颜面下部轮廓美容重塑  

Lower facial recontouring

作　　者：杭榆 

机构地区：[1]上海康奥整形外科医院,200040

出　　处：《中华医学美学美容杂志》2003年第4期209-211,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨颜面下部轮廓的美容重塑方法。方法　颜面下部轮廓由下颌骨、肌肉和面颊部的脂肪共同构成。通过下颌角切除和颏部假体充填 (隆颏术 )可以改变面部的骨骼结构 ,面部脂肪抽吸术则能够调整面部软组织形态。根据受术者的具体情况 ,单独和联合施行上述 3种手术进行颜面下部轮廓的重塑。结果　 731例颜面下部轮廓重塑者中 ,共行下颌角切除 4 6 1例 ,隆颏术 30 0例 ,面部吸脂 89例 ,手术均在局部麻醉下进行 ,部分施行了联合手术。下颌角手术采用口内外联合切口微型电锯截骨术式 ,隆颏术经口内下唇系带旁切口行硅胶假体置入 ,面部采用肿胀麻醉行脂肪抽吸术。术后基本符合美学标准 ,达到术前预期要求 ,术者与受术者均比较满意。无严重并发症。结论　通过单独或联合施行下颌角切除、隆颏术、面颊部脂肪抽吸术进行颜面下部的轮廓美容重塑 ,可以取得良好的效果。Objective To introduce the surgical technique for lower facial recontouring. Methods Lower face is composed of mandible, muscle and subcutaneous fat. Mandibular angle reduction and augmentation mentoplasty were performed to recontour the skeleton of the lower face and liposuction to reshape the soft tissue. The three above-mentioned procedures were used alone or combined to recontour the lower face depending on the anatomy of the patients. Results The procedures were undertaken in 731 cases for lower facial recontouring. All procedures were performed with local anesthesia. The mandibular angle reduction was taken through the intra and extraoral combined incision with micro saw. Silicone implant was used in augmentation mentoplasty with intraoral incision. Tumescent technique was adoped in facial liposuction. The results were satisfactory with no serious complications. Conclusion Mandibular angle reduction, augmentation mentoplasty and facial liposuction used alone or combined are simple, effective and safe in lower facial recontouring.

关 键 词：颜面 轮廓 美容术 下颌修复术 脂肪抽吸术 手术 并发症 

分 类 号：R622[医药卫生—整形外科]