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新型除皱术:微创切口除皱的面部年轻化艺术。

New lift: the art of facial rejuvenation with minimal incisions rhytidectomy.

作者信息

Tarallo M, Toscani M, Di Taranto G, Sorvillo V, Fino P

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, University of Rome "Sapienza", Policlinico Umberto I, Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2016 Nov;20(21):4416-4425.

Abstract

OBJECTIVE

The new lift is a procedure for facial rejuvenation with minimal incision, giving the patient a significant improvement of mid face and neck, with limited dissection and minimal scars. A further "One-stitch" of anchorage to the deep temporal fascia is required to hold tissues. By a minimal surgical access, we get a suitable cheek lift with the improvement of nose-labial folds, mandibular edge and neck contour.

PATIENTS AND METHODS

Between February 2009 and June 2012, 32 patients underwent facial rejuvenation surgery called new lift at a mean age of 46 years (range 35-55 years). Seven of the patients had a previous facelift. 12 out of 32 patients (37.5%) had concomitant eyelid surgery and 4 (12.5%) neck contouring procedure.

RESULTS

The technique we used is a safe and effective procedure with a high satisfaction rate; 28 patients (89%) were very satisfied with their result at 24-months follow-up.

CONCLUSIONS

The surgical outcome was evaluated according to the analysis of photographs obtained before and after surgery and the analysis of pre- and postoperative measurements. Aesthetic results were evaluated also by patients themselves who indicated a high satisfaction rate at three months post-surgery questionary and by a surgeon not involved in the study using VAS (1-10) before and three months after surgery. Acquired data on the aesthetic result were statistically evaluated using Student t-test. This is a study aimed at assessing the effectiveness of the new-lift technique for facial rejuvenation. Based on the results of our study, the new-lift is a very effective surgery for rejuvenation of the face with mild to moderate aging. All patients healed uneventfully without any major postoperative problems. This technique responds to an increasing demand from a wide range of patients for less invasive, less expensive operations with faster healing time and fewer potential complications.

摘要

目的

新型提升术是一种用于面部年轻化的手术,切口极小,能使患者的中面部和颈部得到显著改善,组织剥离有限且疤痕极小。还需要进一步“一针”固定于颞深筋膜以固定组织。通过最小的手术切口,我们能实现合适的脸颊提升,改善鼻唇沟、下颌缘和颈部轮廓。

患者与方法

2009年2月至2012年6月期间,32例患者接受了名为新型提升术的面部年轻化手术,平均年龄46岁(范围35 - 55岁)。其中7例患者曾接受过面部提升术。32例患者中有12例(37.5%)同时进行了眼睑手术,4例(12.5%)进行了颈部轮廓塑形手术。

结果

我们所采用的技术是一种安全有效的手术,满意度高;在24个月的随访中,28例患者(89%)对手术效果非常满意。

结论

根据手术前后拍摄的照片分析以及术前和术后测量分析来评估手术效果。患者自身也对美学效果进行了评估,他们在术后三个月的问卷调查中表示满意度很高,并且由一位未参与该研究的外科医生在手术前和术后三个月使用视觉模拟评分法(1 - 10分)进行评估。使用学生t检验对获得的美学效果数据进行统计学评估。这是一项旨在评估新型提升术对面部年轻化有效性的研究。基于我们的研究结果,新型提升术对于轻至中度衰老的面部年轻化是一种非常有效的手术。所有患者均顺利愈合,无任何重大术后问题。该技术满足了广大患者对侵入性更小、费用更低、愈合时间更快且潜在并发症更少的手术日益增长的需求。

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