腹壁年轻化治疗进展
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摘要
目前吸脂术和腹壁整形术仍是腹部年轻化的主要治疗手段。吸脂术是腹壁年轻化的基础治疗手段,除负压吸脂和注射器吸脂外,临床上还有多种辅助吸脂方式,其中射频溶脂技术应用的较为广泛。吸脂术与腹壁整形术结合发展为腹壁吸脂整形术是腹壁塑形技术的一大进展,通过保留腹壁穿支血管,极大地降低了传统腹壁整形术后高并发症发生率。吸脂有效去除了皮下多余的脂肪,增强了塑性效果。此外,腹壁年轻化治疗中无创技术的应用也为提高手术效果、减少手术创伤做出了贡献。
Nowadays,liposuction and abdominoplasty are still the main methods for abdominal rejuvenation. Liposuction is the basic treatment for abdominal wall rejuvenation. In addition to suction assisted liposuction and syringe liposuction,a variety of assisted liposuction methods have been used in clinical practice and the application of radiofrequency assisted liposuction technology is popular. The combination of liposuction and abdominoplasty is a great progress of abdominal reconstruction. By retaining the perforating blood vessels of the abdominal wall,the highly risk of complications of traditional abdominoplasty was greatly reduced. Liposuction can effectively remove the subcutaneous excess fat and enhance the plastic effect. In addition,the introduction of non-invasive techniques in the treatment of abdominal wall rejuvenation also contributes to the improvement of surgical outcomes and the reduction of surgical trauma.
Nowadays,liposuction and abdominoplasty are still the main methods for abdominal rejuvenation. Liposuction is the basic treatment for abdominal wall rejuvenation. In addition to suction assisted liposuction and syringe liposuction,a variety of assisted liposuction methods have been used in clinical practice and the application of radiofrequency assisted liposuction technology is popular. The combination of liposuction and abdominoplasty is a great progress of abdominal reconstruction. By retaining the perforating blood vessels of the abdominal wall,the highly risk of complications of traditional abdominoplasty was greatly reduced. Liposuction can effectively remove the subcutaneous excess fat and enhance the plastic effect. In addition,the introduction of non-invasive techniques in the treatment of abdominal wall rejuvenation also contributes to the improvement of surgical outcomes and the reduction of surgical trauma.
引文
[1]Matarasso A,Matarasso DM,Matarasso EJ,et al.Abdominoplasty:Classic principles and technique[J].Clin Plast Surg,2014,41(4):655-672.
[2]Martinez-Teixido L,Serra-Mestre JM,Serra-Renom JM,et al.Anew technique for creating a neo-umbilicus in abdominoplasty[J].Plast Reconstr Aesthet Surg,2017,12(70):1760-1767.
[3]Walgenbach KJ,Shestak KC."Marriage"abdominoplasty:Body contouring with limited scars combining mini-abdominoplasty and liposuction[J].Clin Plast Surg,2004,31(4):571-581.
[4]Bellini E,Grieco MP,Raposio E,et al.A journey through liposuction and liposculture:Review[J].Ann Med Surg(Lond),2017(24):53-60.
[5]王炜.整形外科学[M].杭州:浙江科学技术出版社,1999:1178-1179.
[6]威尔金森.脂肪抽吸术图谱[M].戚可名,译.北京:北京大学出版社,2006:49-55,15-16,157.
[7]Ribeiro RC,Matos WN Jr,Cruz PF,et al.Modified lipoabdominoplasty:Updating concepts[J].Plast Reconstr Surg,2016,138(1):38-47.
[8]Shridharani SM,Broyles JM,Matarasso A.Liposuction devices:Technology update[J].Med Devices(Auckl),2014,7:241-251.
[9]Haeck PC,Swanson JA,Gutowski KA,et al.Evidence-based patient safety advisory:Liposuction[J].Plast Reconstr Surg,2009,124(4 Suppl):28-44S.
[10]Khanna A,Filobbos G.Avoiding unfavourable outcomes in liposuction[J].Indian J Plast Surg,2013,46(2):393-400.
[11]Tabbal GN,Ahmad J,Lista F,et al.Advances in liposuction:Five key principles with emphasis on patient safety and outcomes[J].Plast Reconstr Surg Glob Open,2013,1(8):e75.
[12]Duscher D,Luan A,Rennert RC,et al.Suction assisted liposuction does not impair the regenerative potential of adipose derived stem cells[J].J Transl Med,2016,14(1):126.
[13]Duscher D,Atashroo D,Maan ZN,et al.Ultrasound-assisted liposuction does not compromise the regenerative potential of adiposederived stem cells[J].Stem Cells Transl Med,2016,5(2):248-257.
[14]Paul M,Mulholland RS.A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction[J].Aesthetic Plast Surg,2009,33(5):687-694.
[15]Blugerman G,Schavelzon D,Paul MD.A safety and feasibility study of a novel radiofrequency-assisted liposuction technique[J].Plast Reconstr Surg,2010,125(3):998-1006.
[16]Talasila S,Evers-Meltzer R,Xu S,et al.Social media ratings of minimally invasive fat reduction procedures:Benchmarking against traditional liposuction[J].Dermatol Surg,2018,44(7):971-975.
[17]Theodorou SJ,Del Vecchio D,Chia CT.Soft tissue contraction in body contouring with radiofrequency-assisted liposuction:A treatment gap solution[J].Aesthet Surg J,2018,38(suppl_2):S74-83.
[18]Villanueva NL,Kenkel JM.Commentary on:Cosmetic liposuction:Preoperative risk factors,major complication rates,and safety of combined procedures[J].Aesthet Surg J,2017,37(6):695-697.
[19]Iverson RE,Lynch DJ.American society of plastic surgeons committee on patient safety.Practice advisory on liposuction[J].Plast Reconstr Surg,2004,113(5):1478-1490.
[20]Avelar J.Fat suction versus abdominoplasty[J].Aesthetic Plast Surg,1985,9(4):265-275.
[21]Matarasso A.Liposuction as an adjunct to a full abdominoplasty revisited[J].Plast Reconstr Surg,2000,106(5):1197-1202.
[22]Roostaeian J,Harris R,Farkas JP,et al.Comparison of limitedundermining lipoabdominoplasty and traditional abdominoplasty using laser fluorescence imaging[J].Aesthet Surg J,2014,34(5):741-747.
[23]Avelar JM.Lipoabdominoplasty[J].Aesthetic Plastic Surg Abdomen,2016(17):199-234.
[24]Brauman D,van der Hulst RRWJ,van der Lei B.Liposuction assisted abdominoplasty:An enhanced abdominoplasty technique[J].Plast Reconstr Surg Glob Open,2018,6(9):1940.
[25]Correia-Gon9alves I,Valen9a-Filipe R,Carvalho J,et al.Abdominoplasty with scarpa fascia preservation-comparative study in a bariatric population[J].Surg Obes Relat Dis,2017,13(3):423-428.
[26]Saldanha OR,Pinto EB,Matos WN Jr,et al.Lipoabdominoplasty without undermining[J].Aesthet Surg J,2001,21(6):518-526.
[27]Saldanha OR,De Souza Pinto EB,Mattos WN Jr,et al.Lipoabdominoplasty with selective and safe undermining[J].Aesthetic Plast Surg,2003,27(4):322-327.
[28]Sacks JM,Broyles JM,Baumann DP.Considerations in abdominal wall reconstruction[J].Semin Plast Surg,2012,26(1):5-7.
[29]Shestak KC.Short scar abdominoplasty update[J].Clin Plast Surg,2010,37(3):505-513.
[30]Cheesborough JE,Dumanian GA.Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs[J].Plast Reconstr Surg,2015,135(1):268-276.
[31]Serra-Renom JM,Martinez-Teixido L,Serra-Mestre JM,et al.Abdominoplasty with customized transverse musculoaponeurotic plications[J].Plast Reconstr Surg,2015,136(6):741e-749e.
[32]Visconti G,Salgarello M.The divine proportion"ace of spades"umbilicoplasty:A new method of navel positioning and plasty in abdominoplasty[J].Ann Plast Surg,2016,76(3):265-269.
[33]Rosenfield LK,Davis CR.Evidence-based abdominoplasty review with body contouring algorithm[J/OL].Aesthet Surg J,2019[2018-12-10].https://academic.oup.com/asj/advance-article/doi/10.1093/asj/sjz013/5289235[published online ahead of print Jan.14,2019].
[34]Swanson E.Prospective clinical study of 551 cases of liposuction and abdominoplasty performed individually and in combination[J].Plast Reconstr Surg Glob Open,2013,1(5):e32.
[35]PatouéA,Herlin C,Carloni R,et al.Modified lipoabdominoplasty:Updating concepts-our postbariatric experience[J].Plast Reconstr Surg,2017,139(4):1021-1022e.
[36]Vera Cucchiaro J,Lostia H,Velazquez P,et al.Modified lipoabdominoplasty:Updating concepts[J].Plast Reconstr Surg,2017,139(5):1211-1212e.
[37]Shestak KC,Rios L,Pollock TA,et al.Evidenced-based approach to abdominoplasty update[J/OL].Aesthet Surg J,2018[2018-12-10].https://academic.oup.com/asj/advance-article/doi/10.1093/asj/sjy215/5210471.[published online ahead of print Nov.27,2018].
[38]Neaman KC,Armstrong SD,Baca ME,et al.Outcomes of traditional cosmetic abdominoplasty in a community setting:A retrospective analysis of 1008 patients[J].Plast Reconstr Surg,2013,131(3):403-410e.
[39]Costa-Ferreira A,Marco R,Vásconez L,et al.Abdominoplasty with scarpa fascia preservation[J].Ann Plast Surg,2016,76 Suppl4:S264-274.
[40]Zecha PJ,Missotten FE.Pseudocyst formation after abdominoplasty--extravasations of Morel-Lavallée[J].Br J Plast Surg,1999,52(6):500-502.
[41]Seretis K,Goulis D,Demiri EC,et al.Prevention of seroma formation Following abdominoplasty:A systematic review and Metaanalysis[J].Aesthet Surg,2017,37(3):316-323.
[42]Jacob CI,Paskova K.Safety and efficacy of a novel high-intensity focused electromagnetic technology device for noninvasive abdominal body shaping[J].J Cosmet Dermatol,2018,17(5):783-787.
[2]Martinez-Teixido L,Serra-Mestre JM,Serra-Renom JM,et al.Anew technique for creating a neo-umbilicus in abdominoplasty[J].Plast Reconstr Aesthet Surg,2017,12(70):1760-1767.
[3]Walgenbach KJ,Shestak KC."Marriage"abdominoplasty:Body contouring with limited scars combining mini-abdominoplasty and liposuction[J].Clin Plast Surg,2004,31(4):571-581.
[4]Bellini E,Grieco MP,Raposio E,et al.A journey through liposuction and liposculture:Review[J].Ann Med Surg(Lond),2017(24):53-60.
[5]王炜.整形外科学[M].杭州:浙江科学技术出版社,1999:1178-1179.
[6]威尔金森.脂肪抽吸术图谱[M].戚可名,译.北京:北京大学出版社,2006:49-55,15-16,157.
[7]Ribeiro RC,Matos WN Jr,Cruz PF,et al.Modified lipoabdominoplasty:Updating concepts[J].Plast Reconstr Surg,2016,138(1):38-47.
[8]Shridharani SM,Broyles JM,Matarasso A.Liposuction devices:Technology update[J].Med Devices(Auckl),2014,7:241-251.
[9]Haeck PC,Swanson JA,Gutowski KA,et al.Evidence-based patient safety advisory:Liposuction[J].Plast Reconstr Surg,2009,124(4 Suppl):28-44S.
[10]Khanna A,Filobbos G.Avoiding unfavourable outcomes in liposuction[J].Indian J Plast Surg,2013,46(2):393-400.
[11]Tabbal GN,Ahmad J,Lista F,et al.Advances in liposuction:Five key principles with emphasis on patient safety and outcomes[J].Plast Reconstr Surg Glob Open,2013,1(8):e75.
[12]Duscher D,Luan A,Rennert RC,et al.Suction assisted liposuction does not impair the regenerative potential of adipose derived stem cells[J].J Transl Med,2016,14(1):126.
[13]Duscher D,Atashroo D,Maan ZN,et al.Ultrasound-assisted liposuction does not compromise the regenerative potential of adiposederived stem cells[J].Stem Cells Transl Med,2016,5(2):248-257.
[14]Paul M,Mulholland RS.A new approach for adipose tissue treatment and body contouring using radiofrequency-assisted liposuction[J].Aesthetic Plast Surg,2009,33(5):687-694.
[15]Blugerman G,Schavelzon D,Paul MD.A safety and feasibility study of a novel radiofrequency-assisted liposuction technique[J].Plast Reconstr Surg,2010,125(3):998-1006.
[16]Talasila S,Evers-Meltzer R,Xu S,et al.Social media ratings of minimally invasive fat reduction procedures:Benchmarking against traditional liposuction[J].Dermatol Surg,2018,44(7):971-975.
[17]Theodorou SJ,Del Vecchio D,Chia CT.Soft tissue contraction in body contouring with radiofrequency-assisted liposuction:A treatment gap solution[J].Aesthet Surg J,2018,38(suppl_2):S74-83.
[18]Villanueva NL,Kenkel JM.Commentary on:Cosmetic liposuction:Preoperative risk factors,major complication rates,and safety of combined procedures[J].Aesthet Surg J,2017,37(6):695-697.
[19]Iverson RE,Lynch DJ.American society of plastic surgeons committee on patient safety.Practice advisory on liposuction[J].Plast Reconstr Surg,2004,113(5):1478-1490.
[20]Avelar J.Fat suction versus abdominoplasty[J].Aesthetic Plast Surg,1985,9(4):265-275.
[21]Matarasso A.Liposuction as an adjunct to a full abdominoplasty revisited[J].Plast Reconstr Surg,2000,106(5):1197-1202.
[22]Roostaeian J,Harris R,Farkas JP,et al.Comparison of limitedundermining lipoabdominoplasty and traditional abdominoplasty using laser fluorescence imaging[J].Aesthet Surg J,2014,34(5):741-747.
[23]Avelar JM.Lipoabdominoplasty[J].Aesthetic Plastic Surg Abdomen,2016(17):199-234.
[24]Brauman D,van der Hulst RRWJ,van der Lei B.Liposuction assisted abdominoplasty:An enhanced abdominoplasty technique[J].Plast Reconstr Surg Glob Open,2018,6(9):1940.
[25]Correia-Gon9alves I,Valen9a-Filipe R,Carvalho J,et al.Abdominoplasty with scarpa fascia preservation-comparative study in a bariatric population[J].Surg Obes Relat Dis,2017,13(3):423-428.
[26]Saldanha OR,Pinto EB,Matos WN Jr,et al.Lipoabdominoplasty without undermining[J].Aesthet Surg J,2001,21(6):518-526.
[27]Saldanha OR,De Souza Pinto EB,Mattos WN Jr,et al.Lipoabdominoplasty with selective and safe undermining[J].Aesthetic Plast Surg,2003,27(4):322-327.
[28]Sacks JM,Broyles JM,Baumann DP.Considerations in abdominal wall reconstruction[J].Semin Plast Surg,2012,26(1):5-7.
[29]Shestak KC.Short scar abdominoplasty update[J].Clin Plast Surg,2010,37(3):505-513.
[30]Cheesborough JE,Dumanian GA.Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs[J].Plast Reconstr Surg,2015,135(1):268-276.
[31]Serra-Renom JM,Martinez-Teixido L,Serra-Mestre JM,et al.Abdominoplasty with customized transverse musculoaponeurotic plications[J].Plast Reconstr Surg,2015,136(6):741e-749e.
[32]Visconti G,Salgarello M.The divine proportion"ace of spades"umbilicoplasty:A new method of navel positioning and plasty in abdominoplasty[J].Ann Plast Surg,2016,76(3):265-269.
[33]Rosenfield LK,Davis CR.Evidence-based abdominoplasty review with body contouring algorithm[J/OL].Aesthet Surg J,2019[2018-12-10].https://academic.oup.com/asj/advance-article/doi/10.1093/asj/sjz013/5289235[published online ahead of print Jan.14,2019].
[34]Swanson E.Prospective clinical study of 551 cases of liposuction and abdominoplasty performed individually and in combination[J].Plast Reconstr Surg Glob Open,2013,1(5):e32.
[35]PatouéA,Herlin C,Carloni R,et al.Modified lipoabdominoplasty:Updating concepts-our postbariatric experience[J].Plast Reconstr Surg,2017,139(4):1021-1022e.
[36]Vera Cucchiaro J,Lostia H,Velazquez P,et al.Modified lipoabdominoplasty:Updating concepts[J].Plast Reconstr Surg,2017,139(5):1211-1212e.
[37]Shestak KC,Rios L,Pollock TA,et al.Evidenced-based approach to abdominoplasty update[J/OL].Aesthet Surg J,2018[2018-12-10].https://academic.oup.com/asj/advance-article/doi/10.1093/asj/sjy215/5210471.[published online ahead of print Nov.27,2018].
[38]Neaman KC,Armstrong SD,Baca ME,et al.Outcomes of traditional cosmetic abdominoplasty in a community setting:A retrospective analysis of 1008 patients[J].Plast Reconstr Surg,2013,131(3):403-410e.
[39]Costa-Ferreira A,Marco R,Vásconez L,et al.Abdominoplasty with scarpa fascia preservation[J].Ann Plast Surg,2016,76 Suppl4:S264-274.
[40]Zecha PJ,Missotten FE.Pseudocyst formation after abdominoplasty--extravasations of Morel-Lavallée[J].Br J Plast Surg,1999,52(6):500-502.
[41]Seretis K,Goulis D,Demiri EC,et al.Prevention of seroma formation Following abdominoplasty:A systematic review and Metaanalysis[J].Aesthet Surg,2017,37(3):316-323.
[42]Jacob CI,Paskova K.Safety and efficacy of a novel high-intensity focused electromagnetic technology device for noninvasive abdominal body shaping[J].J Cosmet Dermatol,2018,17(5):783-787.