Chapter 90: Subfacial coarctation

Zhuo Min looked at the carbon furnace with blank eyes, and there was a struggle on her face, as if she was rational and then pulling with her feelings.

Even if they are good friends, there is no reason to make decisions for each other, Zhong Yu stopped on point and gave her time to fully consider.

The chestnuts on the charcoal stove exploded, Zhong Yu smelled the sweet breath, and couldn't help but peel the shell with his hands, the chestnuts were soft and glutinous and sweet, and Zhong Yu narrowed his eyes with satisfaction.

Probably because of the colder weather, she has a big appetite lately, and her appetite has increased significantly, and she can still stuff things into her mouth at this time when she is very full for dinner.

Zhuo Min came back to her senses and saw that she was satisfied with what she was eating, and couldn't help but joke:

"I don't know what will become of you when you meet the right person."

Ji Xueli's face involuntarily appeared in Zhong Yu's mind, she shook her head and smiled:

"I won't change myself for anyone, two people together should be mutually fulfilling, if you wronged yourself, then it is better to be single all the time."

Zhuo Min was slightly stunned, and she said softly: "According to what you say, isn't the prosecutor my father introduced to me very compatible?"

Zhong Yu fed the peeled chestnuts into her mouth, and said helplessly:

"Does mutual fulfillment necessarily be fulfillment at work? You're too narrow-minded, and it's good to have more contact with people, and if you see more, you will know what you want. ”

Zhuo Min ate chestnuts and said with a smile on his face: "Look at what you said, those who don't know still think that you have read countless people."

Zhong Yu said confidently: "I'm different, I'm smarter than others, and I know very well what I want, so have you already made a decision?"

Zhuo Min nodded, she pulled the carbon in the charcoal stove with a small wooden stick, and said calmly:

"He is in this state, I can't marry him, I don't want to delay him, I'll meet him tomorrow and make it clear, I finally healed my face, and all aspects are developing in a better direction, and I must not be dragged into the quagmire by him."

Zhong Yu nodded calmly, "We don't have the cost of trial and error, and the right step is the key." ”

Zhuo Min couldn't help showing a fragile expression, she reached out to hug Zhong Yu, wanting to draw warmth from her.

Zhong Yu patted her on the back and comforted her, waiting for her to digest the negative emotions herself.

A sharp and enterprising girl at work will not allow herself to be immersed in a bad mood for a long time, she quickly adjusted, let go of the arm holding Zhong Yu, rubbed her face, and cheered up:

"I made an appointment with my brother to pick him up at ten o'clock, and I guess he's already waiting outside, and I should go home."

Zhong Yu stood up and said, "Then I'll send you out."

Dromin picked up his scarf and hat and put it on his body.

"It's very cold outside, you have to get dressed when you go out, don't toss, my brother is downstairs and has nothing to worry about."

Zhong Yu ran back to the room and opened the window to look out, and the eldest brother of the Zhuo family's car was indeed parked downstairs.

"Then you go downstairs to pay attention to safety, and call me when you get home."

Zhuo Min nodded, and the two hugged goodbye.

Getting together with friends is indeed a good way to relieve stress, at least when Zhuo Min left, his steps were much lighter.

Zhong Yu's work continued as usual the next day, and Xin Peiming's upper lip could be removed.

If he followed the normal operation, his lips could be scarred without obvious scars at most, but Zhong Yu also gave him the juice of the revival vine during the operation, so after removing the sutures, Xin Peiming looked at the lips that had never been missing and was shocked on the spot.

Wei Zi also looked like her jaw dropped in shock, and she muttered:

"Ah Yu, you are really amazing, do you have magic in your hands? How can it be so perfect? It's really exactly the same as before my brother. ”

Zhong Yu packed up the thread removal equipment, and said lightly:

"If I really have magic, do I need to work so hard? It's just a little more talented than other doctors. ”

Xin Peiming recovered from the shock, he looked at Zhong Yu with burning eyes, suppressed his excitement and said:

"Thank you, Dr. Chung! I thought I wouldn't be better in my life......"

In fact, before he came, he didn't have much hope, he just didn't want to live up to Wei Zi's heart, but he didn't expect the result to be so surprising.

Zhong Yu didn't get carried away, she said politely:

"As long as Mr. Xin is satisfied, I just did my duty as a doctor, you don't have to pay too much attention to it."

Wei Zi could understand Xin Peiming's emotions very well, she pulled Zhong Yu and said:

"My brother can be discharged from the hospital like this, right? He still has two or three days to take makeup photos, and if he keeps appearing, the impact will be bad. ”

Zhong Yu said gently: "You can go through the discharge procedures now, his lips have recovered, and he doesn't need to stay in the hospital."

Wei Zi nodded happily, and then said with some reluctance:

"I finally came to the sea market, but I didn't have a good get-together with you, so I have to leave again......"

Zhong Yu touched her hair and comforted: "There will be an opportunity to get together in the future, I will soon be transferred to the General Hospital of the Guangzhou Military Region, which is closer to you, maybe I will go shopping in Hong Kong City when I have time."

Wei Zi was pleasantly surprised, "Then I'll wait for you to come over, and I will definitely treat you well when the time comes." ”

Xin Peiming also said: "When the time comes, Doctor Zhong will give me a call, so that I can also fulfill the friendship of the landlord."

This person is talking a lot more sincerely, Zhong Yu is not too relieved, and agrees with a smile.

Wei Zi quickly completed the discharge procedures, and before leaving, Xin Peiming specially went to the office to give her a gift box.

Zhong Yu was a little puzzled and wanted to open it, but was held down by Wei Zi, and she said with a smile:

"Here are some small gifts that my senior brother and I have prepared for you, which are a little bit of our heart, and you will see it when we leave."

The two had a close relationship, Zhong Yu didn't think much about it, she put the gift box in her cabinet and locked it, and then sent Wei Zi and them away.

It wasn't until she was free in the afternoon that she remembered to open the gift box and look at it.

In addition to her in the office, Tang Jiaren was also there, watching her take out a gift box from the cabinet and joked:

"This Mr. Xin knows how to be polite, and he knows how to prepare a small gift for you before leaving, and he also has a heart."

Zhong Yu didn't feel anything and said, "He didn't prepare it alone, there was also Wei Zi's."

She opened the gift box curiously, Tang Jiaren stretched out his head to look, and when he saw the passbook with 100,000 yuan written on it, both of them were dumbfounded.

Zhong Yu hurriedly picked up the note inside, which said that the sapphire necklace was prepared for her by Wei Zi, and the money in the passbook was a little hardship fee given to her by Xin Peiming, so she must accept it.

Although there are more than 100,000, Tang Jiaren has also seen the world, and he lowered his voice and said:

"You quickly put it away and don't let people see it, in principle, we can't accept gifts from patients, but he is a little bit of heart from recovery and discharge, or your friend gave it to you, I don't think it's a big deal if you accept it, the water is clear, there is no fish, and you don't have to ask for a red envelope before surgery, take it, it's okay."

Zhong Yu closed the box with a solemn face, she can take Wei Zi's gift, but this money is a little hot, she has the ability to earn more money, there is no need to tarnish her reputation.

She said with a serious face: "I'll go to the dean to report, if he says he can accept it, I won't be too late to accept it."

Tang Jiaren smiled and nodded, "It's right to be cautious, then you can go quickly." ”

Zhong Yu took the gift box and went straight to the dean's office, and the dean was coming out of it, and when he saw her, he said with a smile:

"Doctor Zhong came just in time, I was about to go and find someone to call you, is there something wrong with you coming?"

Zhong Yu found a young woman in her thirties sitting in the office.

She is exquisitely dressed, and the jewelry she wears is very valuable, and she looks extravagant.

Seeing Zhong Yu coming in, he looked at her curiously, and he could see that she was a very well-cultivated woman.

Zhong Yu didn't know whether to talk about giving gifts for a while, and the dean seemed to see her hesitation, and said kindly:

"If you have anything, just say it, Ms. Lin doesn't mind."

Zhong Yu directly showed the passbook to the dean, and she explained softly:

"This was given to me by Mr. Xin before leaving, and the other person has already left, so I don't know what to do with this."

After the dean saw the numbers on the passbook, he said with a smile in his eyes:

"This is the same as giving a pennant, it is a reward given to you by the patient, and it is given to you voluntarily by them, so you should accept it as a bonus, and it is not a violation of the regulations."

This is a humane society, and some things are not necessarily one-size-fits-all.

What's more, there are only a few cases where so much money can be taken out to thank the doctor.

Zhong Yu took the initiative to report, and only after receiving clear instructions did he accept the passbook.

Ms. Lin, who was sitting on the side, saw that they had finished talking, stood up elegantly and said:

"It seems that I have found the right person this time to find Doctor Zhong."

Zhong Yu looked at her with some doubts, and Ms. Lin said in a friendly manner:

"From a professional point of view, don't you think the lower part of my face is too wide?"

Zhong Yu heard her say this, so he looked at her carefully.

Ms. Lin has an outstanding temperament and a tall figure, and her only flaw is probably that the lower part of the face is wide and somewhat asymmetrical.

She asked a little surprised, "Does Ms. Lin want me to help you with coarctation surgery?"

Ms. Lin nodded appreciatively, and she said reservedly: "Don't worry, as long as the results of the operation are satisfactory to me, I will not treat you badly."

Zhong Yu didn't expect that the current lady was already so rolled, and she said in a strict manner:

In addition to the pathological causes such as maxillary angle hypertrophy, valgus and masseter muscle hypertrophy, the most important congenital factors are the angle formed by the mandibular body, the thickness of the cheek subcutaneous fat and the buccal fat pad are also influencing factors.

Under the condition of not changing the occlusal relationship, the surgical methods to improve the width of the lower face mainly include the excision of the angle of the mandibular angle, the osteotomy of the outer plate of the ascending branch of the mandible, the partial excision of the masseter muscle, the excision of buccal fat pads, and the cheek liposuction.

If a short chin is combined at the same time, chin augmentation can also visually reduce the width of the lower part of the face.

You just want to create the effect of a melon seed face, I can do it for you, but I have to suffer a little sin. ”

If a woman wants to be beautiful, there is a price to pay, no matter how skilled she is, she will inevitably have to suffer some hardships after recovery.

Ms. Lin touched her face, her expression changed unpredictably, and after a while, she made up her mind:

"I'm not afraid of hardship, but you have to make sure that my hardship is worth it, to say that I'm not afraid of your jokes, I can only keep my husband's heart when I become beautiful, so can you understand my urgency? Money is not a problem for me. ”

Zhong Yu glanced at the dean and could see that she was really not bad for money.

With the acquiescence of the dean, Zhong Yu spoke:

"Since Ms. Lin has this will, I will do my best to do it for you, first admit to the hospital for routine examination, and I will arrange surgery for you as soon as possible."

Ms. Lin smiled with satisfaction, and she said gently:

"Then let my assistant go through the formalities first, and I'll go and choose the ward."

After saying that, he walked away with his head held high, and sure enough, it was Mrs. Kuo, who was inhumane, and the wards had to be selected.

After she went out, Dean Liu sighed:

"I finally know how this plastic surgery makes money, your department has a bright future, and you have to add more capable doctors when you leave."

The hospital itself is a self-financing unit, and it is understandable for the president to consider the economic benefits, Zhong Yu reminded lightly:

"Plastic surgery is extremely risky, and you can't make all the money."

The dean said with a serious face:

"You're right, in case of any complications or disfigurement, the hospital will be responsible, thank you for reminding me."

Zhong Yu didn't say more, she had to go back to the department to prepare for the operation.

Sure enough, the role of money capacity cannot be underestimated, Ms. Lin spent several times the money to live in the best senior ward, enjoy the most convenient services, and even the materials required for the operation were in place as quickly as possible.

She was able to operate on her the next day, and when she lay on the operating table, Ms. Lin was still a little nervous.

The unfamiliar environment and the fear of the unknown are all normal psychological reactions, Zhong Yu comforted a few words.

After she calmed down, Wei Fan began to be intubated through the nasotracheal tube for general anesthesia.

After Ms. Lin lost consciousness, Zhong Yu calmly made an intraoral approach and made a 4~5cm mucoperiosteal incurion at the anterior edge of the ascending artery of the mandibular slightly anteriorly lateral to the lateral oblique line of the ascending ramus.

Cai Yizhong assisted her as an assistant, and Guo Pengfei was pushed aside by him again.

She made an incision of the mucoperiosteum, exfoliated the lateral surface of the ascending ramus and the attachment of the masticatory muscle, the inferior edge of the mandible slightly anterior to the anterior angular notch, the lateral bony plate of the ascending ramus and the corresponding lower part of the posterior edge of the mandibular with no more than 2/3 of the height of the ascending ramus, and exposed the surgical area with a Shea retractor.

Then the osteotomy marker line is done, and the horizontal bone incision is located on the lateral bone plate of the ascending ramus, which is generally not more than 1/2 of the height of the ascending ramus.

Zhong Yu said to Cai Yizhong: "The vertical bone incision marker line is located in front of the anterior angular notch, and the sagittal bone incision is generally only 2cm long, connecting the horizontal incision and the vertical incision. When the bone cortex at the horizontal bone incision is cut with a grinding drill or a repeat saw, only a bone groove with a depth equivalent to more than 2/3 of the thickness of the bone cortex can be made, and the lateral bone plate of the ascending branch will be broken along this bone groove when splitting, and the sagittal bone incision and vertical bone incision should completely dissect the bone cortex. ”

Cai Yizhong listened attentively, after Zhong Yu completed the osteotomy line, she used a slightly curved bone chisel with a thin blade to enter through the sagittal bone incision, and she chiseled the chisel blade close to the medial surface of the lateral bone cortex, so that the lateral bone plate of the ascending branch at the angle of the mandible could be severed.

Ms. Lin has a large jaw angle, and she removes the full-thickness bone cortex at the angle of the mandible, which not only reduces the lateral protrusion, but also improves the lateral contour according to the design requirements.

Exposing the anterior edge of the masticatory muscle, she clamped the anterior edge of the masticatory muscle with two long hemostats, and completely cut off the inner layer of the masseter muscle and the connected periosteum with tissue scissors, and separated it bluntly above the posterior edge of the incision, so that the buccal fat pad naturally bulged out, and electrocoagulation to stop bleeding after resection.

Finally, for chin augmentation, she made a median incision from the frenulum of the lower lip, peeled off the prosthesis cavity under the periosteal, and inserted a sculpted silicone chin prosthesis.

Negative pressure drainage is drained from the subcutaneous behind the earlobe, and the swollen anesthetic solution is injected into the cheek, and an appropriate amount of subcutaneous fat is sucked out with a small liposuction needle.

After the operation was over, Zhong Yu told Cai Yizhongdao:

"Be alert to postoperative complications and keep me informed of any situation."

Cai Yizhong nodded in agreement with a serious face.

"Rest assured, Dr. Zhong, I will always keep an eye on her postoperative reaction."

Cai Yizhong worked diligently, and Zhong Yu was relieved to hand over the patient to him.