摘要
总结面部除皱术１８例，对骨膜下除皱是否适用于东方人进行了讨论。认为东方人皮肤松弛的特点主要是因为年老，皮下脂肪减少，皮肤老化松弛而缺乏弹性，但皮下的肌肉系统与骨膜虽有松弛但往往很不明显，其皮肤的舒展度与肌肉骨膜系统的舒展度相差亦甚大。传统的额部除皱术，由于分离平面在帽状腱膜下，其额肌抵抗力影响了额部皱纹的舒展，就必须切除一块或三块额肌条和作部分皱眉肌及降眉肌切除，作者的手术实践也体会到，切除松弛皮肤３ｃｍ，ＳＭＡＳ仅能提紧２ｃｍ左右。如在骨膜下分离，由于受其舒展度限制，面部的肌肉系统又不能象额肌那样切除，切除的皮肤量就必然受到限制而影响除皱效果。作者仍主张分离平面在额部应选择在帽状腱膜下，颞区在颞浅筋膜上，面颊部在浅筋膜层。本文并对ＳＭＡＳ悬吊及术中有关注意事项也进行了讨论。
This paper summarizes 18 cases of facelifting operations and discusses whether subperiosteal rhytidectomy is suitable for the orientals. Lt deems that skin flaccidity of the orientals is mainly caused by advancing of age and reduction of subcutaneous fat, making the skin slack and short of elasticity However, The flaccidi subcutaneous muscle and periosteums is not obvious, and there exists a great difference between extensibility of the skin and that of the muscle-periosteum systems. The traditional forehead rhytidoplasty has to excise one or three frontal muscle strips and frown muscle or eyebrow-descending muscle, because the separation plane is beneath the galea apponeurosis and the frontal muscle is resistant to stretch forehead wrinkles. According to the authors experience, by excising of 3cm slack skin only 2cm can be tightened in SMAS. If separation is made under periosteum, the length of excised skin will be limited and affect wrinkle-removal result due to the fact that the facial muscle cannot be excised as the forehead muscles. The separation plane at the forehead should be located under the galea apponeurosis and on the superficial temporal fascia at temporal region and in the superficial fascia at cheek region.Also discussed in this article is SMAS rhytidectomy and precautions in the operation.
出处
《实用美容整形外科杂志》
1997年第2期66-68,共3页
Journal of Practical Aesthetic and Plastic Surgery
