摘要
背景:随着人们对美的追求越来越高,面部美容已被越来越多的人接受,随之出现了各种美容方法和术式,这些方法均需要高额的修复费用,并且造成的创伤也比较大,恢复很慢,而且还会引起永久性瘢痕,甚至出现瘢痕增生等情况。移植美容是一种较新的治疗方法,而移植物的选择对治疗效果具有重要的影响。目的:探讨结构性脂肪颗粒移植在面部年轻化中的应用效果。方法:选取自2016年5月至2017年5月间进行面部年轻化者21例作为研究对象,结合多方面因素对所有研究对象供区及受区进行评估。抽取供区脂肪,去除沉淀和油脂后植入供区。移植后6个月,通过调查问卷的形式对修复效果满意度、面部皱纹严重程度进行评分,统计再次补充注射例数及并发症发生例数,检测受区脂肪颗粒移植前后面部脂肪容积。结果与结论:(1)移植后6个月随访显示仅2例研究对象要求接受再次脂肪颗粒移植;(2)通过1次或2次自体脂肪移植,所有研究对象面部容量不足、凹陷、静态纹均得到良好改善。所有研究对象对脂肪颗粒移植平均满意度评分为(8.47±0.43)分,移植后6个月面部脂肪容积较移植前有所增加(P<0.05),面部皱纹严重程度评分明显低于移植前(P<0.05);(3)仅有3例研究对象移植后6个月内出现并发症,其中感染、液化、脂肪栓塞各1例;(4)结果表明,采用结构性脂肪移植可以有效改善面部松弛、下垂等问题,具有良好的提升面部年轻化的效果。
BACKGROUND： With the increasing pursuit of beauty, facial cosmetics have become popular, and thereupon various cosmetic methods and surgical methods have emerged. However, high costs, large trauma, slow recovery, permanent scars and even scar hypertrophy can result from these cosmetic surgeries. Transplantation is a relatively new method for facial cosmetics, and the choice of graft is crucial for cosmetic effects.OBJECTIVE： To evaluate the curative effect of facial rejuvenation surgery with structural fat grafting. METHODS： From May 2016 to May 2017, 21 cases of facial rejuvenation were selected. All subjects were assessed for donor sites and affected areas by combining various factors. Fat tissues were isolated from the donor site, and implanted into the affected area after sediment and grease removal. Patient satisfaction and the severity of facial wrinkles were scored through a survey questionnaire. At 6 months after transplantation, the number of request to replenish injections and number of complication cases were statistically recorded. The volume of facial fat tissues in the affected area was calculated before and after transplantation. RESULTS AND CONCLUSION： Two subjects required re-transplantation during the 6-month postoperative follow-up. Facial capacity, depression, and static patterns of all subjects were well improved after one or two autologous fat transplantations. The average satisfaction score on fat transplantation for all the subjects was 8.47±0.43. The volume of facial fat tissues at 6 months after transplantation was significantly increased compared with that before operation（P〈0.05）. The postoperative severity of facial wrinkles was significantly lower than before operation（P〈0.05）. Only three subjects had complications within 6 months after transplantation, including one case of infection, one of liquefaction and one of fat embolism. V-Line liquid lift with structural fat grafting can effectively improve facial relaxation, sagging and other issues, with a good upgrade of facial rejuvenation effect.
作者
赫佳
赵娴
韩雪松
代晓明
刘博言
张莹
刘流
He Jia;Zhao Xian;Han Xue-song;Dai Xiao-ming;Liu Bo-yan;Zhang Ying;Liu Liu(Department of Plastic Surgery,First Affiliated Hospital of Kunming Medical University,Kunming 650031,Yunnan Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2018年第17期2722-2726,共5页
Chinese Journal of Tissue Engineering Research
基金
国家自然科学基金项目(81460246)~~
