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韩东亮副主任医师 医生集团-上海 整形外科 唇部整形较为简单,所以恢复时间也较短。 一般来说,唇部变薄术在术后5~7天即可拆线,在遵守注意事项的前提下,短时间内即可恢复。 唇部整形前准备工作(1)术前一周要不要吃瓜子、花生、海鲜和一些辛辣刺激性的食物。 (2)为创造良好的身体环境,术前3天需要患者温水冲服板蓝根、静脉注射甲硝唑或其他的广谱抗生素。 (3)女生要避免在月经期间进行手术,经期过后一周可以进行手术。 唇部整形后注意事项(1)术后一周之内需要用抗生素软膏涂抹切口,由于伤口不包扎,还需同时口服抗生素一周以避免伤口感染。 (2)手术后要经常使用漱口液漱口以保持口腔清洁。 (3)手术后4天内尽量吃流食,以保证手术的效果。 (4)手术后,尽量不要使用唇膏等等的化妆品,最好平常嘴巴说话幅度不要太大。2021年08月02日
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苏映军副主任医师 医生集团-陕西 整形科 教授，我们做完嘴角上扬手术之后，会不会留疤呢？啊？上扬手术现在越来越流行，所以给人们戴眉呢，有一个多的选择，不过呢，上阳手术这个部位啊，我就说嘴角这个部位啊，是我每天都要运动的部位，吃饭啦，说话等等都离不开嘴和嘴角处的运动，这种运动呢，势必对刚刚手术或者某一个项目造成局部的损伤呢，它在愈合过程中势必会受到影响，这种影响可能导致嘴角处疤痕，特别是增生性疤痕的形成。 因此呢，嘴角上炎后的手术，或者说嘴角上扬后的疤痕是容易形成的，那形成之后怎么办呢？我们就会采用治疗化痕的方法，比如早期可以采用局部药物啊，外用药物，甚至是光电等等手段来进行治疗，严重的情况下，可能不得不重新进行手术的了。2020年10月13日1054
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马刚副主任医师 上海第九人民医院 整复外科 术后护理是预防感染的关键!! 1.术后当天晚上住上海，可能会有少量血性渗出，可以干净纱布擦拭。 2.术后第二天早上来医院换药后，无特殊情况，即可回家，建议乘坐火车、汽车。 3.术后第一周流质饮食(牛奶、豆浆、果汁之类的无渣食品)，第二周开始半流质饮食(粥一类的不需要咀嚼的食物)。每次进食后，需要漱口水漱口，清除食物残渣。 4.术后每天要清洁唇部伤口，不要有血痂、食物残渣等异物存留，否则会引起伤口感染，导致伤口裂开。 5..术后2周拆线(周二上午)。 6.术后一个月需要周二下午门诊复诊，如有疤痕增生，需要局部疤痕药物注射。 7.术后局部肿胀需要1-3个月左右慢慢消退。 8.术后唇部麻木感需要1年左右慢慢恢复，期间避免过热食物烫伤嘴唇。术后一年需要做第二次手术修整。2020年06月17日3079
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廖洪跃副主任医师 南昌大学二附院 医疗美容科 一、适应范围厚唇变薄、薄唇变厚、口裂缩小、口裂增大、M型微笑唇、唇红边缘不齐、唇弓不鲜明、唇红局部缺口、唇外翻、唇系带过短、唇形矫正二、术后注意事项1、护理1-2天内唇部避免过分夸张表情,尽量少说话。注意保持口腔的清洁，每天要用漱口液，如硼砂、多贝尔氏液，含漱四到六次;手术以后要严格地遵守医生嘱咐服药，并且及时就诊。,2、饮食手术后吃流质食物三天，不吃太烫的食物，常温即可。术后一周内忌烟酒、鱼虾、辛辣刺激食物。吃完东西及时用生理盐水清洁唇面，保持囗腔与唇部清洁，以免感染发炎。3、预防感染术后一般不需要包扎敷料，手术切口缝合后按医生叮嘱用抗生素软膏涂抹，口服抗生素。4、换药、拆线术后5-7天拆线，拆线后24小时内伤口不能沾水；拆线后避免过多的唇部活动，太多的唇部活动可引起瘢痕增生，甚至出血肿胀。5、出血术后当天伤口可能出现少量渗血，属正常现象，但如出现出血不止、术区剧烈肿胀疼痛应立即到医院进行急诊处理。6、止痛一般无需服用止痛药，个别体质者可在当天夜间给予口服2-4片洛芬待因缓释片。一般第2天即无明显疼痛感。7、消肿一般术后2-3天时水肿厉害，大部分在1周后逐渐消退。8、预防瘢痕术后不可用力揉搓伤口，可涂抹祛疤软膏淡化疤痕。9、其他术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，之后逐渐恢复，稳定后一般社交距离不易看出。术后可能会有上唇白唇麻木、感觉迟钝等现象，一般半年左右逐渐恢复。建议术后正常活动，但不要进行强度较大的体育锻炼。健身、游泳等活动建议等到术后1个月之后。10、复诊术后1周、1月、6月需返院复诊，医生将据此判断手术效果并将给出后续处理建议，请事前与医生预约并按时复诊。2020年06月16日3132
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吴镝主任医师 中国医学科学院整形外科医院 整形外科 做唇部手术，不仅要找专业的医院和医生，术后护理也是很关键的，所以为了防止感染或者留疤，要遵医嘱做好厚唇修薄术后护理：换药：1、刚手术后会有轻微的肿胀渗血，这都是正常的，手术后的第一天要来医院清洁伤口，术后第三天、第五天根据需要也可以来医院换药。2、可口服抗生素药1周以预防感染。拆线：手术之后第七天来医院拆除缝线，如创口张力较大可酌情推迟。伤口：1、要注意保持伤口局部清洁、干燥。2、拆线48小时后可以正常沾水。3、结痂要自然脱落，不要用手揭掉。饮食：1、刚做完手术，3天内选择温凉的半流质饮食或软食，最好用勺子吃进去，尽量避免弄脏伤口。千万不要不进食，这样不利于伤口恢复。2、短期内都不可以食用辛辣、浓茶、咖啡、烟酒等刺激性的食物。口腔清洁：每日漱口，尤其是吃完饭后，可用漱口液或清水含漱，保持口腔清洁，这一点很重要，自己一定要护理好，预防术后感染。滋润：1、早期由于唇部活动减少，医生换药时会涂红霉素软膏保护伤口。2、后期自己可以涂护唇膏保持唇部滋润。瘢痕护理：唇部瘢痕不易增生，手术之后一般不用涂去疤药。如果有瘢痕体质的倾向，可以咨询医生根据需要涂去疤药。其他：术后应减少唇部活动，避免唇部做吮吸动作，严禁用吸管。（厚唇改薄术后即刻）——————————————————————————————————————2019年11月13日3622
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果Objective and Effect改善唇形，提高气质To improve the appearance of vermilion唇形说明 Aesthetic Consideration“屁股唇”：下唇中央收窄，两侧又饱满的侧唇珠，适合脸庞圆润、婴儿肥、气质清纯可爱的女性。明星代表：汤唯、杨幂。“月牙唇”：下唇正中最厚，向两侧逐渐收窄，适合标准瓜子脸、五官大气、性感高贵的女性。明星代表：Angela Baby、柳岩手术方法Surgical methods手术参考价格（2020年1月~）Price (Since Jan. 2020）下唇修薄/“屁股唇”成形/“月牙唇”成形 ￥15,000元Lower lip vermilion plasty ￥15,000 RMB临床案例Clinic cases案例1 Case 1女，30岁，下唇“屁股唇”成形，术前与术后2月30-year-old female, lower lip vermilion plasty, before and 2 months after.案例2 Case 2女，25岁，上唇M唇+下唇“屁股唇”，术前与术后2月25-year-old female, upper lip M-shape plasty and lower lip plasty, before and two months after.案例3 Case 3女，24岁，上唇M唇+下唇“屁股唇”，术前与术后半年24-year-old female, upper lip M-shape plasty and lower lip plasty, before and 6 months after.案例4 Case 4女，30岁，上唇M唇+下唇“月牙唇”，术前与术后1年30-year-old female, upper lip M-shape plasty and lower lip plasty, before and one year after.案例5 Case 5女，30岁，上唇人中缩短+下唇“屁股唇”（脂肪填充）30-year-old female, upper lip lift and lower lip plasty by autologous fat injection.案例6 Case 6女，42岁，上唇人中缩短+下唇“屁股唇”42-year-old female, upper lip lift and lower lip plasty .案例7 Case 7女，23岁，上唇M唇+下唇“屁股唇”，术前与术后2年23-year-old female, upper lip M-shape plasty and lower lip plasty, before and two years after.案例8 Case 8女，22岁，上唇M唇+下唇“月牙唇”，术前与术后半年22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 6 months after.案例9 Case 9女，22岁，上唇M唇+下唇“屁股唇”，术前与术后8月22-year-old female, upper lip M-shape plasty and lower lip plasty .Before and 8 months after.术前注意事项Notes before surgery1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情况：上颌骨前突、红唇外翻等，手术效果可能欠满意，需要当面评估手术效果，慎重考虑。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，建议此段时间内避开重要社交场合。之后逐渐恢复，稳定后一般社交距离不易看出，但极个别瘢痕体质患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部组织松软，切除量难以精确掌控，术后可能会出现左右局部不对称（发生率50%）。一般轻微不对称多能逐渐缓解，如3个月后仍存在明显差异需要再次手术修复 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue，repair should be needed.麻醉方式 Anesthesia局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).术前准备 Preparation before lip surgery1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效) Regular test:局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；For localanesthesia:routine blood test，routine urine test，coagulation function，screening of infectious diseases静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片Forgeneral anesthesia: The above andblood biochemistry，ECG，chest X-ray2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆 Keep the face clean, cut thenasal hair and beard. Do not make up.4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）、漱口水（1周量） Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)术后注意事项Post-operative Care1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、术后当晚可能术区会比较疼痛，必要时可以服用止疼药或安眠药帮助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、术后前3天进软流食，避免过热食物，进食后注意漱口。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、黑色边缘缝线术后7天拆除。口内可吸收缝线可不拆，1个月内自行吸收脱落。Suture will be removed 7 days after surgery. If absorbable sutures are applied, leave them fall offspontaneously in about a month.5、术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请即联系医生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水肿时可能会发生个别缝线脱落可能，一般不致伤口裂开，所以不必惊慌，将缝线吐出即可。个别万一发生伤口裂开者请立即联系医生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、术后瘢痕组织软化和淡化需要大约3-6个月时间，这段时间内有可能会出现切口疤痕硬、鼓起，笑不开，表情不自然，僵紧感，左右不对称，黏膜脱屑等，请耐心等待，一般随瘢痕组织逐渐软化而缓解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于术后两侧恢复速率可能存在差异，短期内轻微不对称可能比较常见，一般彻底恢复后能逐渐不明显；另外个别案例术后可能存在局部欠平整，一般随疤痕软化后会缓解流畅，最终效果可在术后至少3月以后再评价，如果存在矫正不足或过度、不对称或者局部不满意，如彻底恢复后仍存在可在半年后再次修复。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日23222
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果Objective and Effect改善唇形，提高气质To improve the appearance of vermilion唇形说明 Aesthetic Consideration北京大学第三医院成形外科(整形外科)潘柏林M唇：表达可爱、清纯、阴柔气质，明星代表：韩雪、林志玲M-shape：To express young and prettyΩ唇：表达硬朗、职业、性感气质，明星代表：宋慧乔、舒淇Ω-shape: To express sexy and tough手术方法Surgical methods手术参考价格（2020年1月~） Price (Since Jan. 2020）上唇修薄/M唇成形/Ω唇成形 ￥15,000元Upper lip reduction/M-shape/Ω-shape ￥15,000 RMB临床案例 Clinic cases案例1 Case 1女，24岁，上唇M唇成形，术前与术后半年24-year-old female, M-shape plasty, before and 6 months after.案例2 Case 2女，33岁，上唇M唇成形术后1年+口角上提术后1年33-year-old female, M-shape plasty and oral commissure lift, before and one year after.案例3 Case 3女，26岁，上唇M唇成形+硅胶隆下巴。术前与术后2年26-year-old female, M-shape plasty and chin augmentation, before and two years after.案例4 Case 4女，25岁，上唇M唇成形，术前与术后6月25-year-old female, M-shape plasty, before and 6 months after.案例5 Case 5女，23，上唇M唇成形23-year-old female, M-shape plasty, before and 6 months after.案例6 Case 6女，26岁，唇裂继发畸形，红唇肥厚，缺乏“丘比特弓”。 手术方案：上唇修薄，红唇缘唇峰成形。26-year-old female, secondary deformation of cleft lip withunclear peak and thick vermilion, received upper lip reduction and vermilion peak lift,before and 6 months after.案例7 Case 7女，22岁，上唇M唇+下唇月牙唇22-year-old female, M-shape plasty and lower lip plasty, before and one year after.案例8 Case 8女，25岁，上唇M唇+下唇“屁股唇”，术前与术后2月。25-year-old female, M-shape plasty and lower lip plasty, before and two months after.案例9：“微笑唇”套餐 Case 9女，33岁，上唇M唇+口角上提手术。术前与术后1月33-year-old female, M-shape plasty and lower lip plasty and oral commissure lift,, before and one months after.案例10 Case 10女，27岁，上唇M唇成形术，术前与术后3个月。27-year-old female, M-shape plasty, before and three months after.案例11 Case 11上唇M唇+下唇“屁股唇”，女，28岁，术前术后半年28-year-old female, M-shape plasty and lower lip plasty, before and six months after.案例12：女，23岁，上唇M唇+下唇“屁股唇”，术前与术后2年23-year-old female, M-shape plasty and lower lip plasty, before and two years after.案例13 Case 13上唇M唇+下唇“屁股唇”，女，22岁，术前术后8个月。22-year-old female, M-shape plasty and lower lip plasty, before and 8 months after.术前注意事项Notes before surgery1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情况：上颌骨前突、红唇外翻等，手术效果可能欠满意，需要当面评估手术效果，慎重考虑。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，建议此段时间内避开重要社交场合。之后逐渐恢复，稳定后一般社交距离不易看出，但极个别瘢痕体质患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、由于唇部组织松软，切除量难以精确掌控，术后可能会出现左右局部不对称（发生率50%）。一般轻微不对称多能逐渐缓解，如3个月后仍存在明显差异需要再次手术修复 50% cases may occur post-operativeasymmetry but most of which would recover within 6 months. If asymmetry continue，repair should be needed.麻醉方式 Anesthesia局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).术前准备 Preparation before lip surgery1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效) Regular test:局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；For localanesthesia:routine blood test，routine urine test，coagulation function，screening of infectious diseases静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片Forgeneral anesthesia: The above andblood biochemistry，ECG，chest X-ray2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆 Keep the face clean, cut thenasal hair and beard. Do not make up.4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）、漱口水（1周量） Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery)术后注意事项Post-operative Care1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、术后当晚可能术区会比较疼痛，必要时可以服用止疼药或安眠药帮助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、术后前3天进软流食，避免过热食物，进食后注意漱口。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and local movement should be avoided to the maximum extent.4、术后7天拆除上唇边缘缝线。Suture will be removed 7 days after surgery. Keep the incisioin clean before stiches removal.5、术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请即联系医生。Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.6、水肿时可能会发生个别缝线脱落可能，一般不致伤口裂开，所以不必惊慌，将缝线吐出即可。个别万一发生伤口裂开者请立即联系医生。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.7、术后瘢痕组织软化和淡化需要大约3-6个月时间，这段时间内有可能会出现切口疤痕硬、鼓起，笑不开，表情不自然，僵紧感，左右不对称，黏膜脱屑等，请耐心等待，一般随瘢痕组织逐渐软化而缓解。 It need 3-6 months for the incision scar to recover. During this period, stiff sense and unnatural expression may occur.8、由于术后两侧恢复速率可能存在差异，短期内轻微不对称可能比较常见，一般彻底恢复后能逐渐不明显；另外个别案例术后可能存在局部欠平整，一般随疤痕软化后会缓解流畅，最终效果可在术后至少3月以后再评价，如果存在矫正不足或过度、不对称或者局部不满意，如彻底恢复后仍存在可在半年后再次修复。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2013年08月18日50655
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果：上扬口角，提升亲和力（微笑唇）适应证：静息状态下口角下垂者，或者人中短缩后外侧人中仍较长者；如面颊部松弛明显或已形成明显的“木偶纹”者，建议先进行面部提升。手术方法：口角上方切除三角形皮肤，向上悬吊口角，并且离断降口角肌。术后在口角上下红唇缘有切口痕迹可能手术参考价格：（2020年1月~）口角上提手术￥18,000元临床案例：案例1：上唇人中短缩+嘴角上提+唇珠成形顾客是一位很清纯可爱的小姑娘，五官都已经蛮好看了，只是觉得上唇有些长，嘴角有点下垂，不太符合自己的气质，喜欢日式的那一种“卡哇伊”的感觉。手术设计：上唇人中短缩+嘴角上提+唇珠增厚案例2：玻尿酸注射口角上提案例3：“萝莉唇”套餐，上唇人中短缩+口角上提手术。女，25岁。术前与术后3月（附术后2周恢复过程）案例4：女，33岁，外切法口角上提，术前与术后1年。案例5：上唇M唇+口角上提（微笑唇套餐）女，33岁，上唇M唇术后1年，口角上提术后1月案例6：外切法口角上提女，26岁，外切法口角上提，术前与术后半年案例7：“微笑唇”套餐：女，33岁，上唇M唇+口角上提手术。术前与术后1月案例8：女，26岁，口角上提手术。术前与术后10月，期间切口疤痕治疗2次。案例9：女，28岁，口角上提手术。术前与术后3月。案例10：男，35岁，企业高管，主诉平时面相严肃，有距离感，并且钟情于菲薄的红唇。予口角上提+上唇厚唇修薄，术前与术后2月。案例11：女，24岁，外院行口角上提术，术后遗留切口瘢痕，瘢痕下方局部凹陷。予口角上提修复+上唇修薄术。案例12：女，25岁，口角上提术术前注意事项：1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。2、长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。3、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。4、由于口角是活动部位，术后切口疤痕容易增生，故此手术目前主要针对静止状态下口角明显下垂者，下垂不明显或口角平直者不建议做。5、如果口角下方存在木偶纹，建议先进行面部提升以改善木偶纹，然后再行口角上提手术，否则容易出现术后木偶纹加深风险。6、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。7、因术后局部轻微肿胀可能延续2-3个月甚至半年，此时唇部形态略欠自然，故手术安排时请考虑在此段时间内避开重要的社交场合。麻醉方式：局部麻醉+神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。术前准备：1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效)局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量）术后注意事项：1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟。2、术后当晚术区可能会比较疼痛，可以服用止痛药帮助睡眠。3、术后前3天进软流食，避免过热食物。进食后注意漱口。术后1周内忌烟酒、鱼虾、辛辣刺激食物。4、术后5天拆线。1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。可以刷牙，但注意轻柔，勿触碰伤口。5、术后术区出现水肿、青紫、淤血等，属于正常现象，一般在术后2-3天时水肿最厉害，可在术后4天时开始服用消肿药。大部分在1-2周后逐渐消退，如发现肿胀淤血或疼痛加剧、出血等等，请立即联系医生。6、拆线愈合后1周可以涂抹口红化妆，外用祛疤膏可在拆线愈合后1周开始用，待祛疤膏干结形成保护膜以后，表面可以化妆。7、术后可能出现唇部局部麻木或感觉迟钝，一般半年左右逐渐恢复。8、最终效果可在术后3月以后再评价，如果存在局部上提不足或上提过度、不对称或者局部不满意，可在3个月后再次修复9、瘢痕一般在术后3个月到半年左右稳定，这段时间仍然尽量避免过大表情，可以外用抗瘢痕药预防，如仍较明显请联系医生，有必要时进一步疤痕注射或激光治疗。10、半年后请联系医生复诊。请登陆本网站留下您的看病经验和评价。2013年08月18日23924
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潘柏林副主任医师 北医三院 成形外科(整形外科) 手术目的与效果Objective and Effect改善唇红缘（丘比特弓）形态To improve the appearance of the vermilion border（Cupid's bow）适应证 Indications唇峰平坦、峰距过近或过远、唇红缘形态不佳、唇裂二期畸形、外侧人中过长等Lack of distinct Cupid's bow,inappropriate distance of peak，secondary deformation of cleft lip, overlong lateral upper lip.手术方法 Surgical methods根据唇红缘的实际改善需要设计。Depend on the flaw of the vermilion border. 唇弓外侧嵴提升：适用于唇弓外侧嵴向下凹形塌陷者Lateral Cupid‘s bow lift: to correct the over-concave of the lateral vermilion border.唇峰提升：适用于唇峰平坦不明显者Peak lift: to enhance the peak.手术参考价格（2020年1月~） Price (Since Jan. 2020）唇红缘（丘比特弓）整形手术 ￥12,000元Vermilion border correction ￥12,000 RMB临床案例 Clinic cases案例1：上唇唇峰过于平坦，唇弓外侧嵴向上弧度，上唇及下唇唇形向两侧扩散，予上唇唇峰提升+上唇M唇+下唇月牙唇，术前与术后3月Case 1：Unclear peak with convex vermilion border, which makes the lip look wide. Bilateral peak lift were performed to correct it. Before and 3 months after.案例2：上唇唇红缘两侧过度内翻，予唇红缘整形外翻恢复唇缘，术前与术后半年Case 2: The lateral vermilion border looked over-concave and recieved a lift. Before and 6 months after.案例3：唇裂二期畸形，患侧唇峰平坦不明显，红唇增厚，予唇峰成形，红唇修薄。Case 3: Secondary deformation of cleft lip withunclear peak and thick vermilion. Peak lift and lip reduction were performed.案例4：唇裂二期畸形，双侧唇峰平坦不明显，局部红唇增厚，予唇峰成形，红唇修薄。Case 4: Secondary deformation of cleft lip with bilateralunclear peak and thick vermilion. Bilateral peak lift and lip reduction were performed.案例5：唇裂二期畸形，患侧唇峰平坦不明显，红唇增厚，予局部植皮唇峰成形，红唇修薄，术后予纹唇。Case 5: Secondary deformation of cleft lip with bilateralunclear peak and thick vermilion. Vermilion removal with skin grafting and lip reduction were performed. 案例6：上唇外侧唇红缘提升 Case 6：Lift of the lateral vermilion border of upper lip案例7：上唇唇峰提升+上唇M唇 Case 7：Lift of the peak of upper lip and M-shape vermilion plasty术前注意事项 Notes before surgery1、无出血性疾病以及心肺肝肾等重要器官活动性或进行性疾病，如患有高血压、糖尿病或传染性疾病等患者需在病情控制平稳后手术。长期服用类固醇激素和阿司匹林等药物者，最好能在术前一周停用，请咨询相关医生。 Please ensure that there is no bleeding disease and active or progressive disease of vital organs (such as heart, lung, liver and kidney) in your body before the surgery. If you are a patient suffering hypertension, diabetes or infectious diseases, the surgery should not be done until your condition is under control. In addition, if you are a patient taking steroids and aspirin for a long time, you’d better to discontinue them one week before surgery, and you may consult your doctor if necessary.2、如有以下唇部情况者建议暂缓手术：唇部存在口腔溃疡、毛囊炎等感染灶，急性炎症等。 It is recommended to suspend the surgery if the following lip conditions exist: oral ulcer, folliculitis and other infection lesions, acute inflammation. Please consider the surgery after the relevant conditions are stabilized.3、女性患者手术请避开月经期；妊娠前期（3个月）和妊娠后期（3个月）暂缓手术。 The female patients should avoid surgery during menstruation, and the surgery should be suspended in the early stage of pregnancy (first trimester) and the later stage of pregnancy (last trimester).4、如有以下情况：上颌骨前突、红唇外翻等，手术效果可能欠满意，需要当面评估手术效果，慎重考虑。 It is not recommended for surgery if the situations such asprotruding jaw, everted vermilion.5、术后2-3月之内切口可能略红，触之稍硬，偶有瘙痒，建议此段时间内避开重要社交场合。之后逐渐恢复，稳定后一般社交距离不易看出，但极个别瘢痕体质患者除外。 Due to the existence of swelling, scar, unnatural expression and other conditions after the surgery, there will be a period of facial recovery, so please avoid recently important social occasions when arranging the surgery.6、其它术后可能出现的风险：切口疤痕、两侧轻度不对称等。 There may be some side effects along with the surgery, including incision scar,asymmetry etc, which will be subject to the actual situation of individuals.麻醉方式 Anesthesia局部神经阻滞麻醉：手术部位局部注射麻醉剂，不另收费。Local nerve block anesthesia: local injection of anesthesia at the surgical site without additional charge.静脉全麻辅助：手术时间长、部位多、或对疼痛耐受差者，静脉给药，无需气管插管，另收费（根据手术时间长短1500-3000元不等）。Intravenous general anesthesia assistance: it is applicable to such patients with long surgical time, multiple sites or poor pain tolerance. Intravenous medication is applied without endotracheal intubation, and there will an additional charge (between 1,500 and 3,000 RMB subject to surgical time).术前准备 Preparation before lip surgery1、常规检查：(可手术当天做，局麻者无需空腹，静脉全麻者空腹化验；外地患者为节省时间也可以先在当地三级医院提前完成，3个月内有效) Regular test:局麻手术者：血常规、尿常规、凝血四项、美容免疫四项（乙肝、丙肝、梅毒、艾滋）；For localanesthesia:routine blood test，routine urine test，coagulation function，screening of infectious diseases静脉全麻手术者：上述6项、肝肾功能、空腹血糖、心电图、胸片Forgeneral anesthesia: The above andblood biochemistry，ECG，chest X-ray2、选择局麻者正常饮食，选择静脉全麻辅助者术前6小时禁食、4小时禁水 A 6-hour ambrosia and a 4-hour water deprivation before surgery are required for patients under general intravenous anesthesia.3、术前注意术区清洁，剪短鼻毛与胡须，勿化妆 Keep the face clean, cut thenasal hair and beard. Do not make up.4、准备术后用药：冰袋2-3个、消肿药（1周量）、止疼药（1-2次）、外用祛疤膏（3月量） Medication preparation after surgery: ice pack, painkillers (on the night after surgery), detumescence medicine (within 1 week after surgery), mouthwash (within 1 week after surgery), anti-scar ointment (from the 3rd day after suture removal), anti-inflammatory medicine (if necessary).术后注意事项 Post-operative Care1、术后立刻唇部冰敷30-60分钟，之后3天内每天冰敷3-4次，每次30-60分钟 Ice compress on lips between 30 and 60 minutes should be done immediately after surgery, and then ice compress 3 or 4 times a day between 30 and 60 minutes each time should be conducted within 3 days thereafter.2、术后当晚可能术区会比较疼痛，必要时可以服用止疼药或安眠药帮助睡眠。 Antibiotics are not required unless otherwise requested. Pain may be severe on the surgery day or the first day after surgery. You may take painkillers before sleep if necessary.3、 当天进冷流食。 2天后正常饮食，但术后1周内忌烟酒、鱼虾、辛辣刺激食物。Regarding post-surgical diet: the cold liquid diets should be taken on the surgery day. The soft food is preferred within 1 week, and tobacco, wine, fish and shrimp, spicy and irritating food should be avoided. Mouthwash should be used after meals, and tooth-brushing should be avoided to the maximum extent.4、术后5天拆除全部缝线。切口在拆线前保持清洁，可以涂抹红霉素软膏保持湿润。Suture will be removed 5 days after surgery. Keep the incisioin clean before stiches removal.5、1周内唇部避免夸张表情，尽量少说话，避免大笑以及用力哈欠。可以刷牙，但注意轻柔，勿触碰伤口。 Within 1 week after surgery, the exaggerated expressions on lips should be avoided, please speak as little as possible, and laugh and yawn should also be avoided.6、 术后术区出现水肿、青紫、淤血等，属于正常现象，一般1-2周逐渐消退，如希望肿胀尽快消退可在术前1天开始服用消肿药。 Edema, bruising or congestion in the post-surgical area is normal phenomenon. Generally, the edema is the most severe between 2 and 3 days after surgery. If you want the edema to be subsided quickly, you may take the detumescence medicine for about 1 week from the surgery day. Most of them will gradually subside after 1 or 2 weeks, but if swelling, congestion, increased pain or bleeding is found, please contact the doctor immediately.7、个别案例拆线后可能出现切口表层裂隙、局部小缺损或者结痂等，一般3-5天自行恢复，可局部涂抹红霉素软膏；个别案例可能出现皮下可吸收线（白色线结）外露，可联系医生拆除。 Some sutures may fall off when edema occurs. Generally, it will not cause an open wound, so please do not panic, and it will only need to take out the suture. Contact a doctor immediately in case of open wound.8、外用祛疤膏可在拆线愈合后3天开始用，待祛疤膏干结形成保护膜以后，表面可以化妆。瘢痕一般在术后3-6个月左右稳定，尽量减少夸张表情活动，以及外用祛疤膏预防。如仍较明显可能需要进一步治疗：鼓起增生者可以疤痕内注射含激素的祛疤针，平坦或者凹陷的疤痕可以后期激光减淡。Anti-scar ointment is recommended externally 3 days after suture removal, and continuously applied for about 3 months. If there is dense hyperplasia scar above the lip surface, the steroid hormone can be injected locally (once a month) for softening.9、由于术后两侧恢复速率可能存在差异，短期内轻微不对称可能比较常见，一般彻底恢复后能逐渐不明显；另外个别案例术后可能存在局部欠平整，一般随疤痕软化后会缓解流畅，最终效果可在术后至少3月以后再评价，如果存在矫正不足或过度、不对称或者局部不满意，如彻底恢复后仍存在可在半年后再次修复。 Asymmetry may occur in a short period after surgery due to the inbalance recovery. The final result should be evaluated at least 6 months after operation. Revision could be performed if necessary.2012年01月17日14557
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