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交联透明质酸钠凝胶联合 PLLA-b-PEG 微球在国人面部轮廓重塑中的应用:一项回顾性研究。

Cross-linked Sodium Hyaluronate Gel with PLLA-b-PEG Microsphere for Facial Contouring in Chinese: A Retrospective Study.

机构信息

Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, 466 Middle Xin Gang Road, Guangzhou City, 510317, Guangdong Province, People's Republic of China.

Department of Medical Cosmetology, Dr. She Yu Hong Aesthetic Plastic Surgery Clinic, Ningbo City, People's Republic of China.

出版信息

Aesthetic Plast Surg. 2024 Nov;48(21):4252-4261. doi: 10.1007/s00266-024-04195-8. Epub 2024 Jul 12.

Abstract

BACKGROUND

In Asia, the demand for cosmetic facial treatments has surged due to technological advancements, increased social acceptability, and affordability. Poly-L-lactic acid (PLLA) fillers, known for their biocompatibility and biodegradability, have emerged as a popular choice for facial contouring, yet studies specifically addressing their use in Asian populations are scarce.

METHODS

This retrospective study examined 30 Chinese patients who underwent facial contouring with PLLA fillers, focusing on product composition, injection techniques, and safety measures. A comprehensive clinical evaluation was performed, including the Global Aesthetic Improvement Scale (GAIS) and Global Impression of Change Scale (GICS) for effectiveness and patient satisfaction, respectively.

RESULTS

No significant difference in GAIS scores was observed between injectors and blinded evaluators over a 12-month period, indicating consistent effectiveness. Patient satisfaction remained high, with GICS scores reflecting positive outcomes. The safety profile was favorable, with no serious adverse events reported. The study highlighted the importance of anatomical knowledge to avoid complications, particularly in areas prone to blindness.

CONCLUSIONS

PLLA fillers offer a safe, effective option for facial contour correction in the Asian population, achieving high patient satisfaction and maintaining results over time. The study underscores the need for tailored approaches in cosmetic procedures for Asians, considering their unique facial structures and aesthetic goals. Further research with larger, multicenter cohorts is recommended to validate these findings and explore long-term effects.

LEVEL OF EVIDENCE III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

在亚洲,由于技术进步、社会接受度提高和可负担性,对美容面部治疗的需求猛增。聚左旋乳酸 (PLLA) 填充剂以其生物相容性和可生物降解性而成为面部轮廓塑造的热门选择,但专门针对亚洲人群使用 PLLA 填充物的研究很少。

方法

本回顾性研究检查了 30 名接受 PLLA 填充物进行面部轮廓塑形的中国患者,重点关注产品成分、注射技术和安全措施。进行了全面的临床评估,包括全球美学改善量表 (GAIS) 和全球变化印象量表 (GICS),分别评估效果和患者满意度。

结果

在 12 个月的时间内,注射者和盲法评估者的 GAIS 评分没有显著差异,表明效果一致。患者满意度仍然很高,GICS 评分反映了积极的结果。安全性良好,无严重不良事件报告。该研究强调了了解解剖知识以避免并发症的重要性,特别是在容易失明的区域。

结论

PLLA 填充物为亚洲人群提供了一种安全、有效的面部轮廓矫正选择,患者满意度高,效果持久。该研究强调了针对亚洲人美容手术需要采用量身定制方法的必要性,考虑到他们独特的面部结构和审美目标。建议进行更大、多中心队列的进一步研究,以验证这些发现并探索长期效果。

证据水平 III:本杂志要求作者为每篇文章分配一个证据级别。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 www.springer.com/00266

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