改良中下面部三维综合除皱术在面部年轻化中应用.docVIP

改良中下面部三维综合除皱术在面部年轻化中应用[摘要]目的：探索应用改进的综合方法对中下面部进行三维除皱术，以恢复年轻时的面部立体轮廓形态。方法：局部麻醉下进行中下面部三维除皱术，术中应用了改进的筋膜悬吊、面颊部软组织折叠，下颌部超声去脂、面部局部吸脂、脂肪充填等手术方法；其中将传统的筋膜悬吊改进为多层次的分段提紧和选择性的连续提紧方法。结果：2006年1月～2009年10月间，采用此法完成手术56例，不仅提高了除皱效果，还减少了愈合后瘢痕的形成。结论：通过以上手术方法不仅术后除皱效果良好，而且使面部轮廓形态得到了显著改善，三维面部年轻化的概念也得到了体现。 [关键词]面部除皱；面部年轻化；吸脂 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2011）04-0546-03 Applications of an improved 3d facial rhytidectomy in facial rejuvenation WANG Xiao-yuan1,3,WANG Xue-wan2,TIAN Li-ping4,QI Yue1,5 (1.Health Science Center,Peiking University,Beijing 100083,China；2.Chinese Academy of Sciences,Beijing Zhongke Medical Equipment Co.,Ltd.,Beijing 100083,China; 3. Beijing Alus Medical Pastic Clinic，Beijing 100082,China；4．The People Hospital of Xinjiang Yining, Yining 835000,China; 5.Department Pastic Surgery,The Third Hospital of Peiking University,Beijing 100083,China) Abstract： ObjectiveThe applictions of a new 3D facial rhytidectomy in central and inferior facial part is researched.MehthodsThe new kind of facial 3D rhytidectomy is performed under local anesthesia. In the process,many modern techneques are undertaken,such as fascia suspension,soft tissue foldback, submaxilla ultrasonic liposuction, local liposuction and fat refilling. The conventional method of fascia suspension is also replaced by sectional fascial suspension and selective continuous suspension.Results From January 2009 to February 2010, 56 cases of this new kind facial 3D rhytidectomy were performed successfully. New method not only results in good final appearance, but also diminish the probability of scars’formation.ConclusionThrough this method,wrinkles are effectively removed,and facial structure is also improved. It makes a marvelous effect in facial rejuvenation. Key words：facial rhytidoplasty；facial rejuvenation；liposuction 面部老化常表现为皮肤出现皱纹、软组织的松弛、下垂以及萎缩，尤以眼角、鼻唇沟、嘴角、下颌区间的老化特征明显，该区域即为中下面部。因此中下面部年轻化一直是面部年轻化的重点和难点。随着整形美容技术的发展，面部年轻化技术也在不断改进，如各种面部提升术、骨膜下面部除皱术等，21世纪Little Wiliam提出“青春曲线”概念，实施了容量雕刻技术，即