Meaike Jesse D, Agrawal Nikhil, Chang Daniel, Lee Edward I, Nigro Marjory G
Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas.
Nigro Dermatology Group, Houston, Texas.
Semin Plast Surg. 2016 Aug;30(3):143-50. doi: 10.1055/s-0036-1584818.
A proper knowledge of noninvasive facial rejuvenation is integral to the practice of a cosmetic surgeon. Noninvasive facial rejuvenation can be divided into patient- versus physician-directed modalities. Patient-directed facial rejuvenation combines the use of facial products such as sunscreen, moisturizers, retinoids, α-hydroxy acids, and various antioxidants to both maintain youthful skin and rejuvenate damaged skin. Physicians may recommend and often prescribe certain products, but patients are in control with this type of facial rejuvenation. On the other hand, physician-directed facial rejuvenation entails modalities that require direct physician involvement, such as neuromodulators, filler injections, laser resurfacing, microdermabrasion, and chemical peels. With the successful integration of each of these modalities, a complete facial regimen can be established and patient satisfaction can be maximized. This article is the last in a three-part series describing noninvasive facial rejuvenation. Here the authors review the mechanism, indications, and possible complications of lasers, chemical peels, and other commonly used noninvasive modalities.
对于整形外科医生而言,掌握非侵入性面部年轻化的相关知识是其临床实践不可或缺的一部分。非侵入性面部年轻化可分为患者主导型和医生主导型两种方式。患者主导型面部年轻化是指联合使用面部护理产品,如防晒霜、保湿霜、维甲酸、α - 羟基酸以及各种抗氧化剂,以维持肌肤的年轻状态并修复受损肌肤。医生可以推荐并常常开具某些产品,但在这种面部年轻化方式中,主导权掌握在患者手中。另一方面,医生主导型面部年轻化则需要医生直接参与的方式,如使用神经调节剂、注射填充剂、激光换肤、微晶磨皮以及化学剥脱术等。成功整合这些方式中的每一种,便可制定出一套完整的面部护理方案,并使患者满意度最大化。本文是关于非侵入性面部年轻化的系列文章的第三篇。在此,作者回顾了激光、化学剥脱术以及其他常用非侵入性方式的作用机制、适应症及可能出现的并发症。