Li Guodong asked. He was waiting by the sterile box where the skin grafts were stored, ready to provide various specifications of skin grafts to the operation at any time.
"Okay! Take it out, make it a rectangle, 30 x 40 centimeters, and put it on a flat plate." Yin Wan reported the area where the skin graft is needed.
Xu Zhiliang helped open the sterile box, and Li Guodong put on sterile gloves, measured with a sterile ruler, and then used scissors to cut out a 30 x 40 cm piece of skin and handed it to Song Zimo.
Song Zimo spread the skin piece flat on the sterile table, with a flat and smooth plate underneath.
"I'll take a short break!"
Yin Wan is a little tired, not caused by the surgery, but caused by the assistant's two moles.
He didn't want to see the two nasty moles on his assistant's forehead and make him feel uncomfortable.
If this assistant is a member of his team, he will never tolerate this kind of thing and will definitely require him to cut off these two hateful moles without any room for negotiation.
Yang Ping picked up the scalpel and began to trim the skin. The round knife trimmed the outline of the edge, while the sharp knife cut out some needed cavities.
"Professor?"
Song Zimo didn't know what Yang Ping was going to do.
"Look, is it okay?" Yang Ping finished trimming and threw the excess scraps into the bending plate.
Song Zimo really couldn't tell whether this thing would work or not. Anyway, he had never seen Yang Ping undergo plastic surgery.
"Give me a moment and I'll trim the skin." Yin Wan rested for two or three minutes and opened his eyes.
Song Zimo sent the skin graft together with the tablet to Dr. Yin Wan. When Yin Wan saw it, he saw that it was a trimmed skin graft, not the original rectangular skin graft.
"Who asked you to trim the skin?" Yin Wan was a little angry, but immediately realized that his tone was wrong, and said slowly: "Take another 30 x 40 cm rectangular skin graft. You are really extravagant, wasting such a good piece for nothing.
Skin slices."
The technical requirements for this kind of skin repairing are very high, very, very high.
It is so high that only Yin Wan can complete it. After trimming a whole piece of skin, it just fits the exposed face without skin coverage. Whether it is the face, forehead, eyelids, upper and lower lips, or nasal septum, it must be tightly
Suture, no more, no less, a little more or a little less will cause misalignment of coverage.
"Try it! I think it's okay." Yang Ping didn't want to waste materials.
Yin Wan held the skin piece in his hand and looked at it, and then looked at Teacher Sun's exposed face. After three minutes, he made a judgment. This was not a random work. This piece of skin was really suitable.
Although the visual inspection of this skin graft is very suitable, common sense tells Yin Wan that it is impossible. Even if he is given more time to hold the skin graft to his face, let alone a few minutes, it is impossible to trim such a precise skin graft.<
/p>
For the first time, Yin Wan doubted his own judgment. He suspected that he had made a mistake and that this piece of skin could not be suitable.
No one except Yin Wan can do this kind of skin graft that forms the entire face at once, because it is very difficult to sew the surrounding contours tightly and to make the holes of various shapes just fit.
However, Yin Wan decided to give it a try. Whether it works or not, you will know after trying it.
Yin Wan carefully lifted the skin flap from the flat plate, and then attached it to the exposed face. It fit just right, not a bit more, not a bit less, and even the thick and thin trims were very suitable.
How is this possible?
Yin Wan doesn't believe this is true. He has always believed that only he has such superb abilities.
"Dr. Yin Wan, is it suitable? I'm afraid of wasting your time, so I just helped trim it. If it doesn't work, you can make a new skin graft. Anyway, the skin source is enough, so I'm not afraid of waste." Yang Ping thought Yin Wan was not satisfied.
"It's very suitable, just use this one."
Yin Wan nodded and smiled bitterly. Even if he pruned it himself, he would not be able to go beyond this level. He actually succeeded in pruning casually. Is it good luck or does he really have the same ability? Yin Wan really didn't dare to think about it, but now the fact is
In front of my eyes, this casually trimmed piece of skin was just right, with moderate tension and no excess. Even Yin Wan, who had always been harsh, felt very comfortable when he looked at the skin, and the pain caused by the two moles completely disappeared. p>
Okay, the operation will continue. Yin Wan no longer thinks about it and continues the operation.
Next, Yin Wan will sew up the dough. He will complete every stitch himself, making every stitch perfect.
Suturing in plastic surgery is a real technical job. Plastic surgeons often use cosmetic suturing to reduce the formation of scars. Yin Wan specializes in suturing, and every stitch is meticulous. Different parts use different cosmetic suturing methods. Many suturing methods are either
It was improved by him or created by him.
Director Lan looked on and was dazzled. He had never seen most of the suturing techniques. As the chief physician of plastic surgery, Director Lan felt that he was a complete novice at this time.
After the suturing is completed, it’s the last step of bandaging.
Bandaging is a high-tech job. The sterile elastic bandage is combined with the ordinary bandage, wrapped in various ways, and changed in various directions to pressurize the area that needs to be pressurized. The pressure is evenly perpendicular to the skin, so that the skin can be
The skin patch and the base adhere well without causing slippage. Slippage will not only cause poor blood supply to the skin graft, but also cause dislocation.
The skin graft in skin grafting surgery has no vascular connection with the basal tissue. Its blood supply depends on the exudation supply of the basal tissue. Therefore, poor fit will cause the exudate to be unable to reach the skin graft and even more unable to penetrate into the skin graft. Therefore, postoperative care is required.
Pressure.
However, pressure bandaging cannot be used for skin grafting on the eyelids, as this will cause pressure on the eyeball. Therefore, a special pressure pack needs to be designed, which can pressurize the skin graft and achieve zero pressure on the eyeball. p>
Director Lan sighed, the complexity of this bandaging technique alone would take him a long time to learn, not to mention the various suturing techniques just now, as well as the overall planning ability of the entire operation.
For example, the skin grafts implanted in the eyelids need to be designed to be stacked and pressurized, and threads must be left for packaging. In order to hide the small scars of the sutures, Yin Wan set the lower suture points at the site where the double eyelids will be formed in the future, and used transverse sutures.
The upper pressure anchor point is set in the area where the eyebrows will be implanted in the future, so that no scars will be left after all the surgeries are completed.
A world master is still a world master!
Those who paid millions and tens of millions of dollars to have his surgery definitely did not spend their money in vain, and it was value for money.
Teacher Sun's face can definitely return to normal in Yin Wan's hands, making it difficult to tell that he has had plastic surgery.
After the facial bandage was completed, Yin Wan tied a beautiful finishing knot. Director Lan's scissors clicked and cut off the excess bandage tail.
"Symmetry!"
Yin Wan said sternly.
He took the scissors himself and trimmed the bandage tail just left, so that the two bandage tails at least looked absolutely symmetrical to the naked eye.
"Facial plastic surgery is only the first step. Most of the future surgeries will focus on facial plastic surgery. In the second step, we also need to fill some parts of the face with fat to make him look plump and three-dimensional. In the third step, we need to
Nasolabial fold shaping, double eyelid shaping, and eyelash implantation are performed. In the fourth step, we complete the scalp and hair transplantation. In the fifth step, we also need to adjust the facial muscles to make his expression normal. These surgeries,
I will come to perform the surgery regularly in the future, and after the last operation, you will definitely marvel at the power of the doctor’s hands." Yin Wan said with a sense of accomplishment.
"We rest for a while, and then we replace all the scars on the body with normal skin. Compared with facial skin grafting, this step is very simple. It is just a skin graft, and facial skin grafting is equivalent to replacing him with a normal skin.
face." Yin Wan said slowly.
Just like the tone of his voice, Yin Wan's surgeries are never rushed. He follows the principle of working slowly and carefully.
His movements are not fast, but they appear to be very stable, because there are no repeated or redundant movements during the entire operation, so even if the movements do not appear to be fast, the entire operation time is very short.
"It's really bad. The left side of your face is bigger than the right side?"
Yin Wan looked up and saw his assistant again, feeling painful again.
Although Director Lan was wearing a mask, Yin Wan could still tell the asymmetry of the left and right faces from the exposed bit of facial skin.
"When I was a child, I suffered from muscular torticollis, which caused a yin and yang face. The left and right sides of my face were a bit asymmetrical. I'm sorry, I'm very sorry." Director Lan explained aggrievedly.
Yin Wan was also helpless: "I'm sorry, it's my problem, not your fault. I can't tolerate incompleteness, asymmetry or sloppiness. I didn't mean it. You really made me feel uncomfortable."
"Is the skin graft still suitable?" Yang Ping reminded him, helping him divert his attention.
Yin Wan looked at the patient's face that had been bandaged, thinking of the perfect piece of skin, and felt instantly healed.
"Perfect! It's like a good medicine."
"I'm sorry, sir, I beg you not to stand opposite me, okay? If you exchange places with the second assistant, I will feel better."
Yin Wan looked at Director Ersuke Chi. At least he had no moles on his forehead, no obvious asymmetry between the sides of his face and ears, and no hunchback.
