经睑缘切口颧脂肪垫双向悬吊中面部提升术的临床疗效

探讨经睑缘切口颧脂肪垫双向悬吊中面部提升术在面部衰老患者中的应用效果。方法 选择 2020年6月-2022年6月秦皇岛市第一医院医学美容科收治的65例中面部衰老患者为研究对象，随机分为A组 （n =32）和B组（n =33）。A组予以经睑缘切口颧脂肪垫双向悬吊中面部提升术，B组予以颧脂肪垫单向悬 吊中面部提升术，比较两组鼻唇沟皱纹严重程度、面部整体美容效果及并发症发生情况。结果 两组术后 1周皱纹严重程度比较，差异无统计学意义（P＞0.05）；A组术后6个月2级占比高于B组，4级占比低于B组 （P ＜0.05）；A组术后6个月GAIS评分优于B组（P ＜0.05）；两组并发症发生率比较，差异无统计学意义 （P＞0.05）。结论 通过经下睑缘切口颧脂肪垫双向悬吊中面部提升术能够获得更好的美容效果，术后瘢 痕隐蔽，创伤小，恢复快，安全可靠，能够有效提高中面部的年轻化美容效果。     

提切眉术治疗鱼尾纹的体会——附320例报道

目的　介绍提切眉术治疗鱼尾纹及上睑皮肤松垂的体会 ,寻找一种治疗鱼尾纹的简单方法。方法　通过眉上、眉中及眉下切口 ,横行切除宽度为 1.0～ 2 .0cm的皮肤。结果　本组 32 0例 ,提眉 15 0例 ,切除眉尾 14 8例 ,切眉 2 0例 ,切除眉下皮肤 2例。术后随访 3个月至 2年 ,除 4例二次手术后满意外 ,余 316例均一次矫治了鱼尾纹和上睑皮肤松弛 ,同时获得优美的眉形。结论　该方法治疗鱼尾纹效果明显 ,同时具有创伤小、恢复快等优点     

Percutaneous selective radio-frequency neuroablation in plastic surgery

A new technique in aesthetic plastic surgery called Percutaneous Selective Radio-frequency Neuroablation (PSRN) is proposed. Radio-frequency energy is applied via the percutaneous route to interrupt selected terminal fibers of the facial nerve in order to modify the facial dynamics. An easy-to-construct electronic system is used to perform both three-dimensional perioperative location (by means of electrical stimulation) and percutaneous electrofulguration of the target nerve. PSRN was found useful in ameliorating noticeable forehead and frown wrinkles caused by muscular hyperactivity as well as in achieving a more balanced face in cases of unilateral postrhytidectomy facial paralysis of the temporal branch of the facial nerve. Twenty-one patients underwent PSRN with encouraging results. In this report, the electrophysiological bases, technique, animal experiments, and initial clinical experience of PSRN are presented.Presented at the 11th Biennial Congress of the International Society of Aesthetic Plastic Surgery, Guadalajara, Jalisco, México, 1 March 1992     

Integrated treatment of wrinkles on the forehead and glabellar region

Some techniques to improve forehead and glabellar region wrinkles are described. The zone of the scalp is undermined below the galea to protect the hair follicles. On the forehead, the undermining is made above the frontal muscle. In the cheek and zygomatic region, the undermining is made in the fat which allows leaving a neurovascular pedicle or mesotemporalis so as not to paralyze the frontal muscle. The glabellar depressions are filled with dermo-fat, fascia grafts, or with sheets of Silicone. The tunnel below the wrinkle, for introducing the grafts, is made using a lengthened scalpel designed by the author. Results have been extremely satisfactory.     

Perioral dermabrasion: Clinical and experimental studies

From 1985 through 1989, 54 patients with wrinkles around the lips and in the chin area were treated by dermabrasion. Significant improvement, lasting longer than three years, was achieved using both types of abrading tool: the wire brush and the diamond fraise. The side effects of dermabrasion were permanent but very slight bleaching in 66% of the patients and formation of milia in less than 20%. The surgical technique is described in detail. Dermabrading tools were tested at different speeds on excess cheek skin at facelift. Histological examination showed that the diamond fraise left a smooth abraded surface and the wire brush left an uneven surface. EMLA cream, usually used for skin surface analgesia, was tested as an adjunct to anesthesia in dermabrasion. EMLA's analgesic performance alone was insufficient in the sensitive perioral region, but it elevated pain threshold and decreased the required amount of local anesthetic solution. Five types of dressing were used and the speed of epithelialization and postoperative comfort were compared. At present Vigilon is the most suitable dressing for dermabrasion. The main advantage of dermabrasion over the chemical peel is the absence of severe depigmentation.Presented at the 10th Biennial Congress of the International Society of Aesthetic Plastic Surgery, Zürich, Switzerland, September 12, 1989     

Dermabrasion

This review presents skin anatomy, dermabraders, indications for dermabrasion and microdermabrasion, and dermabrasion techniques for the face, along with potential complications. Dermabrasion is a minimally invasive technique used for skin resurfacing. Its applications include treatment of rhytids, abnormal scarring, and premalignant lesions. The risks of complications are low and include pigment changes, hypertrophic scarring, and infection. Despite the introduction of newer therapies, such as lasers and chemical peels, dermabrasion remains an effective tool for physicians to combat the effects of aging without the downtime required for surgery.     

Correction of nasolabial folds wrinkle using intraoral non-ablative Er:YAG laser

Background: The accentuated nasolabial folds (NLFs) is the most pronounced sign of aging. Non-ablative erbium:yttrium aluminum garnet laser (ER:YAG), Smooth mode was used for the treatment of mucosal tissue. It was reported that it is effective in facial rejuvenation.

Aim: To assess the safety and the effectiveness of intraoral ER:YAG Smooth mode laser in the treatment of NLFs wrinkle. Materials and methods: A total of 20 patients with different grades of NLFs wrinkle treated with 2940 nm Er:YAG laser intraorally. Six sessions were done every 2 weeks. The efficacy was assessed by two blinded dermatologists. Photographs were taken at the baseline, end of treatment and 6 months after the final session to document visible changes in NLFs wrinkle. The assessment was based on Modified Fitzpatrick Wrinkle Scale (MFWS) and by comparing the photographs. Patient’s self-assessment and patient’s satisfaction were used for assessment of final results and any side effects associated to treatment were observed. Results: There was significant reduction of the NLFs wrinkle. The MFWS was significantly improved 6 months after treatment compared to before treatment (p < 0.001). At the end of the follow-up period, there was improvement in overall appearance of the wrinkles. Patient’s self -assessment and satisfaction demonstrated better cosmetic outcomes. Conclusion: Intraoral Er:YAG laser is safe, painless, and effective treatment option for NLFs wrinkle.     

眉下切口提眉术联合重睑成形术治疗中重度上睑松弛疗效分析

【摘要】 目的 探讨眉下切口提眉术联合重睑成形术治疗中重度上睑松弛的临床效果。 方法 选取2019年3月至2020年12月河南科技大学第一附属医院收治的112例中重度上睑松弛患者作为研究对象,按照不同治疗方法将其分为联合组(60例)与重睑成形术组 (52 例),联合组患者采用眉下切口提眉术联合重睑成形术治疗,重睑成形术组患者单纯采用重睑成形术治疗,对比观察两组患者上睑松弛矫正效果、上睑皱纹改善程度以及术后不良事件发生情况。 结果 术后 6 个月,联合组患者矫正效果优良率为 96.67%,明显高于重睑成形术组患者的矫正效果优良率 86.54% (χ2 =3.867,P =0.049); 术后 1、3、6 个月,联合组患者上睑 Lemperle 评分均明显低于重睑成形术组 (t =2.286、2.063、2.082,P =0.024、0.042、0.040); 术后 6 个月内,联合组患者不良事件发生率为 5.00%,重睑成形术组患者不良事件发生率为 3.85%,两组间无明显差异 (χ2 =0.087,P =0.768)。 结论 眉下切口提眉术联合重睑成形术治疗中重度上睑松弛,可充分切除上睑松弛皮肤组织,减轻上睑皱纹,恢复良好的眉眼部美学关系,疗效显著,安全性较高。