Ukuba amehlo ayindawo yokuqala sibonisa ubudala bethu, ngoko ke intamo iyinto yesibini. Njengoko sikhula, i-banding ebonakalayo kunye ne-horizontal creases ingavela entanyeni yentamo. Abanye bethu banokufumana amanqatha amaninzi kwiintlobo zeentaka okanye ezesabisayo "i-turkey-wattle."
Izinto ezifana nale zingalungiswa kunye nophando lweplastiki ngokusebenzisa inkqubo ebizwa ngokuba yi-platysmaplasty.
Kulula nje, "ukuphakamisa intamo."
Yintoni i-Platysmaplasty?
Ukuphakama kwentamo (okanye i-platysmaplasty) ibizwa ngokuba yi-platysma muscle ehamba phambili entanyeni. Utyando lugqabisa isikhumba kunye nemisipha engaphantsi ukuba uphakamise intamo. Kwakhona kuphucula kwaye kubukhali umgca we-jawline.
I-Platysmaplasty idla ngokuqhutywa ngokubambisana ne- facelift . Kungenzeka nokuba yinkqubo yokuma yodwa.
Ngubani Umviwa Olungileyo?
Abagqwesileyo abaphakanyisiweyo ukuphakanyiswa kwentamo abangabinobumba abahlala kwimpilo enempilo kwaye banemibono enhle kunye nokulindeleke ngokuqinisekileyo ngesiphumo. Ukuguqulwa kwentamo kungabakho ngenxa yobudala, kodwa kunokuba ngumphumo wokulahleka kobunzima okanye ukuzalwa okulula.
Labo abaye bahlambalaza kunye / okanye ukubetha kwentamo kunye nokulahleka kohlula phakathi kwentamo kunye nesinqe okanye umhlathi kungabanceda kwinkqubo yokuphakamisa intamo.
Ukuqwalasela kwangaphambili
Udokotela wakho ogqirha uya kucelwa ukuba alungise uhlobo oluthile lweemvavanyo zebhabhi ukuqinisekisa ubungqina bempilo yakho ngaphambi kokuba usebenze.
Unokufuna ukuba ulungelelanise, uphephe okanye uqale ukuthatha amayeza athile ngeveki okanye ezimbini phambi kokuhlinzwa kwakho.
Kubaluleke kakhulu ukuba ugweme i-aspirin, izidakamizwa ezininzi ezichasayo, kunye nezongezelelo zemfuyo kwiiveki ezimbini ngaphambi kokuhlinzwa. Zonke ezi zinokukhupha igazi. Xoxa nodokotela wakho ophatha ngayo yonke into onokuyithatha.
Inkqubo Yokunakekelwa Kwezithuba
Uninzi lweekhontsi zentamo zenziwa kwi-patient-patient basis. Emva kokuhlinzwa, ugqirha wakho uza kufaka ingcinezelo eya kuguqa intloko yakho phantsi kwe-chin.
Intamo yakho iya kuba yomelele kwaye ibuhlungu njengoko i-anesthesia igqithisa. Ingabonisa ukukhukhumeza nokukhuphaza kwiintsuku ezi-3 ezizayo. Ukugqoka kungasuswa emva kweentsuku ezimbalwa, kodwa i-sutures yakho iya kuhlala kwindawo yeentsuku ezi-7 ukuya kwi-10.
Ukubuyisela & Ukuhlalisa
Uninzi lwezigulana lunokubuyela kumsebenzi ongeyomsebenzi emva kweentsuku ezi-5 ukuya kwi-10. Nangona kunjalo, kwiiveki zokuqala emva kokuhlinzwa, kufuneka uphephe ukuguqa, uphakamise izinto ezinzima, uze uphendule intloko ukusuka ecaleni. Kuya kufuneka ulale kunye nentloko yakho ephakanyisiwe kwisonto elinye okanye ezimbini.
Ezi zikhokelo ziyakwazi ukuhluka ngokubanzi ngokusekelwe kwimpilo yomntu ngamnye, izixhobo ezisetyenzisiweyo kunye nezinye iinguqu. Njalo ulandele iingcebiso zakho zonyango.
Iingozi kunye neengxaki
Ingozi kunye neengxaki ezinokwenzeka zibandakanya ukuphuma kwegazi okanye i- hematoma , ukulahleka kwesikhumba (ukufa kwesisu), i- blood clots , kunye ne-edema (ukuvuvukala). Kukho ukubonakala kweenkonkxwa zesikhumba, ukungcola kunye nokuvuvukala, ukukhwabanisa kwesikhumba, kunye nokukhangela okungahambi kakuhle.
Unokufumana ubuchopho okanye ezinye utshintsho kwivakalelo okanye ukuchukumisa okukhulu.
Njengazo zonke iinkqubo zokuqhawula, kukho iingozi ezinxulumene ne-anesthesia . Ukongezelela, imiphumo yokuhlinzwa ngeplastiki ayinakuba yinto enokucinga ngayo kunye neziphumo ezingabonakaliyo zeziphumo zobugcisa. Kwezinye iimeko, kunokubakho isidingo sokuhlinzwa okongeziweyo ngokunjalo.
Emva kokuhlinzwa, fowunela ugqirha wakho ngokukhawuleza ukuba kukho na ezi zinto zilandelayo: intlungu yesifuba, ukuphefumula okufutshane, iintliziyo ezingavamile, okanye ukuphuma kwegazi.
Iinkqubo ezongezelelweyo
Ukuhlinzwa kwekhanda kudlalwa ngokubambisana nezinye i-operesheni ukuphucula iziphumo zesigulane.
Ezi nkqubo zingabandakanya:
- I-facelift yokulungisa ukugoba kwebuso obuphakathi nobuncinane.
- Ukuphakama kwiphambili okanye ukuphakamisa isikhophelo ukulungisa "ukhathele" amehlo abukeka.
- Isilwanyana okanye umhlathi we-jawline okanye i- liposuction phantsi kwesigxina ukuphucula umgca we-jawline.
- I-Skin resurfacing procedures (umz., Ukuvelisa i-laser okanye iipelisi zeekhemikhali) ukuphucula ukujonga nokubonakala kwesikhumba.
Iziphumo zinokuphuculwa ngokusetyenziswa kweenjini zeBotox okanye ukukhupha isikhumba esingenagqirha ngokusebenzisa i-lasers okanye iteknoloji yerediyo.
Ingxowa ikhutshwa njani?
I-Anesthesia ilawulwa. Ukuhlinzwa kwekhanda kungenziwa phantsi kwe- IV sedation okanye i- anesthesia jikelele . Ngenxa yokuphakama okuncinci, ugqirha wakho usenokugqiba ukuba i-anesthesia yesithili okanye inhlanganisela yomnxeba womlomo kunye nendawo yangasese ye-anesthetic link ingaba yanele.
Iziphumo zenziwe. I-neck elevance incision incision iqala phambi kwe-earlobe kwaye isongela ngaphantsi nangemva kwendlebe ekupheleni kwesikhumba esikhathekayo entanyeni. Ukuba izihlunu ze-platysma ziya kugxininiswa, kunokubakho ukuchithwa okuncinane kwinqanawa. Nangona kunjalo, iinkqubo ezikhethekileyo zingabandakanya ukungena ngaphakathi kwintloko yeenwele emva kwentamo (eyaziwa njenge-posterior neck neck lift), okanye emva kweendlebe kuphela (kwindlela ethile yokumiswa). Oku kuya kuxhomekeka kwiindlela ezisetyenziswayo kunye neqondo lokuphakanyiswa elifunekayo.
- Izihlunu zePlatysma ziqinisiwe. Ebusweni obugugu, izihlunu ze-platysma zihlala zihlukana. Oku kubangela ukulahlekelwa yenkxaso kwesikhumba kunye nokuthambekela ekubonakalweni okubonakalayo "okuboshwe" kwintamo. Ukusebenzisa i-sutures, ezi zihlunu zixhunyiwe kwakhona phakathi kwiphakathi kunye nekhangelo ekhangeleka ngokufana nokukhangela i-corset. Kwakhona kunokwenzeka ukuba inqwelwana encinane yale misipha iya kususwa okanye ukuba isilondolozo esithile esincedisayo esasetyenzisiweyo sisetyenziswe ngaphantsi kwezinto ezinzulu zolusu.
- Ulusu oluninzi luyakususwa. Ikhumba elidlulileyo lihlanjwe ngokucophelela.
- Iisicu kunye nesikhumba zibuye zenziwe kwaye zikhuseleke. Kwimeko yokuphakanyiswa kokumiswa, ugqirha uya kusebenzisa uhlobo oluthile lwee-sutures, i-mesh, okanye ezinye izinto kwiindawo ezinzulu zolusu kunye nezihlunu. Oku kudala uhlobo lwe "hammock" lokumisa nokubamba iintlobo kwiindawo zabo eziphezulu, eziphezulu.
- Iziphumo zivaliwe kwaye ziboshwe. Ukusebenzisa inqubo yokwenza i-multi-layer suturing, ugqirha ugqirha izigqibo. Ukuba kuyimfuneko, i-drains iya kufakwa ngeli xesha ngaphambi kokubambisa amanxeba.
Imithombo
> Umbutho waseMerika wezilwanyana zePlastiki. I-Facelift (i-Rhytidectomy), iSaziso soBathengi.
> Cook WR Jr. Laser Neck kunye neJowl Ukuhlambalaza kuquka i-Platysma i-Laser Resurfacing, i-Dermal Laser Reserfacing, kunye nokutshatyalaliswa kwe-Fat Subataneous Fat. Dermatologic Surgery. 1997; 23 (12): 1143-8.
> Schreiner C, Bailey B, Quinn FB Jr Dept Of Otolaryngology UTMB. 1997.