小切口面部除皱术联合自体脂肪面部填充应用在面部年轻化手术中的效果

探讨面部年轻化治疗中应用自体脂肪面部填充联合小切口面部除皱术的效果。方法 选取 2018年2月-2023年2月于本院行面部年轻化治疗的30例患者为研究对象，依据治疗方法不同分为单独组和 联合组，各15例。单独组采用小切口面部除皱术治疗，联合组采用自体脂肪面部填充联合小切口面部除皱 术治疗，比较两组面部定量指标、下颌缘、鼻唇沟形态评分、面部皮肤检测指标、临床疗效、美容满意度 及并发症发生情况。结果 联合组治疗后双侧颧点间距、瞳孔垂线和鼻唇沟交点到瞳孔点距离、瞳孔垂线 与口裂线和鼻底线在下颌轮廓交点弧度均小于单独组（P ＜0.05）；联合组治疗后下颌缘形态、鼻唇沟形 态评分均低于单独组（P＜0.05）；联合组治疗后弹性、水分评分高于单独组，斑点、油脂评分低于单独组 （P＜0.05）；联合组治疗优良率为93.33%，高于单独组的80.00%（P＜0.05）；联合组美容满意度评分均高 于单独组（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 小切口面部除皱术 联合自体脂肪面部填充的面部年轻化治疗效果优于单独小切口面部除皱术，可改善面部定量指标和面部皮 肤检测指标，优化下颌缘、鼻唇沟形态，且不会增加不良反应发生风险，患者满意度较高。

Application Effect of Small Incision Facial Rhytidectomy Combined with Autologous Fat Facial Filling in Facial Rejuvenation Treatment

To explore the effect of autologous fat facial filling combined with small incision facial rhytidectomy in facial rejuvenation surgery. Methods From February 2018 to February 2023, 30 patients who underwent facial rejuvenation treatment in our hospital were selected as the research objects. According to different treatment methods, they were divided into single group and combined group, with 15 patients in each group. The single group was treated with small incision facial rhytidectomy, and the combined group was treated with autologous fat facial filling combined with small incision facial rhytidectomy. The facial quantitative indexes, mandibular margin, nasolabial sulcus morphological scores, facial skin detection indexes, clinical efficacy, cosmetic satisfaction and complications were compared between the two groups. Results After treatment, the distance between bilateral zygomatic points, the distance from the intersection of the pupil vertical line and the nasolabial groove to the pupil point, and the radian of the intersection of the pupil vertical line and the mouth fissure line and the nasal bottom line in the mandibular contour were smaller than those in the single group (P <0.05). After treatment, the scores of mandibular margin morphology and nasolabial groove morphology in the combined group were lower than those in the single group (P <0.05). After treatment, the scores of elasticity and moisture in the combined group were higher than those in the single group, and the scores of spots and oil were lower than those in the single group (P <0.05). The excellent and good rate of treatment in the combined group was 93.33%, which was higher than 80.00% in the single group (P <0.05). The cosmetic satisfaction score of the combined group was higher than that of the single group (P <0.05). There was no significant difference in the incidence of complications between the two groups (P >0.05). Conclusion The facial rejuvenation treatment effect of small incision facial rhytidectomy combined with autologous fat facial filling is better than that of single small incision facial rhytidectomy, which can improve the facial quantitative index and facial skin detection index, optimize the morphology of mandibular margin and nasolabial groove, and will not increase the risk of adverse reactions. Meanwhile, the patient satisfaction is high.