Newport Beach and Santa Ana, Calif.; and Athens, Greece From the University of California, Irvine, and private practice.
Plast Reconstr Surg. 2010 Jul;126(1):229-237. doi: 10.1097/PRS.0b013e3181ce1806.
One of the most common questions asked by patients when they present for face lift surgery is "How long will this last?" The answer to this question is not clear from the literature.
The purpose of the study was to review a series of secondary face lifts performed between 2001 and 2008 with both the primary and secondary face lift performed by a single surgeon. There were 42 patients with full records available for review. Data were collected with regard to timing, surgical technique, complications, and reasons for early revision.
The average age at the primary face lift was 50.2 years (range, 34.9 to 69.9 years) and the average age at the secondary face lift was 61.9 years (range, 43.6 to 77.2 years). The average length of time from the primary to secondary face lift was 11.9 years. Nine patients required a secondary face lift before it had been 5 years since the primary face lift (21.4 percent). Reasons for early secondary face lift (within 5 years of the primary) included loss of skin elasticity in five patients and increase in subplatysmal fat and skin neck folds due to weight gain, loss of elasticity secondary to protease inhibitors for human immunodeficiency virus infection, loss of skin elasticity due to corticosteroid use, and residual fullness of digastric and residual submental fat in one patient each.
On average, a well-performed superficial musculoaponeurotic system flap face lift will last 12 years. Those patients who present with very poor skin elasticity secondary to sun damage may require an earlier secondary face lift.
患者在接受面部提升手术时最常问的问题之一是“这个能持续多久？”这个问题在文献中并没有明确的答案。
本研究的目的是回顾 2001 年至 2008 年间进行的一系列二次面部提升手术，由同一位外科医生同时进行初次和二次手术。共有 42 名患者的完整记录可供审查。收集了有关时间安排、手术技术、并发症以及早期修复的原因的数据。
初次面部提升的平均年龄为 50.2 岁（范围为 34.9 岁至 69.9 岁），二次面部提升的平均年龄为 61.9 岁（范围为 43.6 岁至 77.2 岁）。从初次到二次面部提升的平均时间为 11.9 年。有 9 名患者在初次面部提升后不到 5 年就需要进行二次面部提升（21.4%）。早期进行二次面部提升（初次手术后 5 年内）的原因包括 5 名患者皮肤弹性丧失、5 名患者因体重增加导致皮下脂肪和皮肤颈部褶皱增加、5 名患者因人类免疫缺陷病毒感染使用蛋白酶抑制剂导致弹性丧失、5 名患者因使用皮质类固醇导致皮肤弹性丧失，以及 1 名患者存在二腹肌饱满和颏下脂肪残留。
平均而言，一次成功的浅表肌肉筋膜系统皮瓣面部提升术可以持续 12 年。那些由于阳光损伤导致皮肤弹性非常差的患者可能需要更早地进行二次面部提升。
