摘要
目的 改进中面部除皱的手术方法，对手术要点进行探讨。方法对于颈部松垂不明显、颌下脂肪堆积不严重者，切口限制在颞部和耳前部，不延伸到耳后；皮下分离后，将颧脂肪垫用不可吸收线缝合悬吊于颞深筋膜，颊部SMAS向后上方向提升，折叠缝合，皮肤向上提升。结果自2002年10月至2009年12月，应用该方法进行中面部除皱137例，随访1—3年，手术效果满意。1例患者术后右侧面神经颊支损伤，1个月后自然恢复，1例右侧耳前皮下局部感染，清创后愈合。无皮下血肿及皮肤坏死发生。结论提升下垂的颧脂肪垫，重建中面部年轻凸出的曲线是中面部除皱的关键，术中将皮瓣向上提升可以有效减少手术瘢痕。
Objective To investigate the operative method of a modified midface lift and discusse its operative procedures in detail. Methods Short scar incision was used for those patients whose neck skin is relative normal. After subcutaneous flap dissection, malar fat pad was suspended to deep temporal fascia using nonabsorable suture. The SMAS was advanced in up-posterior direction and fixed. The skin flap was advanced in up direction. Results One hundred and thirty-seven patients were operated using this method from October 2002 to December 2009 and all patients received satisfactory results after 1 - 3 years follow-up. One patient got injury of buccal branch of facial nerve postoperatively recovered spontaneously in about one month and 1 case with right localized subcutaneous infection healed after debridmeut. No hematoma and skin necrosis occurred. Conclusion The malar fat pad suspension is the key point to restore the youthful curve. The up-direction skin flap advancement may reduce the scar. It should be included in midfaee lift operation.
出处
《中国美容整形外科杂志》
CAS
2010年第3期140-142,共3页
Chinese Journal of Aesthetic and Plastic Surgery
