浅表肌腱膜系统多矢量悬吊在面颈部年轻化的效果  

Facial lifting effect of SMAS multi-vector suspension

作　　者：马文天 谢洋春 Ma Wentian;Xie Yangchun(Department of Plastic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)

机构地区：[1]中国医学科学院、北京协和医学院、整形外科医院面颈整形科,北京100144

出　　处：《中华医学美学美容杂志》2023年第4期292-295,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的:探讨表浅肌腱膜系统(SMAS)多矢量悬吊在面颈部年轻化的效果。方法:2019年12月至2023年3月,中国医学科学院整形外科医院整形外科实施颊部除皱术34例和颊颈部除皱术10例。全身麻醉后,先行颊部、下颌缘吸脂,取耳前、耳后切口,皮下剥离完成后,分离腮腺区SMAS,再对SMAS进行多矢量荷包缝合悬吊固定,切除多余皮肤,减张缝合切口。结果:44例患者手术顺利,术后随访效果满意,下垂软组织得到复位,面颈部提升自然,无面神经损伤、皮下血肿、切口感染、皮瓣坏死等严重并发症。结论:SMAS多矢量悬吊可明显改善颊颈部组织松垂,并发症少,可获得满意的年轻化效果。Objective To explore the rejuvenation effect of SMAS(Superficial musculoaponeurotic system)multi-vector suspension in the face and neck.Methods From December 2019 to March 2023,the Plastic Surgery Department of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences implemented 34 cases of cheek rhytidectomy and 10 cases of cheek andneck rhytidectomy.Following general anaesthesia,liposuction is performed on the cheek and mandibular margins,and incisions are made anterior and posterior to the ear.At the end of the subcutaneous dissection,the SMAS in the region of the parotid gland is separated,and the SMAS is then secured by purse string multi-vector suture suspension.Intheend,excess skin is removed and the incision is reduced in tension.Results All patients underwent successful surgeries and were satisfied with the postoperative follow-up results.The sagging soft tissues were effectively repositioned,resulting in natural facial and neck lift.There were no serious complications such as facial nerve injury,subcutaneous hematoma,incision infection,or skin flap necrosis.Conclusions The utilization of MAS multi-vector suspension can significantly improve the relaxation of cheek and neck tissue,with fewer complications and satisfactory rejuvenation effect.

关 键 词：面部 除皱术 颈部除皱术 面颈部年轻化 表浅肌肉腱膜系统 颈阔肌 

分 类 号：R622[医药卫生—整形外科]