聚对二氧环己酮线埋置联合自体脂肪移植在面部年轻化中的应用
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摘要
目的探讨聚对二氧环己酮线(PPDO线)埋置联合自体脂肪颗粒移植注射在面部年轻化中应用的临床效果。方法回顾性选取自2016年8月至2018年10月南部战区总医院整形外科收治的120例行面部年轻化手术患者,随机分为对照组和观察组,每组60例。观察组给予PPDO线埋置联合自体脂肪填充,对照组单纯给予埋线,比较两组患者面部改善情况及满意度。结果观察组面部改善优良率(95.0%)明显高于对照组(81.7%,P <0.05);观察组患者满意度(9.27±0.87)显著高于对照组(8.10±0.92,P <0.05)。结论 PPDO线埋置可以明显改善皮肤松弛下垂的问题,而自体脂肪填充可以重塑面部轮廓,联合使用可以达到更好的效果。面部PPDO线埋置联合自体脂肪颗粒注射移植是面部年轻化方面一种安全、理想的方法。
Objective To investigate the clinical effect of the combined therapy of polydioxanone(PPDO sutures embedding with autologous fat granules injection in facial rejuvenation. Methods 120 patients with facial aging operation were randomly divided into 2 groups,60 patients in each group. Total facial improvement rate and treatment satisfaction score were compared between the observation group(PPDO sutures embedding with autologous fat filling)and the control group(PPDO sutures embedding). Results The improvement rate of facial improvement was 95.0% in the observation group,compared with 81.7% in the control group(P < 0.05). The treatment satisfaction score was 9.27 ± 0.87 in the observation group,which was higher than the control group which score was 8.10 ± 0.92(P < 0.05). Conclusions PPDO sutures embedding can significantly improve the sagging of the skin,and autologous fat filling can reshape the facial contour. The combined therapy of PPDO sutures embedding with autologous fat granules injection is a safe and ideal method for facial rejuvenation.
Objective To investigate the clinical effect of the combined therapy of polydioxanone(PPDO sutures embedding with autologous fat granules injection in facial rejuvenation. Methods 120 patients with facial aging operation were randomly divided into 2 groups,60 patients in each group. Total facial improvement rate and treatment satisfaction score were compared between the observation group(PPDO sutures embedding with autologous fat filling)and the control group(PPDO sutures embedding). Results The improvement rate of facial improvement was 95.0% in the observation group,compared with 81.7% in the control group(P < 0.05). The treatment satisfaction score was 9.27 ± 0.87 in the observation group,which was higher than the control group which score was 8.10 ± 0.92(P < 0.05). Conclusions PPDO sutures embedding can significantly improve the sagging of the skin,and autologous fat filling can reshape the facial contour. The combined therapy of PPDO sutures embedding with autologous fat granules injection is a safe and ideal method for facial rejuvenation.
引文
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[2]冀晨阳,李瑞庭,刘庭华,等.上睑提肌腱膜折叠矫正上睑下垂术后的中面部美学比例改变分析[J].实用医学杂志,2017,33(20):3448-3451.
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[10]张岩崑,范巨峰,钱维,等.可吸收锯齿悬吊线面颊部提升术的临床效果分析[J].中国美容整形外科杂志,2018,29(1):7-10.
[11]OZAN SO,KARACA B,HASAN A.Abdominoplasty with circumferential liposuction:A review of 1000 consecutive cases[J].PlastReconstr Surg,2018,142:891-901.
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[13]RUIZ R,HERSANT B,LA PADULA S,et al.Facelifts:Improving the long-term outcomes of lower face and neck rejuvenation surgery:The lower face and neck rejuvenation combined method[J].J Craniomaxillofac Surg,2018,46:697-704.
[14]CARDENASCAMARENA L,GERARDO L A,DURAN H,et al.Strategies for reducing fatal complications in liposuction[J].Plast Reconstr Surg,2017,5:1539.
[15]LUCK J,SMITH O J,MOSAHEBI A,et al.A systematic review of autologous platelet-rich plasma and fat graft preparation methods[J].Plast Reconstr Surg,2017,5:1596.
[16]GULBITTI H A,COLEBUNDERS B,PIRAYESH A,et al.Thread-lift sutures:Still in the lift?A systematic review of the literature[J].Plast Reconstr Surg,2018,141:341-347.
[17]COHEN S R,FIREMAN E,HEWETT S,et al.Buccal fat pad augmentation for facial rejuvenation[J].Plast Reconstr Surg,2017,139:1273-1276.
[18]WALOCKO F M,EBER A E,KIRSNER R S,et al.Systematic review of the therapeutic roles of adipose tissue in dermatology[J].J Am Acad Dermatol,2018,79:935-944.
[19]PU L L.Fat grafting for facial rejuvenation and contouring:A rationalized approach[J].Ann Plast Surg,2018,81:102-108.
[20]范巨峰,宋建星,郝立君,等.埋线美容外科专家共识[J].中国美容整形外科杂志,2017,28(7):379-382.
[21]LEE H,YOON K,LEE M,et al.Outcome of facial rejuvenation with polydioxanone thread for Asians[J].J Cosmet Laser Ther,2018,20:189-192.
[22]KANG S H,BYUN E J,KIM H S,et al.Vertical lifting:Anew optimal thread lifting technique for Asians[J].Dermatol Surg,2017,43:1263-1270.2018-11-19
[2]冀晨阳,李瑞庭,刘庭华,等.上睑提肌腱膜折叠矫正上睑下垂术后的中面部美学比例改变分析[J].实用医学杂志,2017,33(20):3448-3451.
[3]SADICK N.Facial volumetric structural rejuvenation:A natural approach torestoring youthfulness and preventing aging[J].JDrugs Dermatol,2018,17(9):1015.
[4]BERTOSSI D,BOTTI G,GUALDI A,et al.Effectiveness,longevity,and complications of facelift by barbed suture insertion[J].Aesthet Surg J,2019,39:241-247.
[5]KARIMI K,REIVITIS A.Lifting the lower face with an absorbable polydioxanone(PDO)thread[J].J Drugs Dermatol,2017,16:932-934.
[6]MITZ V.The biplane microlift.Principles,technic,results[J].Ann Chir Plast Esthet,2018,63:262-269.
[7]FONTES T,BRANDAO I,NEGRAO R,et al.Autologous fat grafting:Harvesting techniques[J].Plast Reconstr Surg,2018,36:212-218.
[8]曾东,王钟山,余文林,等.PPDO线埋置联合透明质酸和A型肉毒毒素注射在面部年轻化中的应用[J].中国美容整形外科杂志,2018,29(1):11-13.
[9]杨树楷,王德怀,周建文,等.小切口面部提升术联合自体脂肪移植在面部年轻化中的应用[J].中国美容医学,2017,26(10):33-35.
[10]张岩崑,范巨峰,钱维,等.可吸收锯齿悬吊线面颊部提升术的临床效果分析[J].中国美容整形外科杂志,2018,29(1):7-10.
[11]OZAN SO,KARACA B,HASAN A.Abdominoplasty with circumferential liposuction:A review of 1000 consecutive cases[J].PlastReconstr Surg,2018,142:891-901.
[12]AFIF A A,UYS H K,TAYLOR S M,et al.Improving aesthetic outcomes after head and neck reconstruction[J].Curr Opin Otolaryngol Head Neck Surg,2018,26:227-233.
[13]RUIZ R,HERSANT B,LA PADULA S,et al.Facelifts:Improving the long-term outcomes of lower face and neck rejuvenation surgery:The lower face and neck rejuvenation combined method[J].J Craniomaxillofac Surg,2018,46:697-704.
[14]CARDENASCAMARENA L,GERARDO L A,DURAN H,et al.Strategies for reducing fatal complications in liposuction[J].Plast Reconstr Surg,2017,5:1539.
[15]LUCK J,SMITH O J,MOSAHEBI A,et al.A systematic review of autologous platelet-rich plasma and fat graft preparation methods[J].Plast Reconstr Surg,2017,5:1596.
[16]GULBITTI H A,COLEBUNDERS B,PIRAYESH A,et al.Thread-lift sutures:Still in the lift?A systematic review of the literature[J].Plast Reconstr Surg,2018,141:341-347.
[17]COHEN S R,FIREMAN E,HEWETT S,et al.Buccal fat pad augmentation for facial rejuvenation[J].Plast Reconstr Surg,2017,139:1273-1276.
[18]WALOCKO F M,EBER A E,KIRSNER R S,et al.Systematic review of the therapeutic roles of adipose tissue in dermatology[J].J Am Acad Dermatol,2018,79:935-944.
[19]PU L L.Fat grafting for facial rejuvenation and contouring:A rationalized approach[J].Ann Plast Surg,2018,81:102-108.
[20]范巨峰,宋建星,郝立君,等.埋线美容外科专家共识[J].中国美容整形外科杂志,2017,28(7):379-382.
[21]LEE H,YOON K,LEE M,et al.Outcome of facial rejuvenation with polydioxanone thread for Asians[J].J Cosmet Laser Ther,2018,20:189-192.
[22]KANG S H,BYUN E J,KIM H S,et al.Vertical lifting:Anew optimal thread lifting technique for Asians[J].Dermatol Surg,2017,43:1263-1270.2018-11-19