面部注射材料选择的解剖学逻辑  

Anatomical logic of material selection for facial injections

作　　者：吴溯帆[1] 孙燚[1] Wu Sufan;Sun Yi(Department of Plastic&Reconstructive Surgery,Zhejiang Provincial People’s Hospital(Affiliated People’s Hospital),Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院整形外科,杭州310014

出　　处：《中华整形外科杂志》2025年第2期196-202,共7页Chinese Journal of Plastic Surgery

基　　金：浙江省自然科学探索项目(LQ24H150004)。

摘　　要：注射美容已经成为整形外科一个重要的治疗项目,肉毒毒素和皮肤填充剂是注射美容的两大板块,肉毒毒素的注射靶组织是表情肌,而可供选择的注射填充材料众多,从作用机制上可以分为容量填充剂、胶原刺激剂、营养水光剂3大类,这些材料的选择与注射部位的组织类型有关。该文将面部软组织细分为皮肤、皮下脂肪、浅表肌腱膜系统、深层组织、骨膜或深筋膜5个水平层次,以及它们和垂直韧带组成的立体结构,并从这些组织结构的特点出发,分析适合其的注射材料。尤其提示应关注容量填充剂和胶原刺激剂的差异,两者的作用机制、适应证和注射方法完全不同,前者适用于需要容量补充的深层组织,后者适用于需要增补胶原的各类组织。总之,注射材料的选择和解剖结构之间存在密切的逻辑关系。Aesthetic injection has become an important treatment item of plastic surgery.Botulinum toxin and dermal fillers are the two major plates of injections.It is clear that the target tissue of botulinum toxin is expression muscles,whereas there are many filling materials to choose from.According to the mechanism,filling materials can be divided into three categories:volume fillers,collagen stimulators,nutritional glossers.The selection of these materials is related to the tissue type of the injection site.This article subdivides facial soft tissues into 5 horizontal layers:skin,subcutaneous fat,superficial muscular aponeurotic system,deep tissue,periosteum or deep fascia,as well as the the vertical ligaments,which compose a three-dimensional structure.The characteristics of these tissue structures are analyzed for selection of filling materials.Particular attention should be paid to the differences between volumetric fillers and collagen stimulators,which have completely different mechanisms of action,indications,and injection technique,with the former being suitable for deep tissues that require volume supplementation,and the latter for all types of tissues that require collagen supplementation.In conclusion,there is a close logical relationship between the choice of injection material and the facial anatomy.

关 键 词：注射美容 注射材料 面部解剖 胶原刺激剂 

分 类 号：R68[医药卫生—骨科学]