自体脂肪移植在面部轮廓改善与年轻化中的临床应用  

Clinical Application of Autologous Fat Grafting for Facial Contour Improvement and Facial Rejuvenation

作　　者：邓景成[1] 张琪[1] 曹卫刚[1] 刘李娜[1] 蒋朝华[1] 李圣利[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科杂志》2015年第6期365-369,共5页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨应用自体脂肪颗粒移植改善面部轮廓与面部老龄化的有效性。方法 2013年1月至2014年12月,共140例年龄19~65岁面部轮廓欠佳或面部老化的患者,采用肿胀吸脂术于大腿或下腹部进行脂肪抽吸,获取的脂肪进行过滤、纯化、漂洗等处理,用16~22 G钝头注射针将经处理的颗粒脂肪注射到额颞部、泪沟、颊区、鼻梁、鼻唇沟、颏部、唇部、耳垂及面部其他部位。结果随访3~18个月,130例一次手术即取得满意效果,10例行2次手术后达到满意效果。所有患者术后均无明显并发症,总体满意率为93.5%,1例出现术后面部局部硬结,5例术后泪沟处肿胀时间超过2个月,半年后基本恢复。所有患者术后均无蜂窝织炎或脂肪坏死发生。结论面部自体脂肪移植是一项简单、安全、有效的手术,能够自然地重塑面部轮廓、恢复面部容积和改善面部老龄化,绝大多数患者对术后的外观改善感到满意。Objective To evaluate the clinical effects of autologous fat grafting for facial contour improvement and facial rejuvenation. Methods From January 2013 to December 2014, 140 cases aged 19 to 65 years with poor facial contour or aging face were treated by autologous fat grafting. After purification, washing and decanting, autologous fat harvested by liposuction from lower abdomen or thigh was injected into the recipient areas of face and neck, including fronto-temporal region, tear trough, malar and cheek areas, nose, nasolabial fold, chin, lip, earlobe and the other areas of face. Results All cases were followed up for 3 to 18 months, 130 cases gained satisfactory clinical results by injecting for once and the other10 cases acquired satisfactory clinical results with second injections. Except for 1 case of induration in the right temporal region and 5 cases of longer-lasting swelling over 2 months in naso-jugal creases, there were no obvious complications such as infection, fat necrosis and fibrosis. The satisfactory rate was 93.6% in total. Conclusion Autologous fat transfer is a simple, safe and quite effective method for facial contour improvement and facial rejuvenation, which can remodel facial appearance, recover facial volume and promote facial rejuvenation naturally. Most of the patients were satisfied with the soft,natural appearance of the face.

关 键 词：自体脂肪移植 面部轮廓 年轻化 

分 类 号：R622.9[医药卫生—整形外科]