摘要
目的探索面部年轻化的同时对头面部轮廓形态不佳者进行塑形的手术方法。方法采用自体组织或人工材料填充或磨削过度发育的眉弓和颧骨。最后对面部软组织进行年轻化处理。结果本组患者15例,额颞部除皱术10例,全面除皱术5例。额颞部除皱术10例:其中采用内窥镜技术5例(1例眉弓磨削,1例眉弓磨削同时伴颞部Gore-Tex软组织补片填充,1例颞部Gore-Tex软组织补片填充,2例颞部自体真皮脂肪游离组织填充);开放式除皱术5例(1例头顶颞部填充硅胶片同时眉弓及颞部填充Gore-Tex软组织补片,1例眉弓磨削,2例颞部填充Gore-Tex软组织补片,1例颞部自体脂肪颗粒填充)。全面部除皱术5例(1例颞部填充Gore-Tex软组织补片,2例颧骨颧弓磨削,2例颧骨及上颌骨填充Medpor),均采用内窥镜额颞部上提结合中下部多层次剥离除皱技术。无面神经损伤,无排斥反应。自体颗粒脂肪注射有1/3吸收,随访1个月至3年,形态均满意。结论颜面部软组织年轻化处理同时行骨骼的重新塑形,是获得年轻的头面部形态的有效手段。
Objective To explore a operative method for the facial rejuvenation and improving facial contour simultaneously. Methods The autologous tissue or filling materials and grinding the hypertelia superciliary arch check bone were used for reshaping the facial contour, and the facial rhytidectomy were performied after the operation. Results Among 15 cases. 10 cases underwent the frontal - temporal rhytidectomy which 5 cases of them were done by adopting the endoscopic technique （ 1 case superciliary arch grinding, 1 case superciliary arch grinding combined with temporal Gore- tex soft tissue patch augmentation, 1 case temporal Gore - tex soft tissue patch augmentation, 2 cases auto dermafat tissue temporal augmentation） and the other 5 ease underment the open rhytidectomy （1 case of the vertex temporal silicone patch padding combined with superciliary arch and temporal Gore- tex softtissue patch augmentation, 1 case of superciliary arch grinding, 2 cases of temporal Gore- tex softtissue augmentation, 1 case of temporal autofat augmentation）. The surplus 5 cases underwent the whole facelift（the endsoopic frontal- temporal facelfit eornbined with multiplane rhytidectomy upon the middle and lower face）, including（ 1 case of temporal Gore- tex softtissue patch augmentation, 2 cases of zygma and zygamotic arch grinding and 2 cases of zygom and maxillary medpor augmentation. There were no facial nerve injury and no rejection. After 1 - 36 months following up, all were satisfied with the results but 1/3 volume of the injected fat volume was absorbed. Conclusion The rhytidectorny combined with the facial contour improvement can get young and coordinate face appearance.
出处
《中国美容整形外科杂志》
CAS
2006年第6期443-445,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
面部年轻化
自体组织和生物材料
轮廓塑形
The facial rejuvenation
Autologous tissue and Material
Facial
contour
