额部小切口除皱加面颊部锯齿线提紧术38例体会.docVIP

通讯作者：张建文，主任医师，硕士生导师 email：zhangjw18@126.com 额部小切口除皱联合弹力线面部提升术之探讨 暴志国 张建文 陈旻静 黄静仪 作者单位：450000 郑州大学第一附属医院 整形外科 通讯作者: 张建文，主任医师，硕士生导师，研究方向，脂肪移植在美容方面的应用 摘要：目的 探讨一种综合面部年轻化的手术方式。方法 对42例36-52岁皮肤松弛，额纹、鱼尾纹、眉间纹形成，中面部组织松垂，鼻唇沟明显加深患者行额部小切口除皱联合弹力线面部提升术。结果 42例患者额纹及眉间纹明显减轻,中面部松垂组织明显提升，鼻唇沟明显变浅，使面部老化现象明显改善,重现面部年轻化，患者满意率较高，额部除皱及面部提升效果明显。结论 42例患者经额部小切口联合弹力线置入面部提升术能有效提紧额部皮肤且方法简单，创伤小，出血少，瘢痕轻且隐蔽，易于被患者接受，是一种值得推广的方法。 关键词 额部小切口除皱; 弹力线; 面部年轻化; 面部提升术; 42 cases of forehead rhytidectomy with small incision and elastic thread facial ascension Bao, Zhiguo Zhang, Jianwen Chen,Minjing (department of cosmetic and plastic surgery of the first affiliated hospital of Zhengzhou university, zhengzhou 450000 , Abstract: Objective To investigate a kind of comprehensive operation method of facial surgery and it’s effect . Methods 42 patients who are self-conscious facial aging, facial tissue prolapse patients were done with forehead rhytidectomy with small incision and elastic thread facial ascension. Results This group of 42 patients were pleased with the results of this operational method ,the wrinkle of forehead reduce obviously and facial ascension effect is obvious. Conclusion The oldest aged 52 of this group of 42 patients , minimum is 36, average age 44 years old. Forehead rhytidectomy with small incision and elastic thread facial ascension can effectively reduce facial wrinkle ,make forehead skin look smooth, promote facial tissue, Key words: Forehead rhytidectomy with small incision, elastic thread, facial rejuvenation, Facial ascension. Corresponding author: Zhang, Jianwen, Tel: E-mail: HYPERLINK mailto:Zhangjw18@126.com Zhangjw18@126.com 随着年龄增长，面部皮肤，皮下组织，肌层及骨骼逐渐退变，萎缩，松垂逐渐出现皱纹，呈现出衰老的征象[1]。目前，要求除皱的人群不断增加，尤其是40-60岁中老年女性。我科自2010年06月至2011年6 月行额部小切口除皱[2]并在除皱的基础上行弹力线面部提升术42例，重现面部年轻化，面部老化程度得到明显的改善。其优点在于创伤小、风险低、恢复快，疤痕小而且隐蔽。易于被顾客接受，利于广泛开展。现报道如下： 一、临床资料 本组42例患者，女性40例，男性2例，年龄最大52岁，最小36岁，36-40岁10例，40-50岁28例，50-52岁4例，平均年龄44岁。所有患者均有不同程度的面部皮肤老化改变，其中包括皮肤松弛，额纹、鱼尾纹、眉间纹形成，中面部组织松垂，鼻唇沟明显加深等。给予额