额颞部小切口多层次剥离除皱术

目的 探讨一种矫正额颞部老化征象简单而有效的方法。方法 采用额、颞部头皮发际内小切口、多层次(额部：骨膜下，额肌与皮肤间；颞部：颞浅筋膜眼轮匝肌与颞深筋膜间，颞浅筋膜眼轮匝肌与皮肤间)剥离，向上提紧额肌骨膜瓣和颞浅筋膜眼轮匝肌瓣，采用折叠缝合内固定(额部缝合固定于骨膜；颞部缝合固定于颞深筋膜表面)。不去除头皮，待其自然收缩恢复。结果 从2000年1月至2003年12月于临床应用20例，既获得满意的额颞部年轻化效果，又避免了冠状切口的并发症。结论 小切口多层次剥离是一种安全有效的额、颞部除皱术，既可单独应用于额部或颞部，也可额颞部同时进行手术。本方法具有时间短，损伤小，康复快，效果可靠等优点，同时避免冠状切口的并发症。

Rejuvenation of the forehead/temple by limited incision

Objective To utilize multiplane, subcutaneous and subperiosteal,dissection through small incisions in scalp to rejuvenate aging signs of forehead/temple. Methods Forehead: We make four small incisions in scalp, widely separate tissues between subperiosteum skin and frontal muscle to form galea frontal muscle-periosteum flap,the flap is tighten and sutured with the galea at the posterior border of the incision. This method avoid to excise scalp. Temple: there are two small incisions in the scalp of temple at each side. Superfical temple fascia and orbicularis oculi muscle as while is dissected from deep temporal fascia and skin respectively, then tightened and sutured with the superficial part of deep temporal fascia, excising scalp is not necessary. Results Twenty patients have received this treatment, the effects are satisfying. Conclusions Multiplane dissection through small incisions can remove wrinkles of skin, correct the prolapse of eyebrow and avoid the complications of coronary incision.This approach brings more rapid recorery of patients, it is safe and affective.;