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悬吊预控张力方法在面部除皱手术中的应用
引用本文:张志宏,李文志,王佳琦.悬吊预控张力方法在面部除皱手术中的应用[J].中国美容医学,2012,21(3):353-355.
作者姓名:张志宏  李文志  王佳琦
作者单位:1. 首都医科大学附属北京安贞医院整形美容和激光医学科,北京,100029
2. 中国医学科学院中国协和医科大学整形外科医院面颈部整形美容中心
摘    要:目的:在面部除皱术中,探索一种可降低伤口闭合张力,从而减轻瘢痕和秃发、维持长期提升效果的方法.方法:同时应用颧脂肪垫悬吊法、眼轮匝肌瓣悬吊法和颞部三点减张悬吊法三种悬吊方式,使伤口主要锚着点的闭合张力降低.结果:2006年至2011年,在68例面部除皱术中运用该方法,无明显伤口瘢痕增生和秃发,面部提升效果维持时间长,无面神经损伤并发症出现.结论:悬吊预控张力方法使张力重新分布到深层结构,明显减轻了伤口瘢痕增生和秃发,操作简单、安全、效果持久.

关 键 词:张力  悬吊  面部除皱手术

Application of suspension method to pre-control tension in face lifting
ZHANG Zhi-hong,LI Wen-zhi,WANG Jia-qi.Application of suspension method to pre-control tension in face lifting[J].Chinese Journal of Aesthetic Medicine,2012,21(3):353-355.
Authors:ZHANG Zhi-hong  LI Wen-zhi  WANG Jia-qi
Institution:1.Department of Plastic Surgery and Laser Medcine,Beijing Anzhen Hospital,Capital University of Medical Sciences,Beijing 100029,China;2.Department of Face and Neck Plastic and Aesthetic Surgery,Plastic Surgery Hospital,Chinese Academy of Medical Sciences,Beijing 100041,China)
Abstract:Objective A procedure is explored to decrease the skin closing tension,thereby reduce the incidence of hypertrophic scars and alopecia and improve long-term clinical results in face lifting.Methods We used three way of suspension simultaneously,such as suspension of the malar fat pad,orbicularis oculi suspension and temporal three-point relief-tension suspension.It made the wound tension at the main-anchor points decreased.Results This technique was used in 68 patients between 2006 and 2011,All patients had no evidence of widened or hypertrophie scars or alopcia.SMAS suspension produced long-lasting results with minimal complication rates.Conclusions The tension was redistributed to the deeper layers when we use suspension method of pre-control tension.It significantly reduce the incidence of hypertrophie scars and hair loss,and it is a simple and safe procedure with effective long-lasting results.
Keywords:tension  suspension  face lifting
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