Cicatrix Minimally Invasive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, People's Republic of China.
Department of Plastic and Reconstructive Surgery, Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, People's Republic of China.
Aesthetic Plast Surg. 2024 May;48(9):1672-1678. doi: 10.1007/s00266-024-03872-y. Epub 2024 Mar 6.
Thread-lifting (TL) is a minimally-invasive technique for facial rejuvenation, whereas liposuction is commonly used for facial contouring. This retrospective cohort study aims to introduce and evaluate a novel technique that combines liposuction and thread-lifting for mid-lower facial rejuvenation.
Consecutive patients who underwent TL for mid-lower facial rejuvenation from May 2016 to May 2021 were divided into thread-lifting group (TL group) or thread-lifting plus liposuction group (TLL group) according to whether liposuction was performed adjunctively. The co-primary outcomes were the changes between the preoperative and 6-month postoperative Wrinkle Severity Rating Scale (WSRS) and Facial Aging Evaluation Scale (FAES).
A total of 185 patients (184 females) with an average age of 34.5±5.5 years were included. There were no significant differences in patients' age, number of threads, and preoperative WSRS and FAES between the two groups. The TLL group (n = 128) had significantly lower postoperative WSRS (1.5±0.6 vs. 1.8±0.8, p<0.001) and FAES (2.5±1.4 vs. 3.8±2.1, p<0.001) than the TL group (n = 57). The decrease in WSRS (0.8±0.6 vs. 0.2±0.7, p<0.001) and FAES (2.7±1.3 vs. 1.6±1.6, p<0.001) were greater in the TLL group. Only 3.8% patients experienced slight side effects and totally recovered.
The combination of TL and liposuction is an effective and safe technique for simultaneous contour improvement and facial rejuvenation in middle-aged East Asian females.
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线雕（TL）是一种用于面部年轻化的微创技术，而吸脂术常用于面部轮廓塑形。本回顾性队列研究旨在介绍并评估一种将吸脂术与线雕相结合用于中下面部年轻化的新技术。
根据是否辅助行吸脂术，将 2016 年 5 月至 2021 年 5 月间行 TL 用于中下面部年轻化的连续患者分为线雕组（TL 组）或线雕加吸脂组（TLL 组）。主要结局为术前与术后 6 个月皱纹严重程度评分量表（WSRS）和面部老化评估量表（FAES）的变化。
共纳入 185 例（184 例女性）平均年龄 34.5±5.5 岁的患者。两组患者年龄、线数量以及术前 WSRS 和 FAES 均无显著差异。TLL 组（n=128）术后 WSRS（1.5±0.6 比 1.8±0.8，p<0.001）和 FAES（2.5±1.4 比 3.8±2.1，p<0.001）显著低于 TL 组（n=57）。TLL 组 WSRS（0.8±0.6 比 0.2±0.7，p<0.001）和 FAES（2.7±1.3 比 1.6±1.6，p<0.001）的下降幅度更大。仅 3.8%的患者出现轻微副作用并完全恢复。
TL 联合吸脂术是一种有效且安全的技术，可同时改善中面部轮廓和年轻化。
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