Department of Plastic and Cosmetic Surgery, ZhuJiang Hospital, Southern Medical University, Guangzhou 510282, Guangdong Province, People's Republic of China.
Aesthetic Plast Surg. 2011 Aug;35(4):553-7. doi: 10.1007/s00266-011-9662-7. Epub 2011 Feb 27.
A surgical technique was developed to soften the nasolabial folds by liposuction and severing of the cutaneous insertions of the mimetic muscles. This procedure was used for 11 patients from September 2006 to June 2009.
With the patients under local tumescent anesthesia, extraoral incisions were made in nine cases and intraoral incisions in two cases. Liposuction was performed superior and lateral to the nasolabial fold using an order-made one-hole 2.5-mm cannula. After liposuction, the fibrae septa and the cutaneous insertions of the mimetic muscles in the nasolabial region were severed by a sharp-edge eye scissors. Compressive dressings were maintained for 3 days.
All the patients, followed up from 3 months to 3 years, were satisfied with the aesthetic results. Both the depth and the length of the nasolabial folds were decreased conspicuously. The most obvious change was improvement in the lateral part of the nasolabial folds. The extraoral scars were almost imperceptible. Severe complications were not observed in this series.
Surgical softening of the nasolabial folds by liposuction and severing of the cutaneous insertions of the mimetic muscles is especially suitable for 40- to 60-year-old women with aging faces who are unwilling to undergo a face-lift. The procedure is simple, and the anatomic causes for deepening of the nasolabial folds can be corrected. Patients usually are satisfied with the final postoperative results.
我们开发了一种通过吸脂和切断表情肌的皮肤插入物来软化鼻唇沟的手术技术。该手术于 2006 年 9 月至 2009 年 6 月期间对 11 名患者进行了应用。
在局部肿胀麻醉下,9 例采用口外切口,2 例采用口内切口。使用定制的单孔 2.5mm 套管在鼻唇沟上方和外侧进行吸脂。吸脂后,使用锐缘眼剪刀切断鼻唇区域的纤维隔和表情肌的皮肤插入物。保持压缩敷料 3 天。
所有患者随访 3 个月至 3 年,均对美学效果满意。鼻唇沟的深度和长度均明显减小。最明显的变化是改善了鼻唇沟的外侧部分。口外瘢痕几乎不可见。该系列未观察到严重并发症。
吸脂和切断表情肌的皮肤插入物来软化鼻唇沟特别适用于不愿意接受面部提升术的 40 至 60 岁面部老化的女性。该手术操作简单,可以纠正加深鼻唇沟的解剖原因。患者通常对最终的术后效果满意。