Austin H W, Weston G W
Austin-Weston Center for Cosmetic Surgery, McLean, Virginia.
Clin Plast Surg. 1992 Apr;19(2):511-24.
Viewing the face as a series of three concentric rings, we can successfully rejuvenate the outer ring with the usual face lift, blepharoplasty, and brow lift. Insufficient attention has been paid to the middle and inner rings. The middle ring can be made to look more youthful by correcting the long upper lip with a lip lift, elevating the downturned corners with corner lifts, excising the deep nasolabial furrows, placing a chin implant to correct both the lateral chin-jowl indentations (the fleur-de-lis look) and the drooping chin, and dermabrading the wrinkles. The inner ring can be youthened by creating fuller lips either by the surgical augmentation techniques of inner flaps or vermilion advancements or by injection enhancement with a filler material. Our experience with 1300 procedures indicates that the successful rejuvenation of the middle and inner rings adds a great deal to appearance and satisfaction, the patient often appearing 10 to 15 years younger. Unknowingly altering a locus of identity in the mouth area can lead to significant patient upset and should be avoided. Guiding principles for cosmetic surgery around the mouth have been suggested.
将面部视为由三个同心圆组成的系列，我们可以通过常规的面部提升、眼睑整形术和眉部提升术成功地使外圈恢复活力。然而，人们对中圈和内圈关注不足。通过上唇提升术矫正过长的上唇、通过口角提升术提升下垂的口角、切除深深的鼻唇沟、植入下巴假体以矫正外侧下巴-下颌凹陷（鸢尾花外观）和下垂的下巴以及磨皮去除皱纹，可以使中圈看起来更年轻。通过内瓣手术增大或唇红推进等手术增大技术，或使用填充材料进行注射增强，可以使嘴唇更丰满，从而使内圈恢复活力。我们对1300例手术的经验表明，中圈和内圈的成功年轻化对外观和满意度有很大提升，患者通常看起来年轻10至15岁。在不知不觉中改变口腔区域的身份特征可能会导致患者严重不满，应予以避免。本文提出了围绕口腔进行美容手术的指导原则。
