分段SMAS提紧法面部年轻化手术

目的 探询一种有效、持久、简便的面部年轻化手术方法.方法 在面部除皱术中紧贴皮下进行广泛分离,注意保持SMAS层的完整性,并对其进行远近端两段折叠悬吊.然后提紧皮肤,去除松弛多余的皮肤组织.结果 自2003年10月至2006年2月对38例患者实行此种手术,随访1个月～27个月,近、远期均取得良好的年轻化效果,未发现面神经瘫痪等严重并发症.结论 对SMAS层进行分段悬吊提紧可取得有效持久的年轻化效果,且简便易学,值得推广.     

透明质酸填充联合肉毒毒素在颈部年轻化中的应用效果

目的 探讨透明质酸填充联合肉毒毒素在颈部年轻化中的应用效果。方法 选取我院2020年9月-2022年9月收治的颈部衰老行年轻化治疗的74例患者为研究对象,按照随机数字表法分为对照组与联合组,每组37例。对照组使用透明质酸填充治疗,联合组使用肉毒毒素联合透明质酸填充治疗,比较两组颈纹分级和Antera凹陷体积、临床疗效、疼痛程度、副反应发生情况及满意度。结果 两组治疗后颈纹分级及Antera凹陷体积低于治疗前,且联合组低于对照组（P＜0.05）;联合组治疗总有效率为89.19%,高于对照组的67.57%（P＜0.05）;两组VAS评分及副反应总发生率比较,差异均无统计学意义（P＞0.05）;联合组患者、第三者及操作者满意度评分均高于对照组（P＜0.05）。结论 透明质酸填充联合肉毒毒素有助于提高颈部年轻化的治疗效果,在不增加疼痛程度和副反应的同时,提高患者满意度及美容效果。     

Long-Term Results of Suture Suspension Platysmaplasty for Neck Rejuvenation: A 13-Year Follow-up Evaluation

Background Neck rejuvenation has been one of the most important components in treatment for the aging face because the neck frequently is the first feature to show signs of aging. Several techniques have been described, but assessment of the long-term effects, although limited, has shown frequent recurrence of neck ptosis and the need for reoperation. The suture suspension technique was introduced 13 years ago. This article presents the long-term results for this technique, illustrating the different neck types, their classification, and their outcomes. Methods For this study, 100 patients who underwent neck rejuvenation using the suture suspension platysmaplasty technique were randomly selected. They represented the four patient groups examined: 5-year group (47 patients), 7-year group (28 patients), 10-year group (19 patients), and 13-year group (6 patients). The key anatomic points for each patient were evaluated preoperatively and postoperatively by five independent observers who analyzed the outcomes with a simplified scoring system (1 to 10 for each anatomic point). The scoring system was used for all the patient age groups and applied to all six key anatomic points of the neck: cervicomental angle depth, mandibular border definition, mandibular angle definition, labiomandibular fold prominence (jowling), mental prominence, and neck width. Patient satisfaction surveys were offered to all patients included in the study. Results All the patient groups showed significant aesthetic improvement (in terms of their scores) for all the anatomic points (1–6) evaluated. Specifically, the long-term effect of the procedure was the most impressive for the cervicomental angle (with improvement ranging from 82% to 95% for the four groups of patients). The least degree of improvement was noted for the labiomandibular fold (with improvement ranging from 12% to 53% for the four groups of patients). The remaining anatomic variables showed an overall improvement ranging from 61% to 85%. Conclusion The suture suspension technique is a safe, reproducible technique that allows for a staged rejuvenation of the neck. As an alternative for the early rhytidectomy candidate, it produces excellent patient satisfaction outcomes with long-term corrections for the majority of patients. As compared with previously described platysmaplasty techniques, suture suspension platysmaplasty has the benefit of endurance. This article documents that the corrections can last at least 13 years with virtually unchanged aesthetic results.