颞部发际缘W切口多手段联合中面部年轻化手术的疗效  

Rhytidectomy by multi-method joint application of W incisions in temporal hair line

作　　者：王本峰[1] 徐子寒[1] 朱秀梅[1] 高文杰[1] 郭亚东[1] 张振信[1] 

机构地区：[1]陕西省人民医院烧伤整形医学美容外科,西安710068

出　　处：《中华医学美学美容杂志》2015年第1期8-10,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨颡部发际缘W切口多手段联合面部年轻化手术的疗效.方法 对84例受术者实施了颞部发际缘W切口多手段联合面部年轻化手术.于颞部发际缘设计切口,采取锐性、钝性相结合的剥离方法、脂肪抽吸术、自体脂肪填充、表浅肌腱膜系统（SMAS）筋膜瓣收紧固定以及颧颊纤维脂肪垫悬吊等联合微创整形外科操作行面部年轻化手术.结果 84例受术者术后均取得了满意的临床效果,面部松垂的皮肤得到提升,凹陷部位得以填充,鼻唇沟变浅,呈现出年轻化的效果.84例患者术后随访3个月至2年,切口愈合佳且隐蔽性好,皮肤色泽质地有所改善,未发生出血、面神经损伤、局部不平整等并发症.结论 颞部发际缘W切口多手段联合面部年轻化手术,是一种切口隐蔽、创伤轻、恢复快、并发症少、疗效可靠、受术者易于接受的面部年轻化手术方法,值得临床推广应用.Objective To introduce an operative method of rhytidectomy with W-incision and fewer complications for facial rejuvenation.Methods A total of 84 patients were treated with rhytidectomy by multi-methods and followed up from January 2007 to December 2012.The rhytidectomy was done along the temporal hairline edge through the combined procedures,including sharp and blunt separation,liposuction and filling with autologous fat,tighting and fixing the fascial flap of superficial musculoaponeurotic system,as well as the suspension of the zygomatic cheek fiber fat pad.Results Follow-up for 3 moths to 2 years after surgery in 84 patients showed that the wound was healing with good concealment and without complications such as facial nerve injury or local uneven.All the cases achieved good results in facelift with high satisfaction rate after the combined operations.Conclusions This combined rhytidectomy is safe,effective,simple and easy.And it is a good and ideal approach of facial rejuvenation worthy of clinical application.

关 键 词：除皱术 面部年轻化 脂肪垫 颞部发际缘 微创 

分 类 号：R622[医药卫生—整形外科]