自体脂肪移植综合技术在面部轮廓整形中的应用

摘要

目的 探讨自体脂肪移植综合技术在面部轮廓整形方面的疗效.方法 对83例要求面部轮廓整形的患者(颞部凹陷、颊部凹陷、眶周凹陷、消瘦衰老脸型以及面部不对称)采用"3L3M"综合技术(low pressure suction,low speed centrifugation,low volume,multi-plane,multitunnel,multi-point injection)进行治疗.自体脂肪移植注射1～3次,中间间隔3～6个月.通过术前、术后不同角度照片的比较,以及患者术后表情恢复,局部吸收和囊肿发生情况,自我感觉等随访,来评价治疗效果.结果 最长8年,平均4.23年的随访发现在1～3次自体脂肪注射后,脂肪可以在受区长期存活.73.5%以上患者对疗效满意,小于4.8%的患者对疗效不满意.结论 "3L3M"的自体脂肪移植综合技术用于面部轮廓整形是一项安全而有效的治疗方法.%Objective To discuss the integrated autologous fat graft technique in face recontouring.Methods In this study we treated 83 cases of face recontouring with 3L3M technique(low pressure suction,low speed centrifugation,low volume,multi-plane,multi-tunnel,multi-point injection).Each case was treated 1-3 times and the interval period is 3-6 months.The result was based on comparing the photos taken from pre-operation and post operation,observing the expression recovery,cysts,local absorption,and patients self evaluation.Results Long time follow up showed that fat graft can be alive in the recipient site for long time after 1-3 times autologous fat injection.More than 73.5%patients were satisfactory with the curative effect while less than 4.8%patients were unsatisfactory.Conclusion 3L3M integrated fat graft technique is an effective and safe treatment in face recontouring.