Kim Byung Jun, Choi Jun Ho, Lee Yoonho
Department of Plastic and Reconstructive Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Arch Plast Surg. 2015 Sep;42(5):521-31. doi: 10.5999/aps.2015.42.5.521. Epub 2015 Sep 15.
Facial rejuvenation procedures can be roughly divided into face lift surgery and nonoperative, less invasive procedures, such as fat grafts, fillers, botulinum toxin injections, thread lifts, or laserbrasion. Face lift surgery or rhytidectomy is the procedure most directly associated with rejuvenation, due to its fundamental ability to restore the anatomical changes caused by aging. Various methods of face lift surgery have been developed over the last hundred years, thanks to advances in the understanding of facial anatomy and the mechanisms of aging, as well as the dedication of innovative surgeons. However, no generally applicable standard method exists, because the condition of each patient is different, and each operative method has advantages and disadvantages. Specific characteristics of the skin of Asians and their skeletal anatomy should be considered when determining the operative method to be used on Asian patients. Plastic surgeons should improve their ability to analyze the original aesthetic properties and problem areas of each patient, drawing on scientific knowledge about the aging process, and they should develop the skills necessary to perform various rejuvenative techniques. In the present article, we reviewed various face lift procedures and the current methods of modified double plane face lift, based on our clinical experience of over 30 years.
面部年轻化手术大致可分为面部提升手术和非手术、侵入性较小的手术，如脂肪移植、填充剂、肉毒杆菌毒素注射、线雕或激光磨皮。面部提升手术或除皱术是与年轻化最直接相关的手术，因为它具有恢复衰老引起的解剖学变化的基本能力。在过去的一百年里，由于对面部解剖结构和衰老机制的认识不断进步，以及创新外科医生的奉献精神，已经开发出了各种面部提升手术方法。然而，不存在普遍适用的标准方法，因为每个患者的情况不同，每种手术方法都有优缺点。在确定对亚洲患者使用的手术方法时，应考虑亚洲人的皮肤特性及其骨骼解剖结构。整形外科医生应利用有关衰老过程的科学知识，提高分析每位患者原始美学特性和问题区域的能力，并应培养进行各种年轻化技术所需的技能。在本文中，我们根据30多年的临床经验，回顾了各种面部提升手术以及改良双平面面部提升的当前方法。
