Donath Alexander S, Glasgold Robert A, Glasgold Mark J
Glasgold Group Plastic Surgery, Highland Park, New Jersey 08904, USA.
Curr Opin Otolaryngol Head Neck Surg. 2007 Aug;15(4):238-43. doi: 10.1097/MOO.0b013e32825b0751.
The earliest techniques of facial rejuvenation have been continuously adapted to reflect changes in the understanding of the aging face. Significant, paradigm-shifting advances in this understanding have been made in recent years which have allowed application of specific therapeutic modalities, resulting in dramatically improved results over those achieved with traditional facial rejuvenation.
Pioneering work by several authors has shown that gravity is not the sole determinant of the aging face. These authors have demonstrated that volume loss, including that of soft tissue and bone, is at least equally important in the pathogenesis of the stigmata of aging. Rejuvenative techniques developed to reverse these atrophic changes have exhibited outstanding results. The consequence is an increasing emphasis on the use of volume restoration procedures to address the aging face.
Recent improvements in the understanding of the facial aging process have brought about newly refined techniques for facial rejuvenation, ushering in a new era of plastic surgery for the aging face which is being manifested by increasingly natural results.
面部年轻化的最早技术一直在不断调整，以反映对面部衰老认识的变化。近年来，在这一认识上取得了重大的、范式转变的进展，使得特定治疗方式得以应用，从而产生了比传统面部年轻化显著改善的效果。
几位作者的开创性工作表明，重力并非面部衰老的唯一决定因素。这些作者证明，包括软组织和骨骼在内的容量丧失在衰老特征的发病机制中至少同样重要。为逆转这些萎缩性变化而开发的年轻化技术已显示出出色的效果。结果是越来越强调使用容量恢复手术来解决面部衰老问题。
最近对面部衰老过程认识的改进带来了新的精细化面部年轻化技术，开创了面部衰老整形手术的新时代，其表现为效果越来越自然。
