改良骨膜下综合剥防除皱术100例分析

目的 为了更有效地使面中部老化组织向上提紧复位。方法 采用扩大的面部骨膜下剥离，或加用ＳＭＡＳ下和皮下多层次综合剥离除皱术。尤其在颧弓部骨膜下进行剥离松解，掀起颧弓韧带的起点，以解除面中部老化组织上提复位的屏障。结果 本组１００例术后显示恢复面部各层组织年轻时的解剖关系，获得了年轻时鼻唇沟的形态和颌线轮廓，效果满意。未出现面神经额支受牵拉损伤的征象。结论 本法适用于不同年龄，尤其是４０岁左右的除皱

The modification of combined subperiosteal facelift]

OBJECTIVE: To reposit all the elements of the aging midface more adequately. METHODS: We have performed combined facelift on 100 patients using extended subperiosteal dissection or sub-SMAS and subcutaneous dissection. In particular, the zygomatic arch subperiosteal dissect releases the attachment of the zygomatic ligament. RESULTS: In this group of 100 patients, postoperative follow-up showed that this technique can restore the initiate anatomical relationship of multiple tissue layers of the face, provides the patient with both an excellent nasolabial fold and jawline contour without damage of the frontal branch of the facial nerve. CONCLUSION: This technique is most suitable for the patients about 40 years old.