Thomas M K, D'Silva J A, Borole A J
Department of Plastic Reconstructive and Cosmetic Surgery, Breach Candy Hospital, Asian Heart Institute, The Cosmetic Surgery Institute, Mumbai, India.
Indian J Plast Surg. 2012 Jan;45(1):122-7. doi: 10.4103/0970-0358.96608.
Standards for an aesthetic face are dynamic. The current trend is towards a leaner looking face with preservation of the inverted triangle of youth. Procedures that have been reported to be employed for correction of a chubby face include buccal fat pad excision, facial liposuction and injection lipolysis. In addition to giving the face an aesthetic triangular cut, chin and malar augmentation may be performed. The rounded appearance at the angles may further be reduced by injection of Botulinum toxin into the masseter.
Forty patients who presented to us for correction of chubby (round) faces were analysed and treated by facial sculpting surgery, which included at least two of the procedures in combination. The procedures included facial liposuction, buccal fat pad excision, chin augmentation, malar augmentation and injection lipolysis. All cases were followed-up for a minimum of 6 months after surgery.
Aesthetic expectations of the patients were met in 39 cases, one patient complained of facial asymmetry following facial liposuction and was subjected to a touch-up injection lipolysis.
A combination of procedures is necessary to give the face an attractive contour. All the individual procedures have stood the test of time and are safe, proven and are put in mainstream. However, a thorough analysis of the face preoperatively and then subjecting the patient to a combination of these procedures in a single surgical sitting has yielded good results as seen in this study.
美学面部标准是动态变化的。当前的趋势是打造看起来更显瘦的面部，同时保留年轻的倒三角脸型。据报道，用于矫正圆脸的手术包括颊脂垫切除术、面部吸脂术和注射溶脂术。除了使面部呈现美观的三角形轮廓外，还可进行隆下巴和隆颧骨手术。通过向咬肌注射肉毒杆菌毒素，可进一步减少面部角度处的圆润感。
对40例前来矫正圆脸的患者进行分析，并通过面部塑形手术进行治疗，该手术至少联合了两种手术方法。这些手术包括面部吸脂术、颊脂垫切除术、隆下巴、隆颧骨和注射溶脂术。所有病例术后至少随访6个月。
39例患者的美学期望得到满足，1例患者在面部吸脂术后出现面部不对称，随后接受了注射溶脂术进行修复。
需要联合多种手术方法才能使面部具有吸引人的轮廓。所有这些单独的手术方法都经受住了时间的考验，是安全、经过验证且已成为主流的方法。然而，如本研究所示，术前对面部进行全面分析，然后在一次手术中让患者接受这些手术方法的联合应用，已取得了良好的效果。
