眉部和下睑缘切口对颧脂肪垫及眼轮匝肌悬吊的中面部年轻化效果分析  

Analysis of facial rejuvenation effect of eyebrow and subciliary of malar fat pad and orbicularis muscle suspension

作　　者：齐磊 

机构地区：[1]甘肃庆阳市人民医院整形美容科,庆阳745000

出　　处：《河南外科学杂志》2017年第2期27-28,共2页Henan Journal of Surgery

摘　　要：目的探讨眉部和下睑缘切口对颧脂肪垫及眼轮匝肌悬吊的中面部年轻化效果。方法以72例进行面中部整形者为观察对象,应用眉部和下睑缘切口对颧脂肪垫及眼轮匝肌悬吊法进行手术。分析术后1周、3个月、6个月和1 a的治疗效果,观察有无外眦变形、下睑外翻或退缩、瘢痕增生等并发症。结果患者均未出现外眦变形、下睑外翻和面神经损伤并发症。4例患者下睑外眦切口末端有少许猫耳,3~6个月后自行消失。2例术后1周时出现双侧鼻唇沟不对称,采用脂肪填充后被矫正。3例患者术后外眦水肿较明显,经射频治疗后逐渐恢复。3例患者早期诉眼部干涩,3个月后症状消失。其余患者效果满意,中面部老化状态得到良好矫正,且无其他并发症和继发畸形出现。结论眉部和下睑缘切口对颧脂肪垫和眼轮匝肌悬吊处理效果满意,手术切口小且无面神经损伤,有效提高中面部的年轻化美容效果。Objective To investigate the eyebrow and subciliary incision on the malar fat pad and orbicularis muscle suspension in facial rejuvenation effect. Methods To observe the 72 cases of central plastic surgery in our hospital,method and application of eyebrow subciliary of malar fat pad and orbicularis muscle suspension surgery,the postoperative results were followed up for 1 week,3 months,6 months and1 year after operation,there is no lateral deformation observation,Complications such as lower eyelid retraction or withdrawal,scar hyperplasia,Evaluate the effect of surgery. Results The lateral deformation,ectropion of lower eyelid and facial nerve injury and there were no complications in all patients. 4 cases of patients with lower eyelid incision at the end of a band of ears,3 to 6 months disappear. There were 2 cases of bilateral cleft lip and cleft lip in one week after operation. 3 cases of patients with postoperative external canthus obvious edema and gradually recovered by radiofrequency ablation. 3 cases of patients with early complaints of dry eye,the symptom disappeared after 3 months. The rest of the patients with satisfactory results,the state of the aging of the face was well corrected,and no other complications and secondary deformities.Conclusion Eyebrow and subciliary incision of malar fat pad and orbicularis muscle suspension with satisfactory effect,small incision and no facial nerve injury,effectively improve the cosmetic effect in the face of the young.

关 键 词：下睑缘 颧脂肪垫 眼轮匝肌悬吊术 面部年轻化 

分 类 号：R622[医药卫生—整形外科]