Riascos Alfonso
Department of Plastic Surgery, Centro Medico Imbanaco, Cali, Colombia.
Facial Plast Surg. 2013 Jun;29(3):225-32. doi: 10.1055/s-0033-1347005. Epub 2013 Jun 12.
The best technique for facial rejuvenation has been argued about for years. Some result in more or longer scars, others in fewer or shorter scars; some techniques are more invasive, and some less invasive, giving, in turn, improvements to different aspects of aging. Some techniques may be less aggressive in parts of the face and may have better scar results compared with more invasive techniques; less scaring can provide long-lasting and enjoyable results. With the facelift without periauricular incision technique, no evidence of facial surgery is left because the traditional periauricular scars resulting from standard facelifts are avoided. A retrospective study of 210 patients who underwent a facelift without preauricular incisions between 2008 and 2011 showed a high patient satisfaction, effective action on effects of aging, and improvement on specific aspects for each patient. The complication rate was very low with simple revisions, among which were two related to temporal edema, two related to the marionette lines, three related to cervical suspension points, and four regarding scars. This technique is useful in patients between 40 and 70 years of age who do not have excessive facial wrinkles. It improves facial contour affected by aging, genetics, or secondary to previous surgeries and provides reproducible lasting natural results.
多年来，人们一直在争论面部年轻化的最佳技术。有些技术会导致更多或更长的疤痕，而有些则会产生更少或更短的疤痕；有些技术侵入性更强，有些则较弱，相应地对面部衰老的不同方面有改善作用。有些技术在面部某些部位的侵袭性较小，与侵袭性更强的技术相比，可能会有更好的疤痕效果；疤痕较少可以带来持久且令人满意的效果。采用耳周无切口面部提升技术，不会留下面部手术的痕迹，因为避免了标准面部提升术产生的传统耳周疤痕。一项对2008年至2011年间接受耳前无切口面部提升术的210名患者的回顾性研究表明，患者满意度很高，对衰老效果有有效作用，且每位患者在特定方面都有改善。简单修复后的并发症发生率很低，其中两例与颞部水肿有关，两例与木偶纹有关，三例与颈部悬吊点有关，四例与疤痕有关。该技术适用于40至70岁、面部皱纹不过多的患者。它改善了受衰老、遗传因素或既往手术影响的面部轮廓，并能提供可重复的持久自然效果。
