Aesthet Surg J. 2024 Oct 15;44(11):1209-1217. doi: 10.1093/asj/sjae120.
A long philtrum and poor perioral skin quality are stigmata of the aging face. Micro-Coring is a novel technology that allows for scarless skin removal.
In this study we aimed to determine whether micro-coring can shorten the philtrum and improve perioral skin quality.
A retrospective cohort study was performed on patients who underwent facelift with perioral micro-coring and age- and BMI-matched controls who underwent facelift alone. Preoperative and postoperative 3-dimensional facial imaging was performed. Standard perioral distances and percentage of change were calculated. Perioral skin quality was evaluated by blinded raters with the Scientific Assessment Scale of Skin Quality (SASSQ) and Global Aesthetic Improvement Scale (GAIS).
Thirteen patients and 13 controls were included, with a mean follow-up of 8.9 months (range 3.0-21.5). Patients had significantly shorter mean philtrum length postoperatively compared to preoperatively, with an average decrease of 6.18% (±2.25%; P < .05). Controls did not experience significant changes in philtrum length (P > .05). There were no significant changes in other perioral measurements. Perioral skin elasticity and wrinkles significantly improved in patients compared to controls and patients had significantly greater GAIS scores (P < .05).
Micro-Coring can achieve perioral rejuvenation through measurable shortening of the philtrum and observable improvement in skin quality. Nonsurgical techniques continue to find new ways to achieve aesthetic goals without significant recovery or scarring and offer value to patients and clinicians.
长人中沟和较差的口周皮肤质量是衰老面容的特征。微钻取术是一种新型的无疤痕皮肤去除技术。
本研究旨在确定微钻取术是否可以缩短人中沟并改善口周皮肤质量。
对接受面部提升术并同时进行口周微钻取术的患者和年龄及 BMI 匹配的仅接受面部提升术的对照组患者进行回顾性队列研究。进行术前和术后 3 维面部成像。计算标准口周距离和变化百分比。通过盲法评估者使用皮肤质量科学评估量表 (SASSQ) 和整体美学改善量表 (GAIS) 评估口周皮肤质量。
纳入 13 例患者和 13 例对照组，平均随访 8.9 个月(范围 3.0-21.5)。与术前相比，患者术后的平均人中沟长度明显缩短，平均减少 6.18%(±2.25%;P<.05)。对照组的人中沟长度无明显变化(P>.05)。其他口周测量值无明显变化。与对照组相比，患者的口周皮肤弹性和皱纹明显改善，并且患者的 GAIS 评分显著更高(P<.05)。
微钻取术可以通过可测量的人中沟缩短和可观察到的皮肤质量改善来实现口周年轻化。非手术技术继续寻找实现美容目标的新方法，而不会有明显的恢复或疤痕，为患者和临床医生提供价值。
