Aesthet Surg J. 2024 Jan 16;44(2):144-159. doi: 10.1093/asj/sjad283.
Traditional plication techniques have been ineffective in addressing the anterior midface when compared to the sub-superficial musculoaponeurotic system (SMAS) "deep plane" approaches. However, by moving the plication much closer to the mobile medial fat tissues, a more effective and long-lasting plication can be accomplished without releasing the SMAS layer.
The authors' "Delta facelift" approach combines a rotation vertical advancement of the midface fat with a dual-vector platysmaplasty and deep cervicoplasty as indicated for a harmoniously youthful neck.
A retrospective chart review was performed on all patients who underwent facial rejuvenation with the Delta facelift technique between January 1, 2012, and May 30, 2021, for patient demographics, procedure details, outcomes, and complications.
A total of 283 patients underwent Delta facelift (273 females, 10 males). The average age was 60.8 years old. Primary facelift was performed in 229 patients, whereas 54 facelifts were secondary or further procedures. Adjunctive procedures included autologous fat grafting (93%), blepharoplasty (52%), and skin rejuvenating procedures (35%). There were 11 self-resolving neuropraxias, 6 minor hematomas, and 6 infections. Nine patients underwent repeat Delta facelift at an average of 9.3 years.
The Delta rotation vertical advancement of the anterior facial fat counters the descent and deflation associated with facial aging. Dual-vector platysmaplasty, with or without myotomy, effectively manages the jowl and delineates the jawline. Addition of deep cervicoplasty is recommended for patients with oblique necks or those with subplatysmal volume excess.
与亚表层肌肉腱膜系统 (SMAS)“深部平面”方法相比，传统的折叠技术在处理前中面部时效果不佳。然而，通过将折叠更靠近可移动的内侧脂肪组织，即使不释放 SMAS 层，也可以完成更有效和持久的折叠。
作者的“Delta 拉皮术”方法将中面部脂肪的旋转垂直推进与双矢量颈阔肌成形术和深部颈成形术相结合，适用于协调年轻的颈部。
对 2012 年 1 月 1 日至 2021 年 5 月 30 日期间接受 Delta 拉皮术进行面部年轻化的所有患者进行回顾性图表审查，以获取患者人口统计学、手术细节、结果和并发症。
共有 283 名患者接受了 Delta 拉皮术（273 名女性，10 名男性）。平均年龄为 60.8 岁。229 例患者行原发性拉皮术，54 例患者行二次或进一步手术。辅助手术包括自体脂肪移植（93%）、眼睑成形术（52%）和皮肤年轻化手术（35%）。有 11 例出现自限性神经麻痹，6 例轻微血肿和 6 例感染。9 例患者在平均 9.3 年后再次接受 Delta 拉皮术。
Delta 前面部脂肪的旋转垂直推进可抵消与面部衰老相关的下降和萎缩。双矢量颈阔肌成形术，无论是否行肌切开术，都能有效地处理下颌和界定下颌线。对于斜颈或亚层下体积过多的患者，建议行深部颈成形术。
