摘要
目的对基于以骨骼测量为参数建立的传统颧骨颧弓肥大概念进行重新认识,并探讨利用脂肪技术对软组织塑形来治疗颧骨颧弓肥大的美学效果。方法回顾性分析2017年5月至2022年5月锦州医科大学附属第一医院和北京美莱医疗美容医院利用脂肪技术治疗的颧骨颧弓肥大求美者临床资料。术前求美者取端坐位,从侧面分别测量两侧的颧部最高点到颞部最低点的距离(颧颞值)。根据颧颞值将颧骨颧弓肥大分为轻度(6~<10 mm)、中度(10~<13 mm)及重度(≥13 mm)。利用脂肪技术对颧骨颧弓皮下脂肪垫吸脂塑形,对颞部和(或)颧弓下凹陷进行脂肪移植填充塑形。同时在面部美学设计理念指导下,把侧面部轮廓修饰成平滑曲线,内移颧部高光点。部分患者接受脂肪填充塑形增加额部、眉弓及颏部的向前凸度,增加面部中轴线的长度等,以达到视觉上缩小颧骨颧弓肥大的效果。术后6个月随访时分别对医生和求美者独立进行满意度调查。采用配对t检验进行术前和术后颞颧值差异的比较。结果共纳入655例颧骨颧弓肥大求美者,均为女性,年龄(28.1±4.9)岁(18~59岁);轻度肥大376例,中度肥大244例,重度肥大35例。所有求美者均接受了颧部吸脂塑形术和颞部脂肪移植术;260例求美者接受了颧弓下凹陷脂肪填充术;289例求美者接受了额部和(或)"苹果肌"、鼻部和下颏部的脂肪填充塑形,以调整面部凸出度或面长度。其中,有5例中度肥大者、11例重度肥大者接受了2次治疗,其余求美者均只接受1次治疗。术后随访6~12个月,平均8个月。术后6个月随访时,求美者和医生满意率调查结果显示:轻度肥大者和医生的满意率均超过95.00%,中度肥大者均超过90.00%,重度肥大者均在75.00%以上。轻、中、重度肥大求美者的术前和术后6个月的颧颞值改变均有统计学意义(P均<0.05)。结论(1)"高颧骨"外观与骨骼和软组织因素�
Objective To recognize of prominent zygoma based on bone measurement and evaluate the aesthetics effectiveness of the facial soft tissues remodeling for prominent zygoma with adipose technology.Methods Clinical data of patients with prominent zygoma treated by facial soft tissues remodeling with adipose technology in the First Affiliated Hospital of Jinzhou Medical University and Beijing Mei-Lai Medical Cosmetology Hospital from May 2017 to May 2022 were retrospectively analyzed.Before operation,all patients were seated in vertical position.The distance between the highest point of the zygomatic region and the lowest point of the temporal region in horizontal plane was measured with(namely zygomatic temporal value).The cases were divided into three levels:mild(6-<10 mm),moderate(10-<13 mm)and severe(≥13 mm)according to the zygomatic temporal value.Then adipose technique was used to reduce the subcutaneous fattissue thickness of zygomatic arch,and the temporal and(or)subzygomatic depression were filled with processed granular fat.At the same time,under the guidance of facial aesthetic design,the zygomatic highlight point was moved inward and the length of the central axis of the face was increased.Moreover,the forward convexity of forehead,eyebrow arch and chin were increased by fat grafting for some of these patients.The application of the aforementioned methods were to achieve visual reduction of zygomatic arch hypertrophy.The satisfaction of patients and doctors were independently investigated in six months after operation.The difference of zygomatic temporal values before and after operation was compared by paired t-test.Results A total of 655 patients with prominent zygoma were enrolled,all were female,aged(28.1±4.9)years old(18-59 years old),including 376 patients with mild hypertrophy,244 patients with moderate hypertrophy and 35 patients with severe hypertrophy.All the patients underwent zygomatic liposuction and temporal fat transplantation.260 cases of patients received subzygomatic depression filling
作者
张军
王志强
Zhang Jun;Wang Zhiqiang(Department of Aesthetic and Plastic Surgery,the First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China;Department of Aesthetic Surgery,Beijing Mei-Lai Medical Cosmetology Hospital,Beijing 100000,China)
出处
《中华整形外科杂志》
CSCD
北大核心
2024年第3期278-285,共8页
Chinese Journal of Plastic Surgery
关键词
颧骨
颧骨颧弓肥大
颧骨复合体肥大
脂肪移植
脂肪技术
Zygoma
Prominent zygoma
Prominent zygomatic complex
Fat grafting
Adipose technology
