Tongchun Mao (毛彤春)
Deputy Director & Head of Aesthetic Surgery · Vice Chief Physician, Licensed Aesthetic Attending · Lead Physician of This Site
Upper-lid height assessment · eyelid and periorbital surgery · revision of lid position
Dr. Tongchun Mao is an aesthetic surgeon at Chongqing West District Hospital, where he is Deputy Director and Head of Aesthetic Surgery in its Plastic Surgery & Aesthetics Medical Center and the responsible physician for this site. He personally performs more than 700 operations a year, within hospital standards of assessment, anaesthesia and follow-up.
His approach to a drooping lid is to establish what has moved before deciding what to change. That means measuring where the edge of the lid rests on each side, estimating how much the lifting muscle still does, checking that the lid closes and that the eye rolls up as it does, and reading the tear film before any height is planned. A droop that is recent, one-sided or variable is sent for a medical opinion rather than taken to an operating list, and a lid whose edge is at the right height is treated as a skin problem rather than a height problem. Where an operation is right, the plan states how much skin, if any, is coming with the repair and what is being left alone, and the height is judged at months rather than in the first weeks.
Clinical focus
The droop that is not operated on
An eyelid practice is defined as much by the lids it declines as by the ones it repairs. Where the cause is a muscle or nerve condition, where the eye is already dry, or where the lid does not protect the eye when it closes, the plan changes or ends. Patients are told that plainly at the assessment, because a lid that has been raised in the wrong direction is harder to help than one that has not been operated on at all.