Tongchun Mao (毛彤春)
Deputy Director & Head of Aesthetic Surgery · Vice Chief Physician, Licensed Aesthetic Attending · Lead Physician of This Site
Periorbital assessment · eyelid and brow position · volume and shadow
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 assessment of a tired-looking eye separates the contributors before anything is offered. The tear trough is examined in overhead light to show whether the shadow is a hollow or a fold; the brow is measured at rest and in expression; the lid margin is compared on the two sides and checked for true droop; the skin is examined for pigment and for vessels. Only then is the ladder discussed, and a patient whose tired look comes from pigment, from fluid or from a medical cause is told so and offered nothing surgical. A patient whose change is mild is told that watching it is a reasonable plan, which is a recommendation he makes often.
Clinical focus
Naming the cause is most of the treatment
A tired look is a complaint about an impression, and an impression can be produced by any of six things. The useful part of a consultation is not the operation that gets offered at the end of it — it is the two minutes spent working out which contributor is actually present, because that decides whether anything should be done at all.
