Objective:To explore the effect of combined orbicularis muscle double stitch operated on blepharoplasty.Methods:A total of 90 patients, 79 females and 11 males, aged 18-49 years, were treated by using combined orbicularis muscle double stitch procedure, that is, to fix upper lifting muscle, to remove partial fat, and to perform blepharoplasty.Results:All 90 cases＇ incisions were healed at the first phase, no obvious swelling and bleeding. Within 3-24 months follow up, all patients＇ upper eyelids were significantly improved. The skin was smoothy when closing eyes, and eyelash was up when opening eyes, and arc was natural and satisfactory.Conclusions:This method can improve the shape of the upper eyelid swelling and get long-lasting and stable physiological eyelid.

Objective To study the suspension method of double ring breast fascia flap in the treatment of sagging breast.Methods By double-ring skin full-thickness resection,suspension method of breast fascia flap was used in the treatment of sagging breast.The pedicle in the upper half of the breast fascia flap was vertically pulled down and then sutured in the lower quadrant of the breast and the pectoralis major.The sagging breast tissue was left and breast shape rebuilt.Results In the 50 patients their incision healed in phase 1.No skin necrosis and fat liquefaction occured.Nipple and areola had no blood barrier and disordered.Within 3 to 24 months visiting,incisions were without obvious scar.There was no sagging breast and breast shapes were satisfied.Conclusions This method reduces postoperative complications.It can restore the perfect breast shape and it is an ideal surgical method for sagging breast.

Objective: To explorea long-term effect of in situ artificial anal reconstruction using five-combined-operation technique after lower rectal cancer resection. Methods: After miles operation, 60 patients suffered with lower rectal cancers underwent in situ artificial anal reconstruction using five-combined-operation technique, which included internal and external anal sphincter, rectal flap, rectal angle, and anoperineal reconstruction. Results: All cases in this study were performed successfully, with primary healing in the wounds. Awareness of defecation had reoccurred in all cases since 1 week postoperatively and self-control of defecation had been regained since 3 weeks postoperatively with formed stool excreted once or twice a day. Long-term follow-ups: ①In 95% cases, rectal controlled discharge time was longer than 2 minutes, which was significantly higher than that of sphincter reconstruction group as a control(P<0.05). ② Five-year survival rate reached to 88%, which was significantly higher than that of the control group(P<0.05). Conclusions Anal reconstruction using five-combined operation method after Miles operation could be a safe and effective surgical procedure, which could completely cure tumor, and improve patients′ life quality and long-term survival rate.

Objective To discuss the correction of lower baggy eyelid with severe tear trough and eyelid sulcus (groove deformity) and its therapeutic effect.Methods Through incision at the lower eyelid margin,the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum.The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum.If the depression was not completely corrected,the extra orbicularis fixed with periosteum.If the depression was not completely corrected,the extra orbicularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity.Results 60 cases were treated with no depression or unsmooth deformity.All the cases were followed up for 3-12 months with satisfactory aesthetic effect.Conclusions Orbicularis flap combined with orbital fat reposition is a simple and effective method for correction of tear trough and eyelid sulcus deformity.

Objective To study the effect of five combined operation for anus reconstruction after Miles operation in patients with lower colorectal cancer.Methods 60 patients with lower colorectal cancers received Miles operation,followed by five combined operation for anus reconstruction (internal and external anal sphincter,rectal flap,rectal angle,anus perineal reconstruction).Results 5-6 days after operation,all cases had desire to excretion.2-3 weeks lateral,all cases desired to control excretion and excreted 1 or 2 times per-day.Internal rectum testing showed the static pressure in anus,the constrictive pressure,and the static pressure in rectum were all normal.The survival rate of patients over 5 years was beyond 88％.Conclusions It suggests that five combined operation for anus reconstruction after Miles operation could avoid man-made anus on abdomen.It can improve the patients' life quality,long-term survival rate.And it's also economical method for patients.

Objective To discuss the correction of lower baggy eyelid with severe tear trough and eyelid sulcus (groove deformity) and its therapeutic effect.Methods Through incision at the lower eyelid margin,the dissection was performed at the deep surface of the orbicularis muscle to expose the orbital septum and inferior orbital rim periosteum.The orbital fat which was released from orbital septum was repositioned at the inferior orbital rim and fixed on periosteum.If the depression was not completely corrected,the extra orbicularis fixed with periosteum.If the depression was not completely corrected,the extra orbicularis muscle was designed as muscle flap with interior pedicle to further correct the groove deformity.Results 60 cases were treated with no depression or unsmooth deformity.All the cases were followed up for 3-12 months with satisfactory aesthetic effect.Conclusions Orbicularis flap combined with orbital fat reposition is a simple and effective method for correction of tear trough and eyelid sulcus deformity.

Objective To study the effect of five combined operation for anus reconstruction after Miles operation in patients with lower colorectal cancer.Methods 60 patients with lower colorectal cancers received Miles operation,followed by five combined operation for anus reconstruction (internal and external anal sphincter,rectal flap,rectal angle,anus perineal reconstruction).Results 5-6 days after operation,all cases had desire to excretion.2-3 weeks lateral,all cases desired to control excretion and excreted 1 or 2 times per-day.Internal rectum testing showed the static pressure in anus,the constrictive pressure,and the static pressure in rectum were all normal.The survival rate of patients over 5 years was beyond 88％.Conclusions It suggests that five combined operation for anus reconstruction after Miles operation could avoid man-made anus on abdomen.It can improve the patients' life quality,long-term survival rate.And it's also economical method for patients.

Objective To study the methods and clinical effects of joint expansion of double fascia flaps wrapping the Medpor to perform full-ear reconstruction on congenital microtia deformity.Methods 60 patients with congenital microtia deformity were selected.including 22 left ears and 38 right ears.Majority had loss of ear auricle or only partial earlobe.Phase Ⅰ procedures included:temporal-parietal branch was used for the vascular pedicle,and mastoid area behind the ear was moved and expanded for fascia flap.Phase Ⅱ included:the joint expansion of double fascia flap wrapped Medpor to do full-ear reconstruction.Results Flaps survived and no complications for all 60 patients.Reconstructed ears had lifelike appearance and clear anatomical structures.Auriculocephalic angulars positions and sizes were consistent with the healthy ears.None of them had exposed prosthesis and scar contraction.Three-dimensional shapes were good.Conclusions Joint expansion of double fascia flap wrapping Medpor could avoid the chest wall deformity and exposed prosthesis.The fine structure of the reconstructed ear is satisfactory.

Objective To investigate the clinical indication and effect of instant reconstruction of breast after removal of polyacrylamide hydrogel injection for breast augmentation.Methods Patients had breast ultrasound,MRI check before operation,to define the distribution and level of the injections and tissue infiltration.Depending on tissue degree,capsule integrity and breast degeneration situation,three different methods were chosen,including implantation of silicone gel underneath the breast,pectoralis major or dual-plane.Results 56 patients' incision healed well.Follow-up for 6 months to 3 years showed that breast shapes were good without scars,prosthetic herniapsular,capsular contracture and other complications.Conclusions Instant reconstruction of the breast after removal of polyacrylamide hydrogel injection can improve breast shape and get satisfied effects.

Objective To explore the methodology of skin flap muscle flap (double flaps) and and effect of the double flaps on eyelid bag blepharoplasty.Methods Through lower eyelid incision,skin flap and muscle flap were formed,orbicularis muscle and orbital septum separated between the skin and flaps,direct access to the inferior orbital rim depression.Arcuate edge of the orbicularis muscle was fully stripped and released,especially the orbicularis muscle at the inferior orbital rim periosteal surface.The orbital fat was released,sutured below the inferior orbital rim periosteal surface.The orbicularis muscle flap was designed,lift and fixed to enhance midface to achieve the rejuvenation effect in the lower eyelid region.Results The 36 patients treated had no hematoma and flinch in the lower eyelid.Within 3 to 18 months follow-up,there were no ectropion,and facial nerve damage and other complications.Conclusions Double-flap is a feasible method as it can effectively enhance midface rejuvenation and correct eyelid bags deformity.