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一种新型的容积扩大的深层平面面中部提升术:利用复合皮瓣移位来增加中面部和下颌缘的容量。

A Novel Volumizing Extended Deep-Plane Facelift: Using Composite Flap Shifts to Volumize the Midface and Jawline.

机构信息

NY Center for Facial Plastic & Laser Surgery/JSpa Medical Spa, 630 Park Avenue, New York, NY 10065, USA.

出版信息

Facial Plast Surg Clin North Am. 2020 Aug;28(3):331-368. doi: 10.1016/j.fsc.2020.03.001.

DOI:10.1016/j.fsc.2020.03.001
PMID:32503718
Abstract

Traditional superficial musculoaponeurotic system (SMAS) facelifting surgery uses a laminar surgical dissection. This approach does not treat areas of facial volume loss, and requires additional volume supplementation with fat grafting or fillers. The novel volumizing extended deep-plane facelift uses a composite approach to the facelift flap. By incorporating a platysma myotomy in the extended deep-plane flap, a novel composite transposition flap can be created that revolumizes the posterior jawline, recreating a defined convex jawline of youth. Special attention is paid to the deep anatomy of the face, and the need for release of the facial ligaments.

摘要

传统的浅表肌肉筋膜系统 (SMAS) 面部提升术采用层状手术解剖。这种方法不能治疗面部体积损失的区域,需要通过脂肪移植或填充物进行额外的体积补充。新型的容积扩大的深层平面面部提升术采用了复合方法进行面部提升皮瓣。通过在扩展的深层平面皮瓣中进行颈阔肌切开术,可以创建一种新颖的复合转位皮瓣,使下颌后线重新塑形,再现青春时期明显的凸面下颌线。特别注意面部的深层解剖结构,以及需要释放面部韧带。

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