CAJ | 학술논문

目的：探讨自体脂肪移植在颞部凹陷填充中的应用。方法采用低压抽吸、低速离心、多点、多隧道、多层次、少量注射（Low-pressure liposuction, Low-speed centrifuge, Multi-points, Multi-tunnels, Multi-layers and Low-amounts in-jection，3L3M）的自体脂肪移植技术，对36例颞部凹陷患者行多区域脂肪移植。①颞区在皮下层、颞浅筋膜层、肌肉层行填充；②额区在额肌皮下层和额肌下行填充；③眶外侧区于皮下层行极少量的脂肪填充。结果36例颞部凹陷患者经脂肪填充后外形均有明显改善。随访3～24个月，各填充区外形保持较好，移植脂肪吸收率较低，三方评价满意率分别为83.3%、88.9%及86.1%。结论采用3L3M的自体脂肪移植技术填充颞部凹陷，可以得到满意的效果。
목적：탐토자체지방이식재섭부요함전충중적응용。방법채용저압추흡、저속리심、다점、다수도、다층차、소량주사（Low-pressure liposuction, Low-speed centrifuge, Multi-points, Multi-tunnels, Multi-layers and Low-amounts in-jection，3L3M）적자체지방이식기술，대36례섭부요함환자행다구역지방이식。①섭구재피하층、섭천근막층、기육층행전충；②액구재액기피하층화액기하행전충；③광외측구우피하층행겁소량적지방전충。결과36례섭부요함환자경지방전충후외형균유명현개선。수방3～24개월，각전충구외형보지교호，이식지방흡수솔교저，삼방평개만의솔분별위83.3%、88.9%급86.1%。결론채용3L3M적자체지방이식기술전충섭부요함，가이득도만의적효과。
Objection To explore the application of autologous fat grafting in the augmentation of temporal depression. Methods Autologous fat grafting technique of 3L3M was performed to 36 patients with temporal depression adopting low-pressure liposuction, low-speed centrifuge, multi-points, multi-tunnels, multi-layers and low-amounts injection (3L3M).①The temple area was injected through subcutaneous layer, superficial fascia layer and muscle layer. ②The frontal area was injected through subcutaneous layer and subfrontalis layer.③Orbital outer area was injected through subcutaneous layer with little fat. Results The apperence of all 36 patients was improved clearly after autologous fat grafting. All the patients were followed up for three months to two years, the appearance of each area of temple augmented were satisfied and the absorbtion of the grafted fat was low. The satisfaction rates of patient, plastic surgeon and the third person were 83.3%, 88.9%and 86.1%respectively. Conclusion The 3L3M autologous fat grafting technique is effective in the augmentation of temporal depression.