Galvao M S L, Köbig R N
Clínica São Vicente-Gávea, Rua João Borges 294, Gávea, Rua Visconde Silva, 52/1006, Rio de Janeiro Rio de Janeiro 22451-100, Brazil.
Aesthetic Plast Surg. 2008 May;32(3):509-16. doi: 10.1007/s00266-008-9130-1.
Several techniques for face-lifting have been described, all aimed at achieving a youthful appearance with a hidden scar. The authors are concerned about the conspicuous horizontal scar that travels all the way through the hairless skin behind the ears, which they consider very unpleasant and totally unnecessary. They are able to achieve a normal-appearing face with a safer technique that minimizes the visible scars such as the postauricular one, yet still has good and lasting results. In the past 9 years, 202 patients, men and women ages 38 to 86 years, have undergone surgery using the round-ear face-lifting technique, most of them with local anesthesia and sedation. The authors were able to achieve good and lasting results with a minimum of complications and to change the unaesthetic postauricular scar to a retroauricular one (with contouring of the concha) using a new design of marking the skin incisions. A new face-lifting incision is described. The procedure is suitable and safer for all patients requiring facial rejuvenation. The main advantage of this technique is the absence of visible postauricular scars.
已经描述了几种面部提升技术，所有这些技术都旨在通过隐藏疤痕来实现年轻化外观。作者们担心明显的水平疤痕一直延伸到耳朵后面的无毛皮肤上，他们认为这种疤痕非常难看且完全没有必要。他们能够通过一种更安全的技术实现外观正常的面部，这种技术能将可见疤痕（如耳后疤痕）最小化，但仍能取得良好且持久的效果。在过去9年中，202例年龄在38至86岁之间的男女患者接受了使用圆耳面部提升技术的手术，其中大多数患者采用局部麻醉和镇静。作者们能够以最少的并发症取得良好且持久的效果，并通过一种新的皮肤切口标记设计，将不美观的耳后疤痕转变为耳后隐蔽疤痕（同时对耳甲进行塑形）。本文描述了一种新的面部提升切口。该手术对所有需要面部年轻化的患者来说既合适又更安全。这项技术的主要优点是没有可见的耳后疤痕。
