Cornette de Saint-Cyr B, Garey L J, Maillard G F, Aharoni C
Clinique Spontini, 15 Rue Spontini, F-75116 Paris, France.
J Plast Reconstr Aesthet Surg. 2007;60(12):1277-86. doi: 10.1016/j.bjps.2007.05.002. Epub 2007 Jun 14.
We describe a novel procedure for an anatomically-based face lift to correct vertical vectors in the ageing face. It has the advantage of surgical simplicity, minimal tissue removal and minimal risk. It provides an effective readjustment of cheek volume and correction of periorbital hollowness. Natural facial expression is preserved largely because there is no change in the position of the lateral canthus. The cheek is mobilised subperiosteally through a blepharoplasty incision. A second dissection is made via a short temporal incision, to join the infraorbital dissection. A Hagedorn needle is then inserted through a point inferior to the lateral canthus and in line horizontally with the nasal ala. It is passed to the orbital incision, charged with a loop of suture material, and pulled down again to the cheek incision, from where it is pushed back to the orbit to suspend the cheek. The upper border of orbicularis oculi is fixed firmly to the temporalis aponeurosis at the level of the temporal incision. We now frequently use an Endotine Midface device for fixation. Of the first 150 patients, results were excellent or good in 145. This represents a revival of the subperiosteal mask lift, and abandons the use of endoscopic techniques. In spite of its simplicity, the operation involves subperiosteal dissection as well as delicate eyelid surgery that necessitate plastic surgical skill.
我们描述了一种基于解剖学的新型面部提升手术，用于矫正衰老面部的垂直向量。它具有手术操作简单、组织切除最少和风险最小的优点。它能有效调整脸颊容积并矫正眶周凹陷。由于外眦位置不变，很大程度上保留了自然面部表情。通过睑成形术切口在骨膜下分离脸颊。经颞部短切口进行第二次分离，以连接眶下分离。然后将一根哈格多恩针经外眦下方一点水平与鼻翼对齐处插入。将其穿至眼眶切口，装上缝线环，再拉回脸颊切口，从这里将其推回眼眶以悬吊脸颊。眼轮匝肌上缘在颞部切口水平牢固固定于颞肌腱膜。我们现在经常使用Endotine中面部装置进行固定。在前150例患者中，145例效果为优或良。这代表了骨膜下面具提升术的复兴，并摒弃了内镜技术的使用。尽管该手术操作简单，但涉及骨膜下分离以及精细的眼睑手术，需要整形外科技术。
