Binder William J
Division of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Beverly Hills, California, USA.
Facial Plast Surg. 2011 Feb;27(1):86-97. doi: 10.1055/s-0030-1270421. Epub 2011 Jan 18.
Whereas traditional concepts of facial aging focus on the descent of soft tissue secondary to gravitational effects, it is now well established that volumetric changes involving different levels of soft tissue loss reveal craniofacial skeletal deficiencies that, together, contribute to the changes evident in the aging face. Thus, effective facial rejuvenation requires a comprehensive paradigm that identifies and addresses all anatomic elements involved in the aging process. Contemporary practices in facial rejuvenation have expanded far beyond the rhytidectomy procedure to involve deeper and more fundamental levels of dissection for the purpose of elevating and replacing volume. Alloplastic implants offer a long-term, multidimensional solution to facial rejuvenation by concomitantly augmenting skeletal deficiency, restoring lost soft tissue volume, and smoothing irregularities in the facial contour. Facial augmentation using implants represents a straightforward, simple procedure with minimal risks and long-lasting benefits. By applying accurate and judicious techniques for preoperative analysis, selecting the appropriate implant, and with correct surgical placement of the implants, the facial plastic surgeon can achieve successful facial volumization and restore the youthful appearance of the aging patient.
传统的面部衰老观念侧重于重力作用导致的软组织下垂，而现在已经明确，涉及不同层次软组织流失的容积变化揭示了颅面骨骼缺陷，这些缺陷共同导致了衰老面部明显的变化。因此，有效的面部年轻化需要一个全面的范例，以识别和解决衰老过程中涉及的所有解剖学要素。当代面部年轻化实践已远远超出除皱手术的范畴，为了提升和恢复容积，涉及更深层次和更基础的解剖层面。异体植入物通过同时增加骨骼缺陷、恢复流失的软组织容积和平滑面部轮廓不规则之处，为面部年轻化提供了一种长期的、多维度的解决方案。使用植入物进行面部填充是一种直接、简单的手术，风险极小且益处持久。通过应用准确而明智的术前分析技术、选择合适的植入物并正确进行植入物的手术放置，面部整形外科医生可以成功实现面部容积增加，并恢复老年患者的年轻外观。
