Doerr Timothy D
Department of Otolaryngology-HNS, University of Rochester School of Medicine and Dentistry, New York, USA.
Curr Opin Otolaryngol Head Neck Surg. 2007 Aug;15(4):228-32. doi: 10.1097/MOO.0b013e32825b0777.
Facial aesthetic surgery has gained wider acceptance and demand for it is increasing. Patients seeking a more youthful facial look often request lipoplasty. This article reviews the recent advances in lipoplasty and related fat contouring for the face and neck.
Lipoplasty of the face and neck continues to be popular. There have been improvements in instrumentation, with laser and powered lipoplasty improving the efficiency of fat removal. Lipoplasty indications for neck lipodystrophy have been extended to patients previously only offered neck lifting. Additionally, limited procedures for patients with isolated anterior neck deformities, including direct lipectomy and skin excision, are gaining in popularity. Considerable attention in the lay and professional literature has been paid to mesotherapy for dissolving unwanted fat. Evidence supporting its efficacy is elusive. Finally, there remains enthusiasm for injection fat transfer for facial volume restoration as a component of rejuvenation.
The treatment of lipodystrophy of the face and neck involves the removal of undesirable fat and the transfer of fat to other areas to produce improved aesthetic results. With the current emphasis on restoring volume, lipoplasty and fat transfer will continue to be important in facial plastic surgery.
面部美容手术已获得更广泛的认可，其需求也在不断增加。寻求更年轻面部外观的患者常常要求进行脂肪抽吸术。本文综述了面部和颈部脂肪抽吸术及相关脂肪塑形的最新进展。
面部和颈部脂肪抽吸术仍然很受欢迎。器械方面有了改进，激光和电动脂肪抽吸术提高了脂肪去除的效率。颈部脂肪营养不良的脂肪抽吸术适应症已扩展到以前仅接受颈部提升术的患者。此外，针对孤立性颈前部畸形患者的有限手术，包括直接脂肪切除术和皮肤切除术，越来越受欢迎。大众和专业文献都相当关注用于溶解多余脂肪的中胚层疗法。支持其疗效的证据难以捉摸。最后，作为年轻化的一个组成部分，注射脂肪移植用于面部容积恢复仍然受到青睐。
面部和颈部脂肪营养不良的治疗包括去除不需要的脂肪以及将脂肪转移到其他部位以产生更好的美学效果。鉴于当前对面部容积恢复的重视，脂肪抽吸术和脂肪移植在面部整形手术中将继续发挥重要作用。
