Kridel Russell W H, Patel Sagar
Facial Plastic Surgery Associates, 6655 Travis Street, Suite 900, Houston, Texas.
Division of Facial Plastic Surgery, Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Science Center, Houston, Texas.
Facial Plast Surg. 2017 Jun;33(3):279-284. doi: 10.1055/s-0037-1598055. Epub 2017 Jun 1.
The traditional rhytidectomy addresses facial and neck aging as it relates to soft tissue laxity. The modern volumetric facelift provides optimal results by addressing not only skin laxity but also the loss of volume secondary to tissue atrophy and bony resorption. While multiple techniques including fat grafting, dermal fillers, and tissue resuspension are used to correct the tissue loss, alloplastic midface augmentation remains the most permanent method. In our practice we often address midface cheek hollowness or atrophy with the placement of submalar implants at the time of rhytidectomy. In addition to midface volumetric rejuvenation, alloplastic chin implantation can help strengthen and further define a retrusive chin and weak jawline. In this article we discuss technique, indications, and benefits of performing alloplastic augmentation as an adjunct to rhytidectomy.
传统的除皱术解决与软组织松弛相关的面部和颈部衰老问题。现代的容积性面部提升术不仅解决皮肤松弛问题，还解决因组织萎缩和骨质吸收导致的容积丧失问题，从而提供最佳效果。虽然包括脂肪移植、真皮填充剂和组织悬吊在内的多种技术用于纠正组织缺失，但异体材料中面部增大术仍然是最持久的方法。在我们的实践中，我们经常在除皱术时通过植入颧下植入物来解决中面部脸颊凹陷或萎缩问题。除了中面部容积恢复外，异体材料下巴植入可以帮助加强并进一步塑造后缩的下巴和薄弱的下颌轮廓。在本文中，我们讨论将异体材料增大术作为除皱术辅助手段的技术、适应症和益处。
