小针刀辅助透明质酸填充联合A型肉毒毒素注射治疗重度眉间纹
|
摘要
目的探讨小针刀辅助透明质酸填充联合A型肉毒毒素注射治疗重度眉间纹的效果。方法对15例重度眉间纹患者,采用小针刀在皱纹皮下层先行松解,然后给予透明质酸注射填充,再联合A型肉毒毒素注射治疗。采用面部整体美容效果改善量表评估治疗效果。结果注射后患者眉间纹改善明显,治疗有效率为86.7%。结论采用小针刀辅助透明质酸填充联合A型肉毒毒素注射治疗重度眉间纹,操作方便、安全有效,值得临床推广应用。
Objective To explore the effect of small needle knife-assisted aluronic acid combined with botulinum toxin injection in the treatment of glabellar frown line. Methods Fifteen patients with severe glabellar frown line were included and treated with aluronic acid injection assisted by small needle knife for subcutaneous release, and botulinum toxin was injected later. Global Aesthetic Improvement Scale(GAIS) was used to assess the effect. Results Aesthetic improvements were observed. The effective rate was 86.7%. Conclusion Small needle knife-assisted aluronic acid combined with botulinum toxin injection is convenient, safe and effective in the treatment of glabellar frown line. It is worthy of clinical promotion.
Objective To explore the effect of small needle knife-assisted aluronic acid combined with botulinum toxin injection in the treatment of glabellar frown line. Methods Fifteen patients with severe glabellar frown line were included and treated with aluronic acid injection assisted by small needle knife for subcutaneous release, and botulinum toxin was injected later. Global Aesthetic Improvement Scale(GAIS) was used to assess the effect. Results Aesthetic improvements were observed. The effective rate was 86.7%. Conclusion Small needle knife-assisted aluronic acid combined with botulinum toxin injection is convenient, safe and effective in the treatment of glabellar frown line. It is worthy of clinical promotion.
引文
[1]赵烨,梁灵刚,吴溯帆.眉间纹分类及A型肉毒毒素注射的治疗效果[J].中华医学美学美容杂志,2016,22(3):129-132.
[2]张亮,吴溯帆.透明质酸与肉毒毒素联合注射治疗重度眉间纹[J].中国美容整形外科杂志,2014,25(1):19-22.
[3]Narins RS,Brandt F,Leyden J,et al.A randomized,doubleblind,multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds[J].Dermatol Surg,2003,29(6):588-595.
[4]de Almeida AR,da Costa Marques ER,Banegas R,et al.Glabellar contraction patterns:a tool to optimize botulinum toxin treatmen[J].Dermatol Surg,2012,38(9):1506-1515.
[5]Lorenc ZP,Smith S,Nestor M,et al.Understanding the functional anatomy of the frontalis and glabellar complex for optimal aesthetic botulinum toxin type A therapy[J].Aesthetic Plast Surg,2013,37(5):975-983.
[6]Hu X,Xue Z,Qi H,et al.Percutaneous myotomy with a small needle-knife and lipoinjection for treatment of glabellar frown lines[J].Aesthet Surg J,2017,37(10):1168-1174.
[7]Carruthers J,Burgess C,Day D,et al.Consensus recommendations for combined aesthetic interventions in the face using botulinum toxin,fillers,and energy-based devices[J].Dermatol Surg,2016,42(5):586-597.
[8]王忠杰,张玫,王志军.联合应用A型肉毒毒素与软组织填充剂治疗眉间纹的临床观察[J].中国美容整形外科杂志,2011,22(11):656-658.
[9]Carruthers JD,Glogau RG,Blitzer A,et al.Advances in facial rejuvenation:botulinum toxin type a,hyaluronic acid dermal fillers,and combination therapies--consensus recommendations[J].Plast Reconstr Surg,2008,121(5 Suppl):5S-30S,quiz 31S-36S.
[10]吴溯帆.注射美容整形技术[M].杭州:浙江科学技术出版社,2014:170-252.
[11]高琳,殷荣,王媛丽,等.肉毒毒素和透明质酸联合使用在面部年轻化处理中的应用[J].中国美容医学,2016,25(4):94-97.
[12]唐岩,聂芳菲,陈东明,等.针刀松解法对移植于裸鼠的人皮肤增生性瘢痕组织中成纤维细胞的影响[J].中国微创外科杂志,2012,12(1):75-78.
[13]白晓东,柳晓杰,刘贤华.小针刀剥离结合自体脂肪移植治疗面部线形凹陷性瘢痕[J].中国美容整形外科杂志,2010,21(9):518-519.
[14]王少华,王燕华,吕建平,等.小针刀辅助自体脂肪颗粒移植在面部除皱及凹陷充填中的应用[J].中华医学美学美容杂志,2007,13(6):323-325.
[2]张亮,吴溯帆.透明质酸与肉毒毒素联合注射治疗重度眉间纹[J].中国美容整形外科杂志,2014,25(1):19-22.
[3]Narins RS,Brandt F,Leyden J,et al.A randomized,doubleblind,multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds[J].Dermatol Surg,2003,29(6):588-595.
[4]de Almeida AR,da Costa Marques ER,Banegas R,et al.Glabellar contraction patterns:a tool to optimize botulinum toxin treatmen[J].Dermatol Surg,2012,38(9):1506-1515.
[5]Lorenc ZP,Smith S,Nestor M,et al.Understanding the functional anatomy of the frontalis and glabellar complex for optimal aesthetic botulinum toxin type A therapy[J].Aesthetic Plast Surg,2013,37(5):975-983.
[6]Hu X,Xue Z,Qi H,et al.Percutaneous myotomy with a small needle-knife and lipoinjection for treatment of glabellar frown lines[J].Aesthet Surg J,2017,37(10):1168-1174.
[7]Carruthers J,Burgess C,Day D,et al.Consensus recommendations for combined aesthetic interventions in the face using botulinum toxin,fillers,and energy-based devices[J].Dermatol Surg,2016,42(5):586-597.
[8]王忠杰,张玫,王志军.联合应用A型肉毒毒素与软组织填充剂治疗眉间纹的临床观察[J].中国美容整形外科杂志,2011,22(11):656-658.
[9]Carruthers JD,Glogau RG,Blitzer A,et al.Advances in facial rejuvenation:botulinum toxin type a,hyaluronic acid dermal fillers,and combination therapies--consensus recommendations[J].Plast Reconstr Surg,2008,121(5 Suppl):5S-30S,quiz 31S-36S.
[10]吴溯帆.注射美容整形技术[M].杭州:浙江科学技术出版社,2014:170-252.
[11]高琳,殷荣,王媛丽,等.肉毒毒素和透明质酸联合使用在面部年轻化处理中的应用[J].中国美容医学,2016,25(4):94-97.
[12]唐岩,聂芳菲,陈东明,等.针刀松解法对移植于裸鼠的人皮肤增生性瘢痕组织中成纤维细胞的影响[J].中国微创外科杂志,2012,12(1):75-78.
[13]白晓东,柳晓杰,刘贤华.小针刀剥离结合自体脂肪移植治疗面部线形凹陷性瘢痕[J].中国美容整形外科杂志,2010,21(9):518-519.
[14]王少华,王燕华,吕建平,等.小针刀辅助自体脂肪颗粒移植在面部除皱及凹陷充填中的应用[J].中华医学美学美容杂志,2007,13(6):323-325.