Nahas F X, Sterman S, Gemperli R, Ferreira M C
Plastic Surgery Division, Hospital Jaraguá, University of São Paulo School of Medicine, SP, Brazil.
Plast Reconstr Surg. 1999 Sep;104(4):1174-8; discussion 1179.
The clinical features and the plastic surgery management of a 23-year-old woman with cutis laxa are presented. Two rhytidectomies were performed in this patient within 1 year. The first was associated with a SMAS flap; the second employed a prehairline incision. The evolution of the aging facial appearance 10 years after the last face lift was evaluated and compared with the preoperative situation. Repeated face lifts seem to be an interesting way to manage patients with cutis laxa. Unlike patients with other disorders of the connective tissue, those with cutis laxa have no vascular fragility and heal well. The role of plastic surgery and the clinical features and timing for operation are reviewed and discussed.
本文介绍了一名23岁皮肤松弛症女性患者的临床特征及整形手术治疗情况。该患者在1年内接受了两次除皱手术。第一次手术联合了SMAS瓣；第二次手术采用了发际线前切口。评估并比较了最后一次面部提升术后10年面部老化外观的变化与术前情况。反复进行面部提升似乎是治疗皮肤松弛症患者的一种有效方法。与其他结缔组织疾病患者不同，皮肤松弛症患者没有血管脆性，愈合良好。本文对整形手术的作用、临床特征及手术时机进行了回顾和讨论。
