颧脂肪垫悬吊技术辅以SMAS折叠中面部除皱术.docVIP

颧脂肪垫悬吊技术辅以SMAS折叠中面部除皱术.doc

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颧脂肪垫悬吊技术辅以SMAS折叠中面部除皱术

颧脂肪垫悬吊技术辅以SMAS折叠中面部除皱术[摘要]目的:出于中面部提升简单化的趋势,介绍一种颧脂肪垫提升和SMAS移位的除皱技术。以期改善颧下区域空虚、鼻唇沟加深等中面部老化的问题。方法:采用一种中面部年轻化方法,行颊部耳前SMAS折叠,同时将下垂的颧脂垫缝线悬吊于耳前筋膜,使老化中面部维持长期的提升效果。结果:2006~2010年,在52例面部除皱术中运用该技术,中面部提升效果维持时间长,恢复期短,无面神经损伤等严重并发症出现。结论:皮下层的安全剥离避免了面神经分支的损伤。颧脂肪垫悬吊技术辅以SMAS折叠术,避免了较长的恢复期和深层剥离可能导致的损伤。这种方法可作为独立的中面部手术在局麻下实施,操作简单、安全、效果持久。 [关键词]颧脂肪垫;浅表肌肉腱膜系统;中面部除皱术 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2011)04-0529-03 Midface lifting of the suspension of the malar fat pad with SMAS plication ZHANG Zhi-hong1,LI Wen-zhi1,OUYANG Zhong-shi1,WANG Jia-qi2 (1.Department of Plastic Surgery and Laser Medcine,Beijing Anzhen Hospital,Capital University of Medical Sciences,Beijing 100029,China; 2.Department of Face and Neck Plastic and Aesthetic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences,Beijing 100041,China) Abstract:ObjectiveA trend toward simplification in midface lifting has introduced the technique of suspension of the malar fat pad with SMAS plication. The questions of midfacial aging including hollowing in the submalar area, deepening of the nasolabial crease, can be correctted by this technique.MethodsWe describe an approach to midfacial rejuvenation that combines suture suspension of the ptotic malar fat pad to the preauricular fascia with baccul SMAS placation. Long-lasting improvement of the aging midface is achieved.ResultsThis technique was used in 52 patients between 2006 and 2010, producing effective long-lasting results with limited convalescence and minimal complication rates.ConclusionsSafe dissection in the subcutaneous plane avoids injury to facial nerve branches. Plication of the SMAS with suture suspension of the malar fat pad avoids the prolonged convalescence and other morbidities of deep plane dissections. This approach can be quickly and easily performed under local anesthesia as an isolated midface procedure,and it is a simple and safe procedure with effective long-lasting results. Key words: malar fat pad; SMAS; midface lifting

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