借助双极射频效应联合小切口提升手术对下面部及颊颏颈区塑形的效果  

Effect of bipolar radio frequency in combination with small incision on lower facial lifting and shaping

作　　者：于波 邹萍 李万强 周书香 张委[2] 杜太超 Yu Bo;Zou Ping;Li Wanqiang;Zhou Shuxiang;Zhang Wei;Du Taichao(Beijing Huangsi Aesthetic Medical Clinic,Beijing 100101,China;Fuling District Central Hospital of Chongqing,Chongqing 408000,China)

机构地区：[1]北京黄寺医疗美容诊所,北京100101 [2]重庆市涪陵区中心医院,重庆408000

出　　处：《中华医学美学美容杂志》2021年第3期210-213,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨借助双极射频效应联合小切口提升手术用于下面部颊、颏、颈部区域塑形年轻化的效果。方法2019年8月至2020年6月,北京黄寺医疗美容诊所对要求年轻化美容就医者26例(年龄35~60岁,平均45岁)采用下面颊部、下颌缘、颏下颈区精细吸脂,用双极侵入射频设备——EMBRACE RF(钻石精雕)facetite面部手具射频皮下收紧皮肤,耳屏前至耳后隐蔽小切口,面部浅表肌肉腱膜浅层剥离,折叠收紧悬吊。去除多余皮肤同时多层次减张,美容缝合切口。结果26例患者伤口均一期愈合,无皮肤坏死和感觉障碍等并发症。24例术后随访6~12个月,瘢痕隐蔽轻微、皮肤紧致、上提效果明显、口角囊袋消失或减轻、下颌缘轮廓清晰、颈颌角清晰显现、颈部显现修长形态、下颏臃肿得到显著改善,面部年轻化效果明显。2例有效果但患者自觉未达预期效果,6个月后进行二次手术调整后满意。1次手术满意24例,满意率92.3%。结论借助双极射频效应联合小切口提升手术对下面部颊、颏、颈区塑形年轻化效果显著、创伤小恢复快、瘢痕隐蔽轻微,值得临床应用。Objective To discuss the effect of bipolar radio frequency(RF)in combination with small incision on lower facial(cheek,chin and neck)shaping and rejuvenation.Methods From August 2019 to June 2020,26 patients(aged 35-60 years,with mean 45 years)required for facial rejuvenation and received the fine liposuction in the lower cheek,mandibular margin and submental neck area in Beijing Huangsi Plastic Surgery Hospital.With the help of bipolar RF device-EMBRACE RF(diamond carving),the facetite face and hand radiofrequency were adopted for the subcutaneous tissue to tighten the skin.A concealed small incision was made from the front of the ear to the posterior ear.The superficial layer of the superficial muscular aponeuritic system(SMAS)was stripped,folded,tightened and suspended.The excessive skin was removed while reducing multilayer tension.The incision was cosmetically sutured.Results All 26 patients had their wounds primary healing,with no complications such as skin necrosis and sensory disorder.All the 24 patients were followed up for 6-12 months.Their scars were concealed and tiny,the skin was tight,the lifting effect was obvious,and the pouch of mouth corners disappeared or alleviated.The contour of the mandibular margin was defined and the mental cervical angle was clear.The shape of the neck was slender and the fat chin was significantly improved.The effect of facial rejuvenation was distinct.Two patients felt it worked but did not achieve the expected results.They were satisfactory after giving the second surgery 6 months later.The satisfactory rate of the first surgery was 92.3%in 24 patients.Conclusions Bipolar RF in combination with small incision lifting surgery is effective in lower facial(cheek,chin and neck)shaping and rejuvenation.The trauma is little and the wound is recovered fast.The scar is concealed and tiny.It is worthy of clinical application.

关 键 词：面部 年轻化 射频 面部提升 吸脂 

分 类 号：R622[医药卫生—整形外科]