ON Clinic, Seoul, Republic of Korea.
Lamar Clinic Isu Branch, Seoul, Republic of Korea.
Dermatol Surg. 2019 Aug;45(8):1063-1068. doi: 10.1097/DSS.0000000000001758.
During minimally invasive aesthetic procedures, the skin is often pinched to facilitate filler injection or thread insertion into the desired layer. However, little is known about changes in the facial layers during pinch manipulation.
To determine which layer of the temple is lifted during pinching and whether the artery and the nerve are affected by pinching.
At 11 sites on 3 fresh Korean cadavers, the skin of the temple was pinched gently or deeply, and the skin pulled up was cut at the bottom. The exposed areas were grossly and histologically examined.
With gentle pinching, the subcutaneous fat and superficial temporal fascia (STF) layer were separated, and the fat was removed with the skin. The superficial temporal artery and temporal branches of the facial nerve were intact. With deep pinching, the STF was separated from the deep temporal fascia and lifted with the skin.
When thread lifting is performed, deep pinching is helpful for anchoring thread to the temporal fascia, whereas gentle pinching helps to insert thread into the safe subcutaneous fat layer, where no significant blood vessels or nerves are present.
在微创美容手术中，常通过捏提皮肤来辅助填充剂注射或线材植入到目标层次。然而，关于捏提操作时面部各层的变化知之甚少。
确定在捏提时颞区的哪一层被提起，以及捏提是否会影响动脉和神经。
在 3 具新鲜韩国尸体的 11 个部位，轻轻或深深捏提颞区皮肤，在底部切开提起的皮肤。对暴露的区域进行大体和组织学检查。
轻柔捏提时，可分离皮下脂肪和颞浅筋膜（STF）层，脂肪与皮肤一并去除。颞浅动脉和面神经颞支完整无损。深度捏提时，STF 与深部颞筋膜分离并随皮肤提起。
进行线雕提升时，深度捏提有助于将线固定到颞筋膜，而轻柔捏提有助于将线插入无明显血管和神经的安全皮下脂肪层。
