼻翼 (bí yì) = nasal ala/nostril wings
缩小 (suō xiǎo) = reduction/make smaller
术 (shù) = surgery/procedure

适应症：
适应 (shì yìng) = indication/suitable for
症 (zhèng) = condition/symptom

鼻翼偏宽，鼻底较大。

鼻翼偏宽 (bí yì piān kuān):

鼻翼 (bí yì) = nasal ala/nostril wings
偏 (piān) = tend to be/somewhat
宽 (kuān) = wide/broad

鼻底较大 (bí dǐ jiào dà):

鼻底 (bí dǐ) = nasal base
较 (jiào) = relatively/comparatively
大 (dà) = large/big

手术目标：
手术 (shǒu shù) = surgery/surgical procedure
目标 (mù biāo) = goal/objective/target

缩小鼻翼基底宽度，使鼻孔比例协调，改善面部立体感。

缩小 (suō xiǎo) = reduce/make smaller
鼻翼 (bí yì) = nasal ala/nostril wings
基底 (jī dǐ) = base/foundation
宽度 (kuān dù) = width
使 (shǐ) = make/cause
鼻孔 (bí kǒng) = nostril
比例 (bǐ lì) = proportion/ratio
协调 (xié tiáo) = harmonious/coordinated
改善 (gǎi shàn) = improve
面部 (miàn bù) = facial
立体感 (lì tǐ gǎn) = three-dimensional appearance/dimensional look

建议：

采用 鼻翼基底切除（Weir切口），切口设计在鼻翼–面颊沟处，隐蔽疤痕。

注意避免切除过度，以免鼻孔过窄或出现呼吸问题。

术前应仔细测量，确保左右对称。

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3. 联合手术考虑

• 在 一次手术中联合进行 是可行的，患者一般耐受性良好。
• 顺序建议：先做 上睑成形术，再做 鼻翼缩小术。
• 恢复期：肿胀淤青约 7–10 天。

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4. 术前沟通要点

• 强调自然效果，避免过度矫正。
• 解释切口位置（上睑皱褶处 + 鼻翼沟）。
• 告知可能风险：不对称、瘢痕增生、感染、矫正不足或过度。

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✅ 总结：
这位患者非常适合做 上睑成形术（低位自然双眼皮） + 鼻翼缩小术（适度缩小鼻翼基底），能够整体改善眼鼻比例和立体感。

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