Radwanski Henrique N, Nunes Daniel, Nazima Flávio, Pitanguy Ivo
Department of Plastic Surgery, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.
Aesthetic Plast Surg. 2007 Jan-Feb;31(1):62-8; discussion 69-70. doi: 10.1007/s00266-006-0141-5.
Rhytidoplasty may cause permanent and unwanted stigmas, such as dislocation of the temporal and cervical hairline. Widened scars inside the hairline may cause considerable social embarrassment. Furthermore, pretrichial incisions, even if well placed, may widen or become hypochromic, thus revealing that an aesthetic procedure has been performed. Various procedures for the correction of these undesirable telltale signs of a face-lift have been published. This report aims to present the results of correction for postrhytidoplasty stigmas using follicular transplantation. Patient assessment is discussed, and relevant technical aspects are detailed and illustrated.
A prospective study at the Ivo Pitanguy Clinic investigated patients who underwent hair transplantation to correct unaesthetic signs secondary to rhytidoplasty from January 2001 to December 2004. The aesthetic results and complications were evaluated, as well as the patients' satisfaction rate. The patients presented in this series either were referred from another service or had their rhytidoplasty originally performed in the authors' service.
A total of 33 female patients were included in this study. Two patients were lost to follow-up evaluation and not included. The complications were minor. In the late follow-up assessment, 24 patients classified the result as excellent, 4 as satisfactory, and 3 as unsatisfactory. Only the patients who classified the results as unsatisfactory requested a second procedure (i.e., another follicular transplantation).
When performed by an experienced surgical team, the follicular unit transplantation technique is a simple, safe, and efficient way to correct stigmas secondary to a rhytidoplasty, such as a visible scar or a displaced hairline, with satisfactory results and a very low complication rate.
除皱整形术可能会导致永久性且不受欢迎的瑕疵，比如颞部和颈部发际线移位。发际线内增宽的瘢痕可能会造成相当大的社交尴尬。此外，发际前切口即使位置合适，也可能会变宽或色素减退，从而暴露进行过美容手术。已发表了各种用于矫正这些除皱整形术不良痕迹的手术方法。本报告旨在呈现使用毛囊移植矫正除皱整形术后瑕疵的结果。讨论了患者评估情况，并详细阐述和说明了相关技术方面。
在伊沃·皮坦吉诊所进行的一项前瞻性研究调查了2001年1月至2004年12月期间接受毛发移植以矫正除皱整形术继发的不美观体征的患者。评估了美学效果和并发症以及患者的满意度。本系列中的患者要么是从其他科室转诊而来，要么最初是在作者所在科室接受的除皱整形术。
本研究共纳入33例女性患者。2例患者失访未纳入。并发症轻微。在后期随访评估中，24例患者将结果评为优秀，4例评为满意，3例评为不满意。只有评为不满意的患者要求进行二次手术（即再次进行毛囊移植）。
由经验丰富的手术团队实施时，毛囊单位移植技术是一种简单、安全且有效的方法，可用于矫正除皱整形术继发的瑕疵，如可见瘢痕或移位的发际线，效果令人满意且并发症发生率极低。
