颞颊部除皱术结合脂肪移植在面部年轻化中的应用

摘要

Objective To observe the safety and efficiency of face-lift combined with fat grafting in facial rejuvenation. Methods We performed a retrospective study, which included 23 patients. SMAS suspension and multi-site suspension were combined to correct the nasolabial fold, mid-cheek aging and malar mounds. Structural fat grafting was performed to treat the volume loss in mid-face. Results All patients demonstrated a significant improvement in midfacial appearance. No infection or nerve injury were found in this study. Only three patients did not get primary healing in temple region, which led to temporal hair loss from secondary healing. Conclusions This study demonstrates that fat grafting and multiple layers face-lift are efficient method for facial rejuvenation. These approaches appear to be very promising for facial anti-aging techniques.%目的 探讨颞颊部除皱术结合自体脂肪填充在面部抗衰老中的应用.方法 通过对皮下层的剥离和SMAS层剥离悬吊以及多点悬吊固定提升面部,改善鼻唇沟、颧丘以及外眦的下垂.再将自体颗粒脂肪移植到颞部和面中部,矫正局部脂肪缺失,针对深、浅脂肪团的吸收和游走进行组织移植.脂肪为单次移植,和除皱手术同时进行.结果 共为23例患者施行手术,术后效果满意,无感染和面神经损伤等并发症,仅有3例颞部切口二期愈合,出现了切口局部的脱发.91％ 的患者对手术效果满意.结论 颞颊部除皱术结合自体脂肪填充的方法能够同时解决皮肤下垂和容量缺失问题,安全有效.