颧脂肪垫悬吊技术辅以SMAS折叠的中面部除皱术  

Midface lifting of the suspension of the malar fat pad with SMAS plication

作　　者：张志宏[1] 李文志[1] 欧阳钟石[1] 王佳琦[2] 

机构地区：[1]首都医科大学附属北京安贞医院整形美容和激光医学科,北京100029 [2]中国医学科学院中国协和医科大学整形外科医院面颈部整形美容中心

出　　处：《中国美容医学》2011年第4期529-531,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:出于中面部提升简单化的趋势,介绍一种颧脂肪垫提升和SMAS移位的除皱技术。以期改善颧下区域空虚、鼻唇沟加深等中面部老化的问题。方法:采用一种中面部年轻化方法,行颊部耳前SMAS折叠,同时将下垂的颧脂垫缝线悬吊于耳前筋膜,使老化中面部维持长期的提升效果。结果:2006～2010年,在52例面部除皱术中运用该技术,中面部提升效果维持时间长,恢复期短,无面神经损伤等严重并发症出现。结论:皮下层的安全剥离避免了面神经分支的损伤。颧脂肪垫悬吊技术辅以SMAS折叠术,避免了较长的恢复期和深层剥离可能导致的损伤。这种方法可作为独立的中面部手术在局麻下实施,操作简单、安全、效果持久。Objective A trend toward simplification in midface lifting has introduced the technique of suspension of the malar fat pad with SMAS plication.The questions of midfacial aging including hollowing in the submalar area,deepening of the nasolabial crease,can be correctted by this technique.Methods We describe an approach to midfacial rejuvenation that combines suture suspension of the ptotic malar fat pad to the preauricular fascia with baccul SMAS placation.Long-lasting improvement of the aging midface is achieved.Results This technique was used in 52 patients between 2006 and 2010,producing effective long-lasting results with limited convalescence and minimal complication rates.Conclusions Safe dissection in the subcutaneous plane avoids injury to facial nerve branches.Plication of the SMAS with suture suspension of the malar fat pad avoids the prolonged convalescence and other morbidities of deep plane dissections.This approach can be quickly and easily performed under local anesthesia as an isolated midface procedure,and it is a simple and safe procedure with effective long-lasting results.

关 键 词：颧脂肪垫 浅表肌肉腱膜系统 中面部除皱术 

分 类 号：R622[医药卫生—整形外科]