Hedén Per, Sellman Gabriella, von Wachenfeldt Mats, Olenius Michael, Fagrell Dan
Akademikliniken, Storängsvägen 10, 115 42, Stockholm, Sweden.
Aesthetic Plast Surg. 2009 May;33(3):274-82. doi: 10.1007/s00266-008-9303-y. Epub 2009 Mar 12.
Driven by the rising popularity of minimally invasive techniques, the demand for cosmetic procedures is increasing. Cosmetic body-shaping procedures can be categorized into those that remove tissue and those that add volume. This review focuses on the latter of these categories, particularly on the use of resorbable hyaluronic acid gels specifically developed for minimally invasive volume enhancement. Pilot studies of hyaluronic acid involving its injection to contour various body deformities and its recent use in female breast augmentation are discussed. Injectable hyaluronic acid is effective and well tolerated. It represents an attractive treatment option for volume restoration or augmentation by providing predictable long-lasting results after minimally invasive administration. Alternative treatment options for volume enhancement also are summarized including fat transfer, silicone implants, and the use of injectable nonresorbable products such as silicone, polyalkylimide, and polyacrylamide gels. As patients continue to opt for nonsurgical procedures that offer predictable results, the development of minimally invasive products such as hyaluronic acid is increasingly important.
受微创技术日益普及的推动，美容手术的需求不断增加。美容身体塑形手术可分为去除组织的手术和增加体积的手术。本综述聚焦于后一类手术，尤其关注专门为微创体积增加而研发的可吸收透明质酸凝胶的应用。讨论了透明质酸用于塑造各种身体畸形轮廓的初步研究及其近期在女性隆胸中的应用。可注射透明质酸有效且耐受性良好。通过微创给药后能提供可预测的持久效果，它是体积恢复或增加的一种有吸引力的治疗选择。还总结了体积增加的其他治疗选择，包括脂肪移植、硅胶植入物，以及使用不可吸收的可注射产品，如硅胶、聚烷基酰亚胺和聚丙烯酰胺凝胶。随着患者继续选择能提供可预测结果的非手术程序，透明质酸等微创产品的开发变得越来越重要。
