透明质酸注射隆颏联合颏肌放松治疗轻中度小颏畸形的疗效观察  

Clinical Observation of Chin Augmentation with Hyaluronic Acid Injection Combined with Mentalis Relaxation in Treatment of Mild to Moderate Chin Microsomia

作　　者：徐爽 高亮 李俊岑 陈晶 金昊 赵鑫鑫 XU Shuang;GAO Liang;LI Jun-cen;CHEN Jing;Jin Hao;ZHAO Xin-xin(Chinese Medical Association Liyuan Medical and Beauty Clinic,Sichuan Province,610000,China;Department of Experimental Techonogy,Chengdu Medical College,Sichuan Province,610081,China)

机构地区：[1]成都武侯华人医联丽元医疗美容门诊部,四川成都610000 [2]成都医学院实验技术教研室,四川成都610081

出　　处：《中国医疗美容》2019年第7期2-6,共5页China Medical Cosmetology

摘　　要：目的观察透明质酸注射隆颏联合颏肌放松治疗轻中度小颏畸形的临床疗效.方法收集小颏畸形伴颏肌紧张求美者36例(轻度:24例;中度:12例),均采用透明质酸注射隆颏联合A型肉毒毒素注射颏肌治疗.采用双盲法,由两位美容医生独立收集求美者治疗前后的数据:①测量求美者颏前点到Richett's审美平面的距离;②测定求美者面高比;③测定颏点是否处于理想颏点位置.统计指标均采用SPSS 19.0统计软件分析.结果术后随访3~6个月,失访3例.注射后求美者颏部矢状位满足Richett's审美平面,面高比例基本符合美学标准,颏点位于理想颏点区域.治疗后颏部轻度肿胀,4~7d后逐渐消退,随访期间均未发生血肿、局部感染、皮肤坏死及填充剂过敏情况.求美者对注射后效果满意.经统计分析,求美者治疗前(4.788±1.709)mm和治疗后3月(0.969±0.684)mm测量指标存在统计学差异(t=17.058,P<0.01)结论透明质酸注射隆颏结合A型肉毒毒素注射颏肌,具有可逆性,术后效果明显.较单一的注射隆颏方式而言,颏部肌肉的放松减少了透明质酸的用量,使透明质酸在颏部组织的分布更加均匀,面部轮廓更加自然,求美者满意度高,值得临床推广.Objective To observe the effect of chin augmentation with hyaluronic acid injection combined with mentalis relaxation in treatment of mild to moderate chin microsomia. Methods 36 patients with mild to moderate chin microsomia and mentalis tension underwent treatment of chin augmentation with hyaluronic acid injection combined with botulinum toxin A injection.Adopting a double-blind method,before and after treatment, two cosmetology doctors independently collected data which were comprised of measuring the distance between the pogonion and the Richett's aesthetic plane, and measuring the surface height ratio,and determining whether the chin point was between the range of ideal location.The statistical indicators were analyzed by SPSS 19 statistical software. Results To follow-up 3to 8 months after the operation, and 3 people were lost. After injection, the beauty of the chin sagittal position satisfies Richett's aesthetic plane, the high ratio is basically in line with aesthetic standards, the chin point is located in the ideal chin point area. After treatment, the chin area was slightly swollen and gradually subsided after 4 to 7D. No hematoma, local infection, skin necrosis, and fill allergy were found during follow-up. The beauty seeker is satisfied with the effect after injection. According to statistical analysis, there were statistical differences in the measurement index between the three months before and after the treatment. Conclusion The chin augmentation with hyaluronic acid injection combined with type A botulinum toxin injection of chin muscle has reversibility, and the postoperative effect is obvious.In terms of a single injection method, the relaxation of the chin muscles reduces the amount of hyaluronic acid, so that the distribution of hyaluronic acid in the chin tissue is more uniform, the facial contour is more natural, and the satisfaction of the beauty seeker is high. it is worthy of popularization and application.

关 键 词：小颏畸形 透明质酸 隆颏术 肉毒毒素 颏肌紧张 

分 类 号：R622[医药卫生—整形外科]