Tongchun Mao (毛彤春)
Deputy Director & Head of Aesthetic Surgery · Vice Chief Physician, Licensed Aesthetic Attending · Lead Physician of This Site
Periorbital assessment · the fluid and fat question · the lower lid and its revision
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.
On this site his part is the examination that separates fluid from fat and the decision about what, if anything, follows it. He watches the area through the day, presses the skin to see whether it holds an impression, and asks the patient to look up to see whether a fat pad stands forward, because the two mechanisms are managed in directions that do not overlap. He treats a medical cause as something to establish before anything cosmetic is discussed, and he declines the operation he is asked for when the swelling is fluid that drains by mid-morning — the pattern where removing fat leaves a hollowed eye and a complaint that has not gone away. His stated discipline is that the mechanism is named before the rung is chosen.
Clinical focus
The morning tells you more than the mirror does
A fat pad is exactly as prominent at noon as it was at dawn, and fluid is not. That single difference decides whether the answer is a change in what you do at night or an operation on tissue, and the two answers have nothing in common. It costs nothing to watch for a fortnight before deciding which question you are asking.