目的 探讨面部美学分区及其在脂肪颗粒注射面部年轻化中的应用价值.方法 对接受面部脂肪颗粒注射面部年轻化23例进行美学评估.根据美学标准,将全颜面划分为10个美学单位,49个美学亚单位.评价美容效果和并发症.结果 对23例149个美学单位实施脂肪颗粒注射,涉及300余个美学亚单位.每个美学单位注射1～35 ml.脂肪颗粒注射后面部均表现出不同程度的肿胀,10～14 d消退;11例出现局部淤血,5～20 d消退;无1例出现感染、硬结、血管栓塞等并发症.注射后1个月,注射部位肿胀消退,外形稳定;注射后3～6个月,注射部位较前饱满,圆润;注射后1年,取得良好的年轻化效果,接受注射者满意.结论 以面部美学分区为基础,进行整体与局部相结合的综合美学评估,有助于有的放矢地实施脂肪颗粒注射面部年轻化,取得良好的临床效果.%Objective To study the facial cosmetic zonation and its application of adipose injection for facial juvenescence.Methods According to standard of aesthetics,we divided total face into ten cosmetic units and 49 cosmetic sub-units.23 patients,injected adipose for facial juvenescence,were evaluated.Results 149 cosmetic units from 23 patients were injected with adipose granules,and involved 300 sub-units.Each unit was injected with adipose from 1 to 35 ml.After injection,the faces showed swelling in varying degrees,which resolved from ten to fourteen days.Local ecchymosis occurred in 11 cases,and resolved from five to twenty days.No any complication appeared,such as infection,scleroma and vascular embolism and so on.The follow-up results showed that one month later post-operation,swelling on injective sites resolved,and appearances were stable.3-6 months later post-operation,the injective sites were fuller.One year later,the good j uvenescence effect achieved,and the patients felt satisfactory.Conclusions On the basis of facial cosmetic zonation,the whole cosmetic evaluation combined with local cosmetic evaluation might be helpful to carry out adipose injection for facial juvenescence,and reach a satisfactory result.
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