低浓度A型肉毒毒素与自体脂肪移植联用在面部抗衰中的应用及并发症分析  

Application of Low Concentration Botulinum Toxin Type A Combined with Autologous Fat Grafting in Facial Anti-aging and Analyses of Its Complications

作　　者：张孟丽 孟真 付聪 孙志宏 霍然 王法刚[3] 薛峰 施孟冬 高峰 ZHANG Mengli;MENG Zhen;FU Cong;SUN Zhihong;HUO Ran;WANG Fagang;XUE Feng;SHI Mengdong;GAO Feng(Cheeloo College of Medicine,Shandong University,Jinan 250063,Shandong,China;Department of Plastic Surgery,Shandong Provincial Hospital,Jinan 250021,Shandong,China;Department of Plastic Surgery,Shandong Provincial Hospital Affi liated to Shandong First Medical University,Jinan 250021,Shandong,China)

机构地区：[1]山东大学齐鲁医学院,山东济南250063 [2]山东省立医院整形美容外科,山东济南250021 [3]山东第一医科大学附属省立医院整形美容外科,山东济南250021

出　　处：《中国美容医学》2024年第6期22-25,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:观察低浓度A型肉毒素联合自体脂肪移植在面部抗衰中的应用效果,并对相关并发症进行分析。方法:2017年1月-2018年12月,笔者科室采用低浓度A型肉毒素与自体脂肪移植联用的方法,对27例就医者进行面部轮廓整形和抗衰老治疗,观察其临床治疗效果、总结并分析并发症产生的原因。结果:本组共27例就医者,术后面部老化特征或面部轮廓获得明显改善,2例出现一过性的一侧鼻唇沟变浅、张嘴时口角歪斜的情况。结论:A型肉毒毒素与自体脂肪联合应用是一种安全、有效的抗面部衰老的治疗方式,低浓度A型肉毒毒素与肿胀液混合液在面部多层次注射后再行自体脂肪填充能够有效减少并发症。Objective To observe the application effect of low concentration of botulinum toxin A combined with autologous fat transplantation in facial anti-aging,and to analyze the related complications.Methods From January 2017 to December 2018,the author's department used low concentration of botulinum toxin A combined with autologous fat transplantation to treat 27 patients with facial contouring and anti-aging treatment.The clinical treatment effects were observed,and the causes of complications were summarized and analyzed.Results A total of 27 patients were treated in this group.The facial aging features or facial contour were significantly improved after operation,and 2 patients had transient shallow nasolabial fold on one side and deviation of mouth Angle when opening mouth.Conclusion Botulinum toxin type A combined with autologous fat is a safe and effective treatment for facial aging.Low concentration of botulinum toxin type A combined with swellingfluid can effectively reduce complications in facial multi-level injection followed by autologous fat grafting.

关 键 词：A型肉毒毒素 自体脂肪 移植 面部年轻化 脂肪存活率 并发症 

分 类 号：R622[医药卫生—整形外科]