CAJ | 학술논문

目的探讨面部组织出现松弛和下垂者,采用综合措施改善面部软组织轮廓和曲线的手术方法.方法对257例应用面颊部浅表肌腱膜系统(SMAS)和脂肪组织多点密集荷包缝合收紧,改善中下面部张力；采用睑袋手术同时提升鼻唇沟,以改善鼻唇沟加深的程度f采用面颊部和下颌脂肪抽吸,以改善下面部轮廓横径变宽和下颌线曲线不流畅.结果 257例中获随访50例,随访3～60个月,面部组织松弛下垂的情况得到明显改善,鼻唇沟变浅,面部软组织轮廓曲线流畅,下颌线显现明显,下面部轮廓变窄,脸部明显瘦削,受术者对手术效果满意.术后无血肿发生,无神经损伤等严重并发症.2例在手术后1年内因为体重的大幅度减轻而出现面部明显消瘦,年轻化效果不明显而再次手术,术后年轻化效果在随访期内满意.结论面部年轻化综合手术安全、有效,并且效果持久、稳定.
목적 탐토면부조직출현송이화하수자,채용종합조시개선면부연조직륜곽화곡선적수술방법.방법 대257례응용면협부천표기건막계통(SMAS)화지방조직다점밀집하포봉합수긴,개선중하면부장력；채용검대수술동시제승비진구,이개선비진구가심적정도f채용면협부화하합지방추흡,이개선하면부륜곽횡경변관화하합선곡선불류창.결과 257례중획수방50례,수방3～60개월,면부조직송이하수적정황득도명현개선,비진구변천,면부연조직륜곽곡선류창,하합선현현명현,하면부륜곽변착,검부명현수삭,수술자대수술효과만의.술후무혈종발생,무신경손상등엄중병발증.2례재수술후1년내인위체중적대폭도감경이출현면부명현소수,년경화효과불명현이재차수술,술후년경화효과재수방기내만의.결론 면부년경화종합수술안전、유효,병차효과지구、은정.
Objective To explore a method for reconstruction of the middle and lower facial tension system for surgical rejuvenation.Methods From 2003 to 2011,257 female patients were treated with this procedure,in which superficial musclo-aponeurotic system (SMAS) of the cheeks were tightened and fixed to the deep temporal fascia and the temporal muscle fascia in muhidirectional and oblique toward the eye and ear rather than just toward the ear through purse string suture method to achieve the goals of facial rejuvenation.Results The follow-up data were obtained in 50 cases,with time range of 3-60 months.Each case was evaluated by both the patient and the surgical team.Excellent or good results were achieved for 255 cases.In all we succeeded in correcting the nasolabial sulcal deformity,and the cheek ptosis,and the contour of the face were more smoothly than that of preoperative appearance.The outlines of lower face became narrow,and thinner than the preoperative.All the patients were without loss of facial identity.Complications occurred occasionally,including the tensional blister on the dermal suture point and local numbness.No incision scar,alopecia and facial nerve injury occurred.Effects of rejuvenation were obvious and natural in 3-6 months after surgery.Especially 12 months after operation the results were the best.Conclusions This technique addresses the multiple factors involved in the senescent changes of the midface.Proper patient selection,good aesthetic judgment,and surgical competence are required to restore the midface and lower face tension system reconstruction.This novel approach is safe and effective,and the result is stable and lasting.