Department of Plastic and Reconstructive Surgery, Hand Surgery - Burn Centre, University Hospital of the RWTH, Pauwelsstrasse 30, 52074, Aachen, Germany,
Aesthetic Plast Surg. 2013 Dec;37(6):1107-13. doi: 10.1007/s00266-013-0218-x. Epub 2013 Oct 19.
Since the introduction of the classic submucosal aponeurotic system (SMAS) face-lift, the surgical approach to improve the changes of an aging face has evolved, and significant technical improvements have been made. However, several problems still have not been solved satisfactorily. These problems include facial lipodystrophy and changes in skin and skin texture.
The Lipo-Facelift procedure consists of facial liposculpturing performed simultaneously with a biplanar, bivectorial SMAS face-lift procedure. The authors analyzed pre- and postsurgical photographs of 12 patients with a Lipo-Facelift after 3 and 12 months and analyzed their charts for complications. Furthermore, O2C measurement was performed to assess improved microcirculation. The longest follow-up period was 8 years.
The Lipo-Facelift demonstrated very satisfying results. Initial swelling and bruising were seen as well as two cases of wound-healing disorders, but no surgical intervention or revision was needed. The findings show lasting improvement of skin quality and a youthful appearance.
The Lipo-Facelift corrects age-related skin and SMAS changes as well as age-related lipodystrophy, improves skin circulation and skin revitalization, and provides a lasting and natural result. The skin quality resulting from simultaneous lipofilling can be explained by improved angiogenesis due to transferred growth factors in the lipoaspirate. Also, differentiation of progenitor cells to fibroblasts and increased production of collagen contribute to firmer skin.
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自经典的黏膜下腱膜系统 (SMAS) 面部提升术引入以来，改善衰老面容的手术方法不断发展，技术有了显著的改进。然而，仍有一些问题尚未得到满意的解决。这些问题包括面部脂肪萎缩以及皮肤和肤质的变化。
Lipo-Facelift 手术包括面部脂肪雕刻术和双平面、双矢量 SMAS 面部提升术同时进行。作者分析了 12 例接受 Lipo-Facelift 手术后 3 个月和 12 个月的患者的术前和术后照片，并分析了他们的图表以了解并发症。此外，还进行了 O2C 测量以评估改善的微循环。最长的随访时间为 8 年。
Lipo-Facelift 效果非常令人满意。最初出现肿胀和瘀伤，以及两例伤口愈合障碍，但无需手术干预或修正。结果显示皮肤质量持续改善，呈现出年轻的外观。
Lipo-Facelift 可以纠正与年龄相关的皮肤和 SMAS 变化以及与年龄相关的脂肪萎缩，改善皮肤循环和皮肤活力，提供持久自然的效果。由于脂肪抽吸物中转移的生长因子，同时进行脂肪填充可改善皮肤质量。此外，祖细胞向成纤维细胞的分化以及胶原蛋白的产生增加有助于使皮肤更紧致。
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