Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, China.
J Craniofac Surg. 2022;33(2):579-583. doi: 10.1097/SCS.0000000000008013.
The reduction malarplasty has become one of the most popular esthetic surgeries among Asian women to improve facial contour. However, it is still controversial whether midfacial soft tissue changes after surgery, and more studies are needed.
This retrospective observational study reviewed 30 patients who underwent L-shaped reduction malarplasty during January 2018 and August 2019. The preoperative and postoperative soft tissue thickness and the angle of nasolabial fold of the midfacial were assessed using photographs, three-dimensional skull computerized tomography images, and the Wrinkle Severity Rating Scale.
The postoperative average level of nasolabial fold angle was lower than that observed in preoperative conditions, with the difference being statistically significant (t = -10.262, P < 0.001). The postoperative fifth and sixth layers of soft tissue in the midface were significantly higher than those observed in preoperative tissues.
Although L-shaped reduction malarplasty has evident effects on soft tissue changes of middle face, they are within acceptable ranges and do not affect patient satisfaction.
颧骨缩小术已成为亚洲女性改善面部轮廓的最受欢迎的美容手术之一。然而，术后中面部软组织是否发生变化仍存在争议，需要更多的研究。
本回顾性观察研究纳入了 2018 年 1 月至 2019 年 8 月期间接受 L 形颧骨缩小术的 30 例患者。使用照片、三维头颅计算机断层扫描图像和皱纹严重程度评分量表评估术前和术后中面部软组织的厚度和鼻唇沟角度。
术后鼻唇沟角度的平均水平低于术前，差异具有统计学意义（t=-10.262，P<0.001）。术后中面部的第五层和第六层软组织明显高于术前组织。
尽管 L 形颧骨缩小术对中面部软组织变化有明显效果，但在可接受范围内，不影响患者满意度。
