Chapter 76: Nose Aesthetics

Zhong Yu didn't notice it, his face seemed to be a breeze, and the water was not rippling.

She calmly instructed the itinerant nurse:

"Symptomatic treatment such as anti-inflammatory and hemostatic drugs should be applied after surgery, immobilization of the skin graft area to prevent the movement of the skin piece, dressing change on the 8th day after the skin graft area, and sutures were removed on the 12th ~ 14th day.

The donor area should be changed on the 3rd day after surgery, and then the dressing can be changed once every 2 days, and the sutures should be removed in a timely manner.

After the sutures are removed, the surface of the surgical area is smeared with an external anti-scar drug, and the outer layer of the dressing is removed for 3-4 days, and the inner layer of the dressing is retained to let it fall off on its own.

The wound must be compressed with an elastic bandage for several weeks after healing, preferably for half a year, to prevent or reduce blood blisters, pigmentation, and scarring in the donor area. ”

The itinerant nurse recorded what Zhong Yu said word for word before pushing the patient out.

When the patient left, Ji Xueli pulled down the mask and said with emotion:

"You have given the patient a new lease of life, and I didn't have a deep understanding of plastic surgery before, and now I realize that it exists far more than I thought."

Zhong Yu's thoughts were still immersed in the operation, and his eyes looked at him a little blankly.

Being stared at by that clear eye, Ji Xueli's heart was slightly sluggish, he subconsciously staggered his eyes, and recounted what he had just said a little faster.

Zhong Yu suddenly came back to his senses, and said in a calm tone:

"More and more people will know about it in the future, and I'm not in a hurry, after all, only quantitative change can cause qualitative change."

Ji Xueli saw in her the enthusiasm to devote himself to his career, which was something that he gradually lost over time.

His chest swelled with inexplicable emotions, and his voice was slightly hoarse and asked:

"Just now you used a medium-thick skin slice free transplant, if it is a full-thickness skin slice free graft, what should I pay attention to?"

Zhong Yu placed the surgical instruments neatly one by one, and said softly when he heard the words:

"The design and preparation of full-thickness skin sheets require a prismatic oblique incision in the donor area to be pre-designed, and the skin, subcutaneous tissue and superficial fascia should be cut in turn in the direction of skin lines.

The subcutaneous sheet is then separated and sutured layer by layer, and when a full-thickness skin sheet is made, 40% of the underside of the skin sheet is a fat column and 60% is dermis.

Iodophor sterilized incision, covered with sterile oil yarn, bandaged with sterile gauze, and fixed externally with an elastic bandage. The prepared full-thickness skin sheet is wrapped in saline gauze. ”

Ji Xueli listened very carefully, and although Zhong Yu didn't understand why he was interested in plastic surgery, he didn't bother to explain it in detail.

"When transplanting full-thickness skin sheets, the full-thickness skin pieces should be fixed on the secondary wound surface with appropriate tension, the skin pieces should be fixed after the symbisis is Z ectopic at the joint, the subcutaneous antibiotic saline should be flushed, and no active bleeding should be checked, covered with petroleum jelly gauze and antibiotic saline broken gauze, packed and fixed, and the joint should be fixed externally in the upright position, and the pressure should be 20-30mmHg."

When Zhong Yu was explaining, not only Ji Xueli was listening, but Zheng Jun and Chu Jianwen did not leave.

Most people are still willing to learn more from people with outstanding abilities, even if the major is not right, they are willing to listen to more sentences.

Zhong Yu glanced at Zheng Jun and said:

"Treatment of the donor area is also critical, with subcutaneous tissue being dissociated, sutured layer by layer, and if necessary, with tension-reducing sutures or with a skin stretcher.

Then the incision is sterilized with iodophor, covered with sterile oil yarn, bandaged with sterile gauze, and fixed externally with an elastic bandage. ”

Zheng Jun nodded solemnly, indicating that he had written it down.

Ji Xueli saw that she was discussing with herself, but inexplicably she explained to her assistant, and a faint resistance rose in her heart.

He reminded in a cold voice: "It's almost time to eat, let's go to the cafeteria to eat first."

His voice fell, and he glanced at Chu Jianwen quite stressed, Chu Jianwen was spurred on during his internship, and now he was stunned when he saw him.

She immediately walked away with Zheng Jun's clothes with great eyes, and shouted with a big grin:

"I'm starving~ I'm starving, hurry up and eat!"

Zheng Jun was taller than her, and she couldn't straighten up by her collar, so she staggered away.

Zhong Yu looked confused and muttered, "Is it necessary to be in such a hurry?"

Ji Xueli stepped forward and gently reminded, "Our hospital canteen will not leave food after the time." ”

Zhong Yu was stunned and said with a smile: "Then Director Ji will go to eat first, I'll clean up here before leaving."

She never puts the attending physician's score, and if she has extra time after surgery, she will also help clean up the medical equipment together.

Ji Xueli looked at the scene, directly took the tray in her hand, and said softly:

"I'll help you clean up and save time."

Ji Xueli's fingers are slender, pleasing to the eye when holding a scalpel, and he is extremely neat when he packs up his belongings.

The two were more efficient together, and by the time they arrived at the cafeteria, there was still food.

Zhong Yu walked to the long table with the dinner plate and sat down, and Ji Xueli naturally put his dinner plate opposite her.

After he set it up, he whispered, "There is still hot pork ribs and corn soup in the back kitchen, I'll bring you a bowl."

Zhong Yu nodded in thanks, she curiously looked for Chu Jianwen and them.

After dinner, the cafeteria was empty, but the two of them were nowhere to be seen.

The search was fruitless, and Zhong Yu lowered his head and ate the dishes on his plate.

She sandwiched a piece of sour radish and put it in her mouth, which was unexpectedly crisp and refreshing, but unfortunately the aunt didn't give much of it.

Ji Xueli walked over steadily with the soup, his hands were clean and did not spill a drop, and he handed a bowl and put it on Zhong Yu's left hand.

When Ji Xueli sat down to roll up her sleeves, she found that the sour radish on her plate was gone.

He made both meals, and he knew the size of the meals.

He said calmly: "I have too many sour radishes on my plate, and I haven't moved my chopsticks yet, do you want to eat them?"

Zhong Yu's temperament has never been twisted, and he nodded: "It's okay~ If you don't like to eat, give me some points."

Ji Xueli used chopsticks to clip the sour radish to her, and said:

"I'll give it all to you, I've eaten enough, this is the sour radish that the kitchen master soaked himself, if you like it, I'll help you and him take some back to eat."

Zhong Yu hurriedly waved his hand, "I don't have all the kitchen stoves over there, and it's unlikely that I will live alone." ”

Ji Xueli didn't think there was anything wrong with her not cooking, and understood: "It's easier to solve it in the cafeteria alone, but I really don't have the energy to cook when I'm busy."

Zhong Yu's face was full of helplessness, "The main thing is that I'm not good at cooking, and sometimes I can't eat it myself." ”

Ji Xueli smiled, "Next time you have the opportunity to eat the dishes I cooked, it should be okay." ”

Zhong Yu's eyes were full of admiration, "There are not many men who can cook, Director Ji cultivates both inside and outside!" ”

Ji Xueli savored the meaning of her words, and couldn't help but shake his head and smile.

After eating from the cafeteria, the two walked side by side towards the department.

Zhong Yu was full of food and drink, and he was in a good mood.

Should I say it or not, the food here in Guangzhou is really good.

In particular, all kinds of nourishing soups and water are deeply pleasing to Zhong Yu, and it seems that there is nothing bad about settling here.

The two did not chat, but the lingering atmosphere was very harmonious, Zhong Yu was full of relaxation, and there was no discomfort.

Coincidentally, this scene was watched by Cheng Ye.

He can be discharged from the hospital after the edema of his affected body is eliminated, and the assistant sent by Mr. Cheng has just completed the discharge procedures for him.

Before he could enjoy the free and healthy air, he was shocked by the scene in front of him.

Ji Xueli's behavior has not been exceeded, and Zhong Yu's state is also normal, but Cheng Ye just feels tired.

He sneakily followed behind the two, thinking that he was doing something very hidden, but he didn't know that Ji Xueli had already noticed it.

He pulled Zhong Yu to walk a few quick steps, and when he reached the corner, he protected her behind him.

Before Zhong Yu could figure out the situation, he saw Ji Xueli rushing out and grabbing Cheng Ye who was following them.

Cheng Ye was fiercely suppressed by Ji Xueli, and roared angrily:

"What the hell are you doing? Can doctors surprise attack? I'm going to complain about you? ”

Zhong Yu was dumbfounded by this sudden scene, even if she was not as sharp as Ji Xueli, she also realized what was going on.

He asked in a cold voice, "Cheng Ye? What are you doing behind us? ”

Cheng Ye's kung fu is not weak, how can he suffer this humiliation, and he is unwilling to say:

"Doctor Zhong, I'm about to be discharged from the hospital, I want to say goodbye to you, this guy is too unreasonable, let me go!"

With Zhong Yu here, Cheng Ye didn't dare to be wild.

Zhong Yu looked at him indescribably, for the sake of his recovery, he didn't care.

She motioned for Ji Xueli to let people go, and Cheng Ye, who was freed, shouted with a flushed face:

"You are a villain who can only sneak attack, you have the ability to compete with me in the open, what kind of ability is sneak attack?"

Ji Xueli's eyes were dark, he glanced at him without any emotion, ignored him at all, turned his head and said softly to Zhong Yu:

"Since it's someone you know, then I won't bother."

Zhong Yu nodded, "You don't have to worry, I'll deal with it." ”

Ji Xueli believed that she could handle these little things, so she left with confidence, Cheng Ye was unconvinced and wanted to continue to entangle.

Zhong Yu was in no mood to deal with him, and said unceremoniously:

"Don't be ashamed, he used to be a military doctor in the field army, his fists and feet are not used to fight you fiercely, if you have nothing to do, go back quickly."

Cheng Ye looked hurt and said sadly: "I don't care about you yet? I don't know the hearts of good people! ”

After he finished speaking, he didn't pay attention to Zhong Yu's reaction, and turned around like a deflated ball.

Are the people of the field troops amazing? He is also the martial arts instructor of the crew.

The more he thought about it, the more depressed he became, and when he went back, he called Cheng Yuan, no matter what he was doing, and he crackled and output.

"Do you know that your family is memorable? If you grind and chirp like this, she will be someone else's wife, and you will have no place to cry when the time comes. ”

Cheng Yuan handed the prescribed examination sheet to the patient and apologized for him to leave first.

Seeing the door of the consultation room closed, he asked helplessly:

"What did you do again? Didn't I tell you, don't provoke the old man if it's okay? ”

Cheng Ye was holding back an evil fire in his heart, and when he heard him so ignorant, he immediately roared:

"Do you think I'm in a hurry? I happened to see her walking with a wild man, and the relationship between the two standing together and looking at it is not ordinary, I kindly reminded you, you still don't appreciate it, it's really wolf-hearted! ”

Cheng Yuan's heart was already numb with pain, and he asked coldly:

"Uncle and grandfather want the old man to be his granddaughter-in-law, right? Did you dispel him completely? My mother is still in a wheelchair and can't be taken care of without someone, and I owe a lot of money to my uncle and grandfather, what qualifications do I have to give happiness to others? ”

Cheng Ye seemed to have been choked by the throat, and he was silent for a long time before he said with little confidence:

"My grandfather won't hinder Dr. Zhong, and he doesn't want you to pay back, so why should you ......?"

Cheng Yuan sneered without waiting for him to finish: "I'm not as good as you, and I'm not as naΓ―ve as you, if you really have a good impression of the old man, don't bother her, and find a way to make my uncle and grandfather dispel the idea."

Cheng Ye's hand holding the earpiece was bruised, he breathed heavily, his chest was suffocated, and he wanted to open his mouth several times, but in the end he could only hang up the phone weakly.

Zhong Yu had no way of knowing about the lawsuit between the two brothers, and after she had Xingxing's surgery, she was really idle.

Dean Luo knew that she was in a hurry to return to Haishi, so he didn't arrange a task for her.

The postoperative effect of Xingxing is also unprecedentedly good, all the transplanted medium-thick skin pieces are alive, and the scars of the skin graft area and the donor skin area are not visible to the naked eye.

The color and elasticity of the skin on her face are very close to the normal skin around the wound, the skin graft site is not stretched and displaced, and the facial expression function is normal.

Xu Lu looked at her daughter, who was reborn and looked like a porcelain doll, and choked up with excitement.

Her gratitude to Zhong Yu was overflowing, and she couldn't wait to kneel down and kowtow to Zhong Yu.

Zhong Yu has an indescribable satisfaction in her heart, and she hopes that her ability can help more people.

In the process of healing patients, she enjoys a great sense of accomplishment that money cannot buy.

After Xingxing was discharged from the hospital, Zhong Yu began to prepare for Tenth's nose surgery.

Patient No. 10 was photographed first, and positioned according to the standardized side shot of the Society of Plastic Surgery.

The photograph is taken with the cameraman standing in front of the patient and the patient looking at the camera with both eyes level.

The cameraman stands on the side of the patient and the camera lens is at eye level.

Lateral photographs require the cameraman to adjust his or her position so that the patient's bilateral philtrum crests overlap in a straight line.

The 10th is very cooperative, and the finished photos still need to be measured, and unfortunately there is no Adobe Photoshop CC software yet.

Zhong Yu could only draw and compare the pictures by herself, and she first measured the angle of the nose bridge deviation in the two photos.

Mark the center of the eyebrow, the lower point of the chin and the tip of the nose in the positive photo, draw a straight line through the center of the brow and the lower point of the chin, draw a straight line through the center of the brow point and the tip of the nose, and then measure the angle between the two straight lines, which is the deviation angle of the nose bridge.

Then measure the protrusion of the nasal tip, mark the nasal apex point and the alar and cheek junction point in the lateral photo, and make it perpendicular along the most prominent part of the upper lip, and set the distance from the nasal tip to the perpendicular line A, and the distance from the nasal tip to the alar and cheek junction point is AB, and A/AB is the line, which is the protrusion of the nasal tip.

Then measure the nasal frontal angle, from the root of the nose to the tip of the nose and the forehead respectively, the angle formed by the intersection of the two rays is the nasofrontal angle, and the angle is measured with an angle measurement tool.

Finally, she measures the nasolabial angle (rotation of the tip of the nose), she makes a line from the posterior edge of the nostril to the anterior edge, draws a line perpendicular to the natural horizontal plane of the face, and the angle formed by the intersection of the two lines is the nasolabial angle, which is measured with an angle measurement tool.

Dean Luo kept more than one photo of the other party, otherwise she wouldn't have been able to compare and draw the pictures carefully.

It took her a day to do such a survey.

Although the process is a bit more cumbersome, the results obtained are satisfactory.

The lips of the number 10 are slightly thicker and bloated than in the photo, and a thick lip thinning surgery is required.

She also measured the relevant data first, and then made design modifications.

After two or three days in a row.

The hospital has prepared all the necessary medicines and surgical materials, and the surgery can be officially started.