自体脂肪颗粒填充面部轮廓重塑的效果  

Effect of facial filling with autologous fat particles on facial contour reshaping

作　　者：申丽[1,2] 张芳 郝媛媛[3] 李广帅[1] Shen Li;Zhang Fang;Hao Yuanyuan;Li Guangshuai(Department of Plastic and Cosmetic Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Plastic and Cosmetic Surgery,Zhengzhou Meilai Medical Beauty Hospital,Zhengzhou 450000,China;Department of Plastic and Cosmetic Surgery,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院整形美容外科,郑州450000 [2]郑州美莱医疗美容医院整形美容外科,郑州450000 [3]郑州大学第五附属医院整形美容外科,郑州450000

出　　处：《中华医学美学美容杂志》2023年第4期279-283,共5页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：河南省高等学校重点科研项目(20A320033)。

摘　　要：目的探讨自体脂肪颗粒面部填充对有面部年轻化需求患者的面部轮廓重塑效果及对患者面部皮肤指标的影响。方法2019年2月至2020年2月,郑州美莱医疗美容医院整形美容外科接诊面部年轻化治疗女性患者225例,年龄25~52(42.5±5.2)岁,分为观察组[行聚对二氧环己酮(Polypara-dioxanone,PPDO)锯齿线提升联合自体脂肪颗粒填充术]、对照1组(单纯PPDO锯齿线提升术)、对照2组(单纯自体脂肪颗粒填充术),每组各75例。随访6个月,比较3组患者面部皮肤指标、轮廓重塑效果、治疗后不良反应。结果6个月随访时,观察组面部皮肤弹性及水分评分[(63.45±10.11)、(56.71±9.38)分]明显高于对照1组[(51.11±9.23)、(43.69±7.65)分及对照2组[(52.35±9.51)、(42.47±7.53)分];面部斑点及油脂评分[(41.31±7.24)、(42.18±7.46)分]明显低于对照1组[(48.67±9.15)、(53.49±9.45)分]及对照2组[(48.26±9.21)、(53.55±9.53)分](F=37.39、68.98、17.42、40.91,均P<0.001)。观察组面下部宽度(11.35±0.63)cm低于对照1组(12.21±0.85)cm及对照2组(12.38±0.65)cm,面下部轮廓比例(0.63±0.17)高于对照1组(0.56±0.15)及对照2组(0.57±0.15)(F=44.49、4.36,均P<0.05)。术后面下部比例变化水平(0.12±0.03)高于对照1组(0.07±0.02)及对照2组(0.08±0.04)(F=54.31,P<0.001)。结论自体脂肪颗粒面部填充可明显改善患者面部皮肤弹性、水分、斑点、油脂等情况,患者面部轮廓重塑效果较好,未增加不良反应发生风险。Objective To explore the effect of facial filling with autologous fat particles on the facial contour remodeling of patients with facial rejuvenation needs and its influence on the facial skin indicators of patients.Methods From February 2019 to February 2020,225 female patients,aged 25-52 years,with an average age of(42.5±5.2)years,received facial rejuvenation treatment in Zhengzhou Mylai Medical Beauty Hospital.They were divided into observation group(PPDO serrated line lifting combined with autologous fat granule filling),control group 1(PPDO serrated line lifting alone)and control group 2(simple autologous fat granule filling alone),with 75 cases in each group.After 6 months of follow-up,facial skin indexes,contour remodeling effect and adverse reactions after treatment were compared among the three groups.Results At the last follow-up,the facial skin elasticity and moisture scores of the observation group(63.45±10.11,56.71±9.38)were significantly higher than those of control group 1(51.11±9.23,43.69±7.65)and control group 2(52.35±9.51,42.47±7.53).The facial spots and lipid scores(41.31±7.24,42.18±7.46)were significantly lower than those in control group 1(48.67±9.15,53.49±9.45)and control group 2(48.26±9.21,53.55±9.53)(F=37.39,68.98,17.42,40.91,P<0.001).At the last follow-up,the lower surface width of observation group(11.35±0.63)was lower than that of control group 1(12.21±0.85)and control group 2(12.38±0.65).The contour ratio of the lower part of the face(0.63±0.17)was higher than that of control group 1(0.56±0.15)and control group 2(0.57±0.15)(F=44.49,4.36,P<0.05).The change level of the ratio of lower facial area(0.12±0.03)was higher than that of control group 1(0.07±0.02)and control group 2(0.08±0.04)(F=54.31,P<0.001).Conclusions For patients who need facial rejuvenation treatment,the use of autologous fat granule facial filling therapy has good clinical effects,which can significantly improve the patient's facial skin elasticity,moisture,spots,and oil.The patient's facial contour

关 键 词：面部 移植 自体 脂肪组织 自体脂肪颗粒填充 面部提升 

分 类 号：R622[医药卫生—整形外科]