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面部除皱术17例临床分析
Clinical Analysis on 17 Cases of Face Rhytidectomy
【作者】 成佳；
【导师】 马少林；
【作者基本信息】 新疆医科大学 ， 外科学， 2010， 硕士
【摘要】 目的:探讨面部除皱术在皮肤老化症整形外科治疗中的应用。方法:回顾性分析2005年10月至2009年4月行面部除皱术求美者17例。其中男性1例,女性16例;年龄为42~64岁,平均年龄53.47岁。上面部除皱术在帽状腱膜下层剥离,并切断部分皱眉肌、降眉肌,祛除部分额肌提紧皮肤,达到面上部年轻化目的。中面部除皱以提紧松弛下垂的面中部组织为目的。据除皱术受术者面部皮肤老化部位,选择性实施下睑袋成形术等辅助术式操作。结果:运用面上部或面中上部除皱术临床治疗17例面部皮肤老化求美者,随访时间3月~2年,所有的求美者对手术效果满意,术后未观察到严重并发症发生,仅个别受术者出现头皮瘙痒、局部脱发。结论:充分利用整形外科手术设计和操作原则,面部除皱术可以消除面部老化所致的皱纹,纠正眉下垂,避免严重的并发症,为面部松弛老化的求美者创造持续、有效的年轻化外观。
【Abstract】 Objective: To discuss the technique of upper and middle face aging and study the clinical experience. Methods: Between October 2005 and March 2009, 17 patients underwent upper face rhytidectomy or upper-middle face rhytidetomy. These procedures were 16 women and 1 man,at a mean age of 53.47years (range 42-64 years). Upper face rhytidectomy performed dissection under the epicranial aponeurosis layer,with corrugator supercilii to depressor supercilii resection,frontal muscle removal,skin tighting. Midface rhytidectomy performed by elevatoed laxity midface softtissue ptosis. Concurrent procedures included blepharoplasty. Results: 17 patients with aging face have been treated using upper face rhytidectomy or upper-middle face rhytidectomy, followed-up for 3 month to 2 years,all patients obtained good curative effects without any severe complications. Conclusion: Make full use of plastic surgery principles of design and operation, upper face rhytidectomy or upper-middle face rhytidectomy can remove wrinkles of skin, correct the prolapse of eyebrow and avoid the severe complications. The approach brings youthful human facial appearance to patients and produces a lasting curative effect.