骨骼重建与自体脂肪移植在面部整形中的应用  

Bone reconstruction with autologous fat transplantation in facial plasty

作　　者：聂云飞[1] 李小林[1] 巫国辉[1] 

机构地区：[1]江西省人民医院整形颌面外科,江西省南昌市330006

出　　处：《中国组织工程研究》2012年第28期5264-5268,共5页Chinese Journal of Tissue Engineering Research

摘　　要：背景:面部整形中自体脂肪注射、脂肪抽吸、填充剂、肉毒素、激光和射频等技术的应用成了不可或缺的前奏或伴奏。目的:回顾性总结分析面部提升术和脂肪注射技术在面部年轻化中的作用。方法:以英文检索词"bone,facial,autologous fat transplantation,facial plastic,superfical musculoaponeuroticsystem(SMAS)"为主,由第一作者重点检索1893-01/2011-12PubMed数据有关面部解剖与老化及面部脂肪移植技术相关的文献,排除重复性研究。保留47篇文献进行归纳总结。结果与结论:面部老龄化主要存在3个表现:色斑、皱纹、松垂。随着年龄增加眼眶环变大,下颌角变钝;骨质吸收表现在眉间下缘、眶上下缘、梨状孔边缘、上下牙槽棘突、上颌切迹、颏突、下颌角等,浅表肌肉腱膜系统层无明显变化。面部的脂肪注射是容量恢复的最直接方法,1936例面部轮廓塑形的结果,认为面部消瘦的老年人做面部提升的同时做脂肪注射可取得满意结果,半侧颜面萎缩的患者也可取得几乎正常的面部轮廓。面部脂肪注射不仅恢复了面部饱满圆润上升的轮廓曲线,而且面部皮肤的质地和色泽也得到提高。BACKGROUND： The use of autologous fat transplantation, liposuction, fillers, Botox, lasers and radiofrequency has become absolutely necessary prelude or accompaniment in facial plasty. OBJECTIVE： To retrospectively analyze effect of face lift and fat injection on facial rejuvenation METHODS： Articles addressing face anatomy, ageing and facial fat transplantation, excluding repetitive studies, were identified by searching PubMed （1893 01 to 2011 12） using the keywords of ＂bone, facial, autologous fat transplantation facial plastic, superficial musculoaponeuroticsystem （SMAS）＂. Finally, 47 articles were summarized. RESULTS AND CONCLUSION： Pigment patch, wrinkle and ptosis are the main features in facial ageing. The mandibular angle is blunt with aging. Bone resorption mainly exist in the orbital rim, piriform aperture, alveolar bone maxilla notch, chin projection and mandibular angle. SMAS do not change obviously. Fat injection is the direct method for facial volume. Totally 1 936 results of facial profiles moulding show that face lift and fat injection get satisfactory outcome for the elderly with facial emaciation, and patients with hemifacial atrophy can almost have normal facial profile. Facial fat injection cannot only recover face plump and ascend profile curve, but also improve facial skin texture and tinct.

关 键 词：脂肪移植 骨骼 自体 面部 整形 浅表肌肉腱膜系统 

分 类 号：R318[医药卫生—生物医学工程]