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皱纹及其测量——一种皮肤表面轮廓测量法。

The wrinkle and its measurement--a skin surface Profilometric method.

作者信息

Hatzis John

机构信息

Department of Skin and Venereal Diseases, Medical School, University of Ioannina, Ioannina, Greece.

出版信息

Micron. 2004;35(3):201-19. doi: 10.1016/j.micron.2003.11.007.

Abstract

This study outlines a simple 'Profilometric' method for measuring the size and function of the wrinkles. Wrinkle size was measured in relaxed conditions and the representative parameters were considered to be the mean 'Wrinkle Depth', the mean 'Wrinkle Area', the mean 'Wrinkle Volume', and the mean 'Wrinkle Tissue Reservoir Volume' (WTRV). These parameters were measured in the wrinkle profiles under relaxed conditions. The mean 'Wrinkle to Wrinkle Distance', which measures the distance between two adjacent wrinkles, is an accurate indicator of the muscle relaxation level during replication. This parameter, identified as the 'Muscle Relaxation Level Marker', and its reduction are related to increased muscle tone or contraction and vice versa. The mean Wrinkle to Wrinkle Distance is very important in experiments where the effectiveness of an anti-wrinkle preparation is tested. Thus, the correlative wrinkles' replicas, taken during follow up in different periods, are only those that show the same mean Wrinkle to Wrinkle Distance. The wrinkles' functions were revealed by studying the morphological changes of the wrinkles and their behavior during relaxed conditions, under slight increase of muscle tone and under maximum wrinkling. Facial wrinkles are not a single groove, but comprise an anatomical and functional unit (the 'Wrinkle Unit') along with the surrounding skin. This Wrinkle Unit participates in the functions of a central neuro-muscular system of the face responsible for protection, expression, and communication. Thus, the Wrinkle Unit, the superficial musculoaponeurotic system (superficial fascia of the face), the underlying muscles controlled by the CNS and Psyche, are considered to be a 'Functional Psycho-Neuro-Muscular System of the Face for Protection, Expression and Communication'. The three major functions of this system exerted in the central part of the face and around the eyes are: (1) to open and close the orifices (eyes, nose, and mouth), contributing to their functions; (2) to protect the eyes from sun, foreign bodies, etc.; (3) to contribute to facial expression, reflecting emotions (real, pretended, or theatrical) during social communication. These functions are exercised immediately and easily, without any opposition ('Wrinkling Ability') because of the presence of the Wrinkle Unit that gives (a) the site of refolding (the wrinkle is a waiting fold, ready to respond quickly at any moment for any skin mobility need) and (b) the appropriate skin tissue for extension or compression (this reservoir of tissue is measured by the parameter of WTRV). The Wrinkling Ability of a skin area is linked to the wrinkle's functions and can be measured by the parameter of 'Skin Tissue Volume Compressed around the Wrinkle' in mm(3) per 30 mm wrinkle during maximum wrinkling. The presence of wrinkles is a sign that the skin's 'Recovery Ability' has declined progressively with age. The skin's Recovery Ability is linked to undesirable cosmetic effects of ageing and wrinkling. This new Profilometric method can be applied in studies where the effectiveness of anti-wrinkle preparations or the cosmetic results of surgery modalities are tested, as well as in studies focused on the functional physiology of the Wrinkle Unit.

摘要

本研究概述了一种用于测量皱纹大小和功能的简单“轮廓测定法”。在放松状态下测量皱纹大小,代表性参数被认为是平均“皱纹深度”、平均“皱纹面积”、平均“皱纹体积”和平均“皱纹组织储存体积”(WTRV)。这些参数在放松状态下的皱纹轮廓中进行测量。平均“皱纹间距”用于测量相邻两条皱纹之间的距离,是复制过程中肌肉放松程度的准确指标。该参数被确定为“肌肉放松水平标记”,其减小与肌肉张力增加或收缩有关,反之亦然。平均皱纹间距在测试抗皱制剂效果的实验中非常重要。因此,在不同时期随访时拍摄的相关皱纹复制品,仅为那些显示相同平均皱纹间距的复制品。通过研究皱纹在放松状态、肌肉张力略有增加和最大程度皱起时的形态变化及其行为,揭示了皱纹的功能。面部皱纹不是单一的凹槽,而是与周围皮肤一起构成一个解剖和功能单元(“皱纹单元”)。这个皱纹单元参与面部中央神经肌肉系统的保护、表情和交流功能。因此,皱纹单元、表浅肌肉腱膜系统(面部浅筋膜)、由中枢神经系统和心理控制的深层肌肉,被认为是一个“用于保护、表情和交流的面部功能性心理神经肌肉系统”。该系统在面部中央和眼睛周围发挥的三大功能是:(1)打开和关闭孔口(眼睛、鼻子和嘴巴),辅助其功能;(2)保护眼睛免受阳光、异物等伤害;(3)有助于面部表情,在社交交流中反映情绪(真实的、假装的或戏剧性的)。由于存在皱纹单元,这些功能能够立即且轻松地发挥,毫无阻碍(“起皱能力”),因为皱纹单元提供了(a)重新折叠的部位(皱纹是一个等待折叠的结构,随时准备快速响应任何皮肤移动需求)和(b)用于伸展或压缩的适当皮肤组织(这种组织储存量通过WTRV参数测量)。皮肤区域的起皱能力与皱纹的功能相关,可以通过最大程度皱起时每30毫米皱纹周围“压缩的皮肤组织体积”(单位为立方毫米)这一参数来测量。皱纹的存在表明皮肤的“恢复能力”随着年龄增长逐渐下降。皮肤的恢复能力与衰老和起皱的不良美容效果相关。这种新的轮廓测定法可应用于测试抗皱制剂效果或手术方式美容效果的研究,以及专注于皱纹单元功能生理学的研究。

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