Derby Brian M, Codner Mark A
Sarasota, Fla.; and Atlanta, Ga.
From the Sarasota Plastic Surgery Center; and Mark Codner M.D. Plastic Surgery.
Plast Reconstr Surg. 2017 Jan;139(1):151e-167e. doi: 10.1097/PRS.0000000000002851.
After studying this article, the participants should be able to: 1. Describe pertinent surgical anatomy relevant to safe and effective face-lifting techniques. 2. Identify key aspects of facial aging. 3. Incorporate risk-reduction strategies during preoperative assessment. 4. Tailor their approach to face lifting based on patient anatomy. 5. Identify and treat complications after face-lift surgery. 6. Incorporate use of valid patient outcomes assessment tools in their practice to facilitate standardized outcomes reporting in the face-lift literature.
Treating the aged face requires an understanding of bone and soft-tissue anatomy, including the analogous lamellar layers of the face and neck, and the techniques designed to restore youthful skin tone and facial contours. Although volume restoration with fillers is effective for restoring youthful facial contours, the power of face lifting is unmatched in its ability to rejuvenate a sagging facial shape. Standard face-lifting techniques are described, along with the authors' preferred approach, supplemented by video demonstration of the high-superficial musculoaponeurotic system technique. Complications, along with their prevention and treatment, are reviewed. Currently available comparative studies of face-lifting outcomes consider surgeon opinion and postoperative complications rates. A valid, standardized, patient-reported outcome tool, the FACE-Q, has been available since 2010, and should be a component of any comparative discussion of face-lifting techniques in the future.
在研读本文后，参与者应能够：1. 描述与安全有效的面部提升技术相关的手术解剖结构。2. 识别面部衰老的关键方面。3. 在术前评估中纳入降低风险的策略。4. 根据患者解剖结构调整面部提升方法。5. 识别并处理面部提升手术后的并发症。6. 在实践中纳入有效的患者结局评估工具，以促进面部提升文献中的标准化结局报告。
治疗衰老面部需要了解骨骼和软组织解剖结构，包括面部和颈部类似的板层结构，以及旨在恢复年轻肤色和面部轮廓的技术。虽然使用填充剂进行容量恢复对于恢复年轻面部轮廓有效，但面部提升在恢复下垂面部形状的能力方面是无与伦比的。本文描述了标准的面部提升技术以及作者偏爱的方法，并辅以高-浅表肌肉腱膜系统技术的视频演示。对并发症及其预防和治疗进行了综述。目前可用的面部提升结局比较研究考虑了外科医生的意见和术后并发症发生率。自2010年以来，一种有效的、标准化的、患者报告的结局工具FACE-Q已经可用，并且应该成为未来任何面部提升技术比较讨论的一部分。
