Cong Li-Yao, Zhang Siyi, Huang Jianmei, Yang Wei, Lou Xia, Liu Xiang, Wang Na, She Yuhong, Chen Ke, Zhang Shuxian, Pan Baohua, Du Pei, He Xin, Diao Yu-Jia, Liao Zhifeng, Luo Shengkang
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.
Sichuan Huamei Zixin Medical Aesthetic Hospital, Chengdu City, Sichuan Province, People's Republic of China.
Aesthetic Plast Surg. 2024 Dec;48(23):4750-4759. doi: 10.1007/s00266-024-04232-6. Epub 2024 Jul 24.
The aim of this study was to further guide the diagnosis and treatment programs for clinical facial contouring with injectable fillers by studying the facial contour parameters and proportion preferences consistent with Asian aesthetics.
A total of 89 subjects (42 males and 47 females aged 20-60 years) who met the inclusion criteria were enrolled in this study. The subjects were grouped by age, sex, and external contour attractiveness score, and the external contour aesthetic parameters and proportions of the subjects in different groups were measured and analysed.
The upper facial breadth and lower facial breadth decreased with age, with significant differences between the 50-60-year age group and other age groups (P < 0.01). The nasomental angle showed a decreasing trend with age, with significant differences between the 40-49-year age group and the 20-29-year and 30-39-year age groups (P < 0.05). Males and females were significantly different in calva height, total head height, lower facial height, and calva height to total head height ratio (P < 0.05). With increasing age, the external contour attractiveness scores of males and females both showed decreasing trends, with significant differences between the 50-60-year age group and other age groups (P < 0.05).
The calva height and the cranioauricular angle have a significant impact on external contour attractiveness. In general, temporal depression, cheek sagging, lateral cheek depression, and an ill-defined mandibular border will occur due to ageing, collagen loss, ligament laxity and sagging, and soft tissue atrophy and sagging, reducing the attractiveness of the external contour.
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本研究旨在通过研究符合亚洲美学的面部轮廓参数和比例偏好，进一步指导临床使用可注射填充剂进行面部轮廓塑形的诊断和治疗方案。
本研究共纳入89名符合纳入标准的受试者（42名男性和47名女性，年龄20 - 60岁）。根据年龄、性别和外部轮廓吸引力评分对受试者进行分组，并对不同组受试者的外部轮廓美学参数和比例进行测量和分析。
面部上宽度和下宽度随年龄增长而减小，50 - 60岁年龄组与其他年龄组之间存在显著差异（P < 0.01）。鼻唇角随年龄增长呈下降趋势，40 - 49岁年龄组与20 - 29岁和30 - 39岁年龄组之间存在显著差异（P < 0.05）。男性和女性在颅顶高度、总头高、面下高度以及颅顶高度与总头高之比方面存在显著差异（P < 0.05）。随着年龄的增长，男性和女性的外部轮廓吸引力评分均呈下降趋势，50 - 60岁年龄组与其他年龄组之间存在显著差异（P < 0.05）。
颅顶高度和颅耳角对外部轮廓吸引力有显著影响。一般来说，由于衰老、胶原蛋白流失、韧带松弛和下垂以及软组织萎缩和下垂，会出现颞部凹陷、脸颊下垂、脸颊外侧凹陷和下颌缘不清晰，从而降低外部轮廓的吸引力。
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