Kalantar-Hormozi Abdoljalil, Shahrokh Soraya, Abbaszadeh-Kasbi Ali, Rita Davai Nazanin
Department of Plastic and Craniofacial Surgery, 15 Khordad Hospital, Medical College, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Plastic and Craniofacial Surgery, Modarres Hospital, Medical College, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2019 Jan;8(1):62-68. doi: 10.29252/wjps.8.1.62.
The demand for facial plastic surgery has dramatically been increased in recent years. Over the last decade, numerous methods have been improved for facelift surgery. Despite these modifications, skin excision technique has not changed significantly. In this study, authors have tried to introduce a new technique regarding skin excision at the initial step of facelift surgery.
A prospective study from 2012 to 2017 on 52 patients was carried out to apply a new technique for facelift ''Prefabricated skin excision method'' for all eligible patients undergoing facelift surgery. The skin calling for excision was marked by the surgeon, and then, an analgesic drug was administered. Then, excision of the marked part of the skin was performed and afterward the dissection of the superficial musculoaponeurotic system (SMAS) was performed with the direct exposure.
All patients were female, and 50 (96.1%) cases were primary face lift and 2 (3.9%) cases were secondary. There were no complications among the patients.
Facilitating the manipulation of deep layer, using this technique led to the further exposure of the surgical site, and more preferable hemostasis was achieved as well.
近年来，对面部整形手术的需求急剧增加。在过去十年中，针对面部提升手术改进了众多方法。尽管有这些改进，但皮肤切除技术并未发生显著变化。在本研究中，作者试图在面部提升手术的初始步骤引入一种关于皮肤切除的新技术。
对2012年至2017年的52例患者进行了一项前瞻性研究，对所有符合条件的接受面部提升手术的患者应用一种新的面部提升技术“预制皮肤切除法”。外科医生标记需要切除的皮肤，然后给予镇痛药。接着，切除标记的皮肤部分，随后直接暴露进行表浅肌肉腱膜系统（SMAS）的解剖。
所有患者均为女性，50例（96.1%）为初次面部提升，2例（3.9%）为二次面部提升。患者中无并发症发生。
使用该技术便于深层操作，使手术部位进一步暴露，同时实现了更理想的止血效果。
