Ramanadham Smita R, Rohrich Rod J
Boston, Mass.; and Dallas, Tex. From the Division of Plastic and Reconstructive Surgery, Boston University School of Medicine; and Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.
Plast Reconstr Surg. 2015 Nov;136(5 Suppl):49S-55S. doi: 10.1097/PRS.0000000000001730.
The identification of specific fat compartments of the face has greatly improved the plastic surgeon's approach to facial rejuvenation. These superficial and deep compartments are discretely partitioned into multiple independent units by fascial barriers and undergo age-dependant volumetric changes. This knowledge has created a topographical map allowing for the direct and precise augmentation of those compartments that are deflated preferentially. These include the deep medial cheek, nasolabial, superficial middle, and lateral cheek compartments. Once this volume loss has been addressed, the overlying superficial musculoaponeurotic system and skin envelope can be treated to address laxity and bridge the compartments, creating a smooth cheek contour. Facial augmentation can be performed alone in the correct patient; however, it most often complements face-lifting. It is, therefore, important to have a thorough understanding of this anatomy and the changes that occur during aging.
面部特定脂肪腔室的识别极大地改进了整形外科医生对面部年轻化的治疗方法。这些浅部和深部腔室被筋膜屏障离散地分隔成多个独立单元，并经历与年龄相关的容积变化。这一知识创建了一张地形图，使得能够直接且精确地填充那些优先出现容量减少的腔室。这些腔室包括深部内侧脸颊、鼻唇沟、浅部中部和外侧脸颊腔室。一旦解决了容量丢失问题，就可以处理覆盖其上的表浅肌肉腱膜系统和皮肤包膜，以解决松弛问题并连接各个腔室，塑造出平滑的脸颊轮廓。面部填充可在合适的患者中单独进行；然而，它最常作为面部提升的补充。因此，全面了解这种解剖结构以及衰老过程中发生的变化非常重要。
